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• W2111462054 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Jan 2004Concomitant Use of Sildenafil and a Vacuum Entrapment Device for the Treatment of Erectile Dysfunction JUZA CHEN, MARIO SOFER, ISSAC KAVER, HAIM MATZKIN, and ALEXANDER GREENSTEIN JUZA CHENJUZA CHEN More articles by this author , MARIO SOFERMARIO SOFER More articles by this author , ISSAC KAVERISSAC KAVER More articles by this author , HAIM MATZKINHAIM MATZKIN More articles by this author , and ALEXANDER GREENSTEINALEXANDER GREENSTEIN More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000098460.02560.feAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Men not entirely satisfied with erectile function after separate use of sildenafil or a vacuum entrapment device (VED) are usually given more invasive alternatives. This prospective study was designed to evaluate the efficacy of concomitant use of sildenafil and a vacuum entrapment device in men not satisfied with erectile function while using each of these treatment modalities separately. Materials and Methods: A total of 161 patients suffering from erectile dysfunction for at least 6 months were evaluated and treated with 100 mg sildenafil and a VED each as monotherapy. The 41 patients not satisfied with erectile function while using either modality alone were treated with concomitant use of sildenafil and a VED. The International Index of Erectile Function and global assessment question about satisfaction from treatment were used to evaluate satisfaction before and after each treatment. Results: All 41 patients stated on the global assessment question that they had a greater level of satisfaction with the results of combined treatment than with each treatment alone (p <0.0001). Older (age greater than 60 years) participants reported better overall satisfaction. There was no correlation between treatment outcome and erectile dysfunction etiology or between satisfaction from treatments and the order in which they were given and the pretreatment scores for the International Index of Erectile Function domains. Conclusions: Combined use of sildenafil and a VED may be offered to patients not satisfied when either treatment is used alone. References 1 : Erectile dysfunction practice guidelines. Can J Urol2002; 9: 1583. Google Scholar 2 : Combining intracavernous injection and external vacuum as treatment for erectile dysfunction. J Urol1995; 153: 1476. Link, Google Scholar 3 : Oral sildenafil in the treatment of erectile dysfunction. Sildenafil Study Group. N Engl J Med1998; 338: 1397. Crossref, Medline, Google Scholar 4 NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA1993; 270: 83. Google Scholar 5 : External vacuum therapy for erectile dysfunction: use and results. World J Urol1997; 15: 78. Google Scholar 6 : Management of erectile dysfunction by combination therapy with testosterone and sildenafil in recipients of high-dose therapy for haematological malignancies. Bone Marrow Transplant2002; 29: 607. Google Scholar 7 : Rationale for combination therapy of intraurethral prostaglandin E(1) and sildenafil in the salvage of erectile dysfunction patients desiring noninvasive therapy. Int J Impot Res2002; 14: S38. Google Scholar 8 : Achieving treatment optimization with sildenafil citrate (Viagra) in patients with erectile dysfunction. Urology2002; 60: 28. Google Scholar From the Department of Urology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel© 2004 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 171Issue 1January 2004Page: 292-295 Advertisement Copyright & Permissions© 2004 by American Urological Association, Inc.Keywordsvacuum entrapment deviceerectile dysfunctionsildenafiltherapyMetricsAuthor Information JUZA CHEN More articles by this author MARIO SOFER More articles by this author ISSAC KAVER More articles by this author HAIM MATZKIN More articles by this author ALEXANDER GREENSTEIN More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2111462054 title "Concomitant Use of Sildenafil and a Vacuum Entrapment Device for the Treatment of Erectile Dysfunction" @default.
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