Impotence in Single Males

Park, Dong Soo; Choi, Hyung Ki

Abstract

Due to the increased awareness of impotence, including primary impotence, in single males, we studied its characteristics and a comparative study was performed with other impotence groups. From March 1986 to February 1989, 53 impotent single males without previous trauma history (Group A) were evaluated and diagnosed by implementing diagnostic procedures when available. During the same period. Rigi Scans were performed in 66 patients with erectile failure (excluding impotent single males, Group B) and AVS penograms were also done in 647 patients belonging to the same group. Of the 53 evaluated patients, twenty were found to have primary impotence which was composed of 9 with organic and 11 with psychogenic impotence. The comparison of 9 Patients with primary organic impotence and 11 patients with primary psychogenic impotence showed significant differences in the results of diagnostic studies, but the data size was insufficient to obtain significance. Comparison of the ratio of organic and psychogenic impotence in primary impotence patients and nonprimary impotence patients among 53 single males revealed these to be almost the same, as 0.82 (45%/55%,9/20 / 11/20) and 0.83 (45.5 %/54.6 %, 15/33 / 18/33) respectively. According to these results, single males with erectile failure including primary impotence can be classified as one of the disease entities. The Rigi Scan classification used in this study was revealed to be significant in comparison of Groups A and B (p=0.02). The type distribution of the AVS penogram was statistically significant in comparing Group A to B (p=0. 004). The difference in Rigi Scan and AVS penogram results between Group A and B signifies psychologic and organic dissimilarity between these groups. The unstable erection seen in Rigi Scan was considered to be due to some organic, especially some form of hemodynamic problem that needs further investigation.