The Experts below are selected from a list of 243 Experts worldwide ranked by ideXlab platform
Elia Gomezmerino - One of the best experts on this subject based on the ideXlab platform.
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sleep related Painful Erection in a 50 year old man successfully treated with cinitapride
The Journal of Sexual Medicine, 2010Co-Authors: Eusebi Chiner, Jose N Sanchochust, Monica Llombart, Ana Camarasa, Cristina Senent, Gabriel Mediero, Elia GomezmerinoAbstract:INTRODUCTION: The sleep-related Painful Erection (SRPE) is a well-established parasomnia characterized by episodes of penile pain during an Erection and typically appears during REM sleep. It is associated with nocturnal awakenings, anxiety, and irritability. AIM: To report a case study that highlights the successful treatment of SRPE with cinitapride. METHODS: We present a case report of a 50-year-old man suffering from SRPE that was studied by polysomnography. RESULTS: Severe fragmentation of rapid eye movement (REM) sleep was observed, and nine episodes of sleep-related Erections were observed through the night; they were associated with REM sleep, and five of them were classified as SRPE. Cinitapride before the onset of sleep was started. Both the frequency and intensity of SRPE gradually decreased during a period of 6 months with the maintenance of normal sexual function. CONCLUSION: Cinitapride can play a role in reducing SRPE at night probably due to central modulation of neurotransmitters mediating Erection.
Günther Gademann - One of the best experts on this subject based on the ideXlab platform.
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Induratio penis plastica
Strahlentherapie Und Onkologie, 2003Co-Authors: Claudia Pambor, Günther GademannAbstract:Background: To evaluate the benefit of radiotherapy with fast electrons in induratio penis plastica (IPP). Patients and Methods: Within 7 years we treated 58 patients with manifested clinically induratio penis plastica. We applied single dose of 3 Gy 2-3 times weekly and a maximum dose of 24-30 Gy. Follow-up was 2 years and included documentation of subjective discomforts (induration, deviation and Painful Erection). Results: Induration (27.6%) and deviation (24.1%) of the erected penis are little improved, but in two-third of patients (65%) with Painful Erection defined relief could be obtained. It could also be shown that patients with short history of symptoms had best chances for a successful treatment. Side effects were not seen. Conclusion: In our experience radiotherapy is not suitable for all stages of IPP. Only patients in the early stages of IPP - especially the ones who suffer from Painful Erection - should be considered suitable for treatment with ionising radiation.
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Induratio penis plastica
Strahlentherapie und Onkologie, 2003Co-Authors: Claudia Pambor, Günther GademannAbstract:Background: To evaluate the benefit of radiotherapy with fast electrons in induratio penis plastica (IPP). Patients and Methods: Within 7 years we treated 58 patients with manifested clinically induratio penis plastica. We applied single dose of 3 Gy 2–3 times weekly and a maximum dose of 24–30 Gy. Follow-up was 2 years and included documentation of subjective discomforts (induration, deviation and Painful Erection). Results: Induration (27.6%) and deviation (24.1%) of the erected penis are little improved, but in two-third of patients (65%) with Painful Erection defined relief could be obtained. It could also be shown that patients with short history of symptoms had best chances for a successful treatment. Side effects were not seen. Conclusion: In our experience radiotherapy is not suitable for all stages of IPP. Only patients in the early stages of IPP—especially the ones who suffer from Painful Erection—should be considered suitable for treatment with ionising radiation. Hintergrund: Bei Patienten mit Induratio penis plastica (IPP) wurde die Wirkung einer Strahlentherapie mit schnellen Elektronen untersucht. Patienten und Methoden: Im Zeitraum von 7 Jahren wurden 58 Patienten mit klinisch manifester Induratio penis plastica behandelt. Wir applizierten Einzeldosen von 3 Gy zwei- bis dreimal pro Woche bis zu einer Gesamtdosis von 24–30 Gy. In einer Nachbeobachtungszeit von 2 Jahren erfassten wir die Wirkung der Bestrahlung auf die einzelnen Symptome (Induration, Deviation, schmerzhafte Erektion). Ergebnisse: Während sich die Induration (27,6%) und Deviation (24,1%) des erigierten Penis wenig verbesserten, konnte bei knapp zwei Drittel der Patienten (65%) mit Schmerzen eine deutliche Linderung erzielt werden. Es bestätigte sich auch, dass Patienten mit einer kurzen Anamnese die größten Erfolgsaussichten bieten. Radiogene Nebenwirkungen konnten von uns nicht beobachtet werden. Schlussfolgerung: Demnach ist nach unseren Erfahrungen die Bestrahlung nicht zur Behandlung aller Patienten mit IPP geeignet. Nur bei Patienten im frühen Stadium, die hauptsächlich unter schmerzhaften Erektionen leiden, sollte die Bestrahlung in Erwägung gezogen werden.
Eusebi Chiner - One of the best experts on this subject based on the ideXlab platform.
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sleep related Painful Erection in a 50 year old man successfully treated with cinitapride
The Journal of Sexual Medicine, 2010Co-Authors: Eusebi Chiner, Jose N Sanchochust, Monica Llombart, Ana Camarasa, Cristina Senent, Gabriel Mediero, Elia GomezmerinoAbstract:INTRODUCTION: The sleep-related Painful Erection (SRPE) is a well-established parasomnia characterized by episodes of penile pain during an Erection and typically appears during REM sleep. It is associated with nocturnal awakenings, anxiety, and irritability. AIM: To report a case study that highlights the successful treatment of SRPE with cinitapride. METHODS: We present a case report of a 50-year-old man suffering from SRPE that was studied by polysomnography. RESULTS: Severe fragmentation of rapid eye movement (REM) sleep was observed, and nine episodes of sleep-related Erections were observed through the night; they were associated with REM sleep, and five of them were classified as SRPE. Cinitapride before the onset of sleep was started. Both the frequency and intensity of SRPE gradually decreased during a period of 6 months with the maintenance of normal sexual function. CONCLUSION: Cinitapride can play a role in reducing SRPE at night probably due to central modulation of neurotransmitters mediating Erection.
Urbain Calvet - One of the best experts on this subject based on the ideXlab platform.
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Painful nocturnal Erection
Sleep Medicine Reviews, 1999Co-Authors: Urbain CalvetAbstract:Sleep related Painful Erection is a parasomnia occurring during rapid eye movement (REM) sleep. It is rarely dealt with in the literature, and is very often poorly understood. Because of repeated awakenings, it is interpreted as insomnia, and is attributed to anxiety. EEG recordings associated with nocturnal penile tumescence monitoring indicate the existence of disturbed sleep organization, with awakenings during REM sleep and frequent nocturnal Erections, often unrelated to REM sleep. Though the pathophysiological mechanisms involved are not yet understood, an interpretation of sleep-related Painful Erections is proposed, based on the current understanding and physiology of diurnal and nocturnal Erections.
Claudia Pambor - One of the best experts on this subject based on the ideXlab platform.
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Induratio penis plastica
Strahlentherapie Und Onkologie, 2003Co-Authors: Claudia Pambor, Günther GademannAbstract:Background: To evaluate the benefit of radiotherapy with fast electrons in induratio penis plastica (IPP). Patients and Methods: Within 7 years we treated 58 patients with manifested clinically induratio penis plastica. We applied single dose of 3 Gy 2-3 times weekly and a maximum dose of 24-30 Gy. Follow-up was 2 years and included documentation of subjective discomforts (induration, deviation and Painful Erection). Results: Induration (27.6%) and deviation (24.1%) of the erected penis are little improved, but in two-third of patients (65%) with Painful Erection defined relief could be obtained. It could also be shown that patients with short history of symptoms had best chances for a successful treatment. Side effects were not seen. Conclusion: In our experience radiotherapy is not suitable for all stages of IPP. Only patients in the early stages of IPP - especially the ones who suffer from Painful Erection - should be considered suitable for treatment with ionising radiation.
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Induratio penis plastica
Strahlentherapie und Onkologie, 2003Co-Authors: Claudia Pambor, Günther GademannAbstract:Background: To evaluate the benefit of radiotherapy with fast electrons in induratio penis plastica (IPP). Patients and Methods: Within 7 years we treated 58 patients with manifested clinically induratio penis plastica. We applied single dose of 3 Gy 2–3 times weekly and a maximum dose of 24–30 Gy. Follow-up was 2 years and included documentation of subjective discomforts (induration, deviation and Painful Erection). Results: Induration (27.6%) and deviation (24.1%) of the erected penis are little improved, but in two-third of patients (65%) with Painful Erection defined relief could be obtained. It could also be shown that patients with short history of symptoms had best chances for a successful treatment. Side effects were not seen. Conclusion: In our experience radiotherapy is not suitable for all stages of IPP. Only patients in the early stages of IPP—especially the ones who suffer from Painful Erection—should be considered suitable for treatment with ionising radiation. Hintergrund: Bei Patienten mit Induratio penis plastica (IPP) wurde die Wirkung einer Strahlentherapie mit schnellen Elektronen untersucht. Patienten und Methoden: Im Zeitraum von 7 Jahren wurden 58 Patienten mit klinisch manifester Induratio penis plastica behandelt. Wir applizierten Einzeldosen von 3 Gy zwei- bis dreimal pro Woche bis zu einer Gesamtdosis von 24–30 Gy. In einer Nachbeobachtungszeit von 2 Jahren erfassten wir die Wirkung der Bestrahlung auf die einzelnen Symptome (Induration, Deviation, schmerzhafte Erektion). Ergebnisse: Während sich die Induration (27,6%) und Deviation (24,1%) des erigierten Penis wenig verbesserten, konnte bei knapp zwei Drittel der Patienten (65%) mit Schmerzen eine deutliche Linderung erzielt werden. Es bestätigte sich auch, dass Patienten mit einer kurzen Anamnese die größten Erfolgsaussichten bieten. Radiogene Nebenwirkungen konnten von uns nicht beobachtet werden. Schlussfolgerung: Demnach ist nach unseren Erfahrungen die Bestrahlung nicht zur Behandlung aller Patienten mit IPP geeignet. Nur bei Patienten im frühen Stadium, die hauptsächlich unter schmerzhaften Erektionen leiden, sollte die Bestrahlung in Erwägung gezogen werden.
