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Relaxant effect of prostaglandin E(1) (PGE(1)) and papaverine (PAP) were measuredin strips of corpus cavernosum smooth muscle taken from a healthycontrol group of men (A; n = 5), from arteriogenically impotent men (B; n = 6)and from additionally diabetic impotent men (C; n = 5) with venous leakage.Maximal relaxant effect was achieved with PAP at a mean of 10~4 mol/1 andPGE(1) at a mean of 5.8 x 10^-6 mol/l. PAP induced complete relaxation in allstrips. There was no difference in relaxant effects between groups. Relaxanteffect was less pronounced and depended significantly on etiology: penylephrine-induced tension was reduced by 76± 8% (A), 54± 14% (B) and 23±18% (C), respectively. In conclusion, our data suggest degradation of PGE(1)receptors depending on the cause of erectile dysfunction. Furthermore, relaxantcapacity of cavernous smooth muscle per se seems not to be impaired inimpotence. Therefore, pathophysiology of venous leakage cannot sufficientlybe explained by a lack of relaxation.
European Urology – Karger
Published: Jan 1, 2017
Keywords: Erection; Impotence; Papaverine; Prostaglandin E(1); Relaxation; Smooth muscle
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