Changes in Erectile Response to Repeated Audiovisual Sexual StimulationKim S.C.a · Bang J.H.a · Hyun J.S.b · Seo K.K.a
a Department of Urology, College of Medicine, Chung-Ang University, Seoul, and b Gyeong-Sang University, Chinju, Korea
Do you have an account?
- Rent for 48h to view
- Buy Cloud Access for unlimited viewing via different devices
- Synchronizing in the ReadCube Cloud
- Printing and saving restrictions apply
Rental: USD 8.50
Cloud: USD 20.00
Objectives: To determine changes in erectile response to repeated audiovisual sexual stimulation in patients with psychogenic impotence and normal men. Methods: The same erotic video was shown to 45 men (20 patients with psychogenic impotence and 25 normal men) for 3 consecutive days. Their erectile responses during the audiovisual stimulation were monitored using RigiScan (Dacomed, Minneapolis, Minn., USA), and the maximal rigidity of erection, sustained for more than 5 min, was measured. The rigidities on the first, second and third days were comparatively analyzed. Whether previous multiple viewings of the erotic movie and previous exposure to the same or a similar movie influenced the erectile response were also evaluated. Results: Rigidity on the third day was significantly decreased compared to that on the first day in both patients with psychogenic impotence and normal controls (p < 0.05), regardless of the frequency of previous viewings and the previous exposure to a similar movie. Rigidity on the first day was significantly lower in the group with multiple viewings than in the group with fewer viewings (p < 0.05). Conclusions: Real-time monitoring of penile erection during audiovisual sexual stimulation may result in false-negative responses when patients are repeatedly exposed to the stimulation.
Daitch JA, Lakin MM, Montague DK: Nocturnal penile tumescence monitoring; in Mulcahy JJ (ed): Diagnosis and Management of Male Sexual Dysfunction. New York, Igaku-Shoin, 1997, pp 55–73.
- Thase ME, Reynolds CF III, Jennings JR, Frank E, Garamoni GL, Nofzinger EA, Fascizka AL, Kupfer DJ: Diminished nocturnal penile tumescence in depression: A replication study. Biol Psychiatry 1992;31:1136–1142.
- Pressman MR, DePhillipo MA, Kendrick JI, Conroy K, Fry JM: Problems in the interpretation of nocturnal penile tumescence studies: Disruption of sleep by occult sleep disorders. J Urol 1986;136:595–598.
Karacan I, Goodenough DR, Shapiro A, Starker S: Erection cycle during sleep in relation to dream anxiety. Arch Gen Psychiatry 1966;15:183–189.
- Kowalski A, Stanley RO, Dennerstien L, Burrows G, Maguire KP: The sexual side-effects of antidepressant medication: A double-blind comparison of two antidepressants in a non-psychiatric population. Br J Psychiatry 1985;147:413–418.
- Rosen RC, Kostis JB, Jekelis A, Taska LS: Sexual sequelae of antihypertensive drugs: Treatment effects on self-report and physiological measures in middle-aged male hypertensives. Arch Sex Behav 1994;23:135–152.
- Carani C, Bancroft J, Granata A, Del Rio G, Marrana P: Testosterone and erectile function, nocturnal penile tumescence and rigidity, and erectile response to visual erotic stimuli in hypogonadal and eugonadal men. Psychoneuroendocrinology 1992;17:647–654.
- Kirkeby HJ, Poulsen EU, Petersen T, Dorup J: Erectile dysfunction in multiple sclerosis. Neurology 1988;38:1366–1371.
- Levine LA, Lenting EL: Use of nocturnal penile tumescence and rigidity in the evaluation of male erectile dysfunction. Urol Clin North Am 1995;22:775–788.
Djamilian M, Stief CG, Hartmann U, Jonas U: Predictive value of real-time RigiScan monitoring for the etiology of organogenic impotence. J Urol 1993;149:269–1271.
- Martins FE, Reis JP: Visual erotic stimulation test for initial screening of psychogenic erectile dysfunction: A reliable noninvasive alternative? J Urol 1997;157:134–139.
Oh MM, Kim SC: A clinical comparative study between visual stimulated erection and nocturnal penile erection by RigiScan. Kor J Urol 1990;31:436–441.
Lui MC, Lin JSN, Yu CY, Ho TC: Erectile response of penis to intracavernosal injection of prostaglandin E1 associated with audiovisual sexual stimulation (AVSS) and dynamic infusion cavernosometry (DIC). Int J Impotence Res 1992;4(suppl 1):115–122.
- Janssen E, Everaerd W, Van Lunsen RHW, Oerlemans S: Validation of a psychophysiological waking erectile assessment (WEA) for the diagnosis of male erectile disorder. Urology 1994;43:686–696.
Condra M, Morales A, Harris C, Heaton JP: A call for caution: the use of visual sexual stimulation as a tool for the etiological diagnosis of impotence. Int J Impotence Res 1990;2:203–208.
Article / Publication Details
Copyright / Drug Dosage / DisclaimerCopyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.