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ORIGINAL ARTICLE
Year : 2002  |  Volume : 36  |  Issue : 1  |  Page : 42-45

Role of intracavernous papaverine induced erections in sexual rehabilitation of paraplegic patients - A clinico psychological study


Department of Orthopaedic Surgery, Physical Medicine, Paraplegia and Rehabilitation, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, India

Correspondence Address:
S C Sharma
48/9J, Medical Enclave, Rohtak-124001 (Haryana)
India
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Source of Support: None, Conflict of Interest: None


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Fifty four male patients with spinal cord injury (SCI) with injury levels between D1 and L 3 were given intracavernous injection of papaverine to study its effects in the form of erection, rigidity, maximum duration of erection, possibility of ejaculation, coitus and psychological satisfaction. Fifty patients could be followed up. Of them 40 had full erection, eight partial and two had no erection. Mean dose given was 15 mg (range 10 - 30 mg). Duration of erection was 1 to 4 hour in 46 patients and in none it lasted for more than 5 hours. Eight patients had off and on ejaculation and semen analysis showed increased number of deformed and less motile sperms. Forty six patients were psychologically satisfied. Except for few minor complications like bruise (5), automatic dysreflexia (2) and intraurethral injections (4), no major complication occurred. Intracavernous papaverine therapy is safe, cheap and effective in paraplegics with erectile impotence. This mode of treatment may be used with confidence in socio-sexual rehabilitation of male paraplegics with SCI.


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