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Skat/swelling body autoinjection therapy

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Cavernous body autoinjection therapy

Definition
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Intracavernous application of vasoactive substances by the doctor or the patient for therapeutic purposes (achievement of an artificial erection in cases of impotentia coeundi organic genesis).

Indication
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Impotentia coeundi of organic origin (diabetes mellitus, encephalomyelitis disseminata, AVK, posttraumatic and others).

Implementation
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The injection is made after careful disinfection with a thin cannula (No. 16 or 20) horizontally into the two corpora cavernosa from the side; the vasoactive substances used include papaverine and, alternatively, prostacyclin (especially in the clinical area); the dosage must be determined individually on the basis of a previous cavernous body pharmacological test and should produce an artificial erection over a period of approximately 2 hours.

Undesirable effects
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Prolonged erections up to priapism depending on the individual sensitivity of the patient.

Contraindication
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Remember! The above mentioned vasoactive substances are not approved for an intracavernous autoinjection therapy for organic impotentia coeundi (off-label use!). The application should therefore only be initiated and controlled by experienced urologists or andrologists in clinics or practices!

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Last updated on: 29.10.2020