Login to Access Video or Poster Abstract: MP81-05
Sources of Funding: none

Introduction

To investigate the answer could CC-EMG recording be used as a diagnostic parameter in pelvic autonomic dysfunction in patients with LUTS.

Methods

This study was performed in 50 patients having LUTS including erectile dysfunction. Total ‘International Index of Erectile Function’ (IIEF) scores were below 26 and International prostate symptom score (I-PSS) scores were more than 10 point. All patient’s urologic evaluation were performed with penile color Doppler ultrasonography, electromyography of corpus cavernosum (CC-EMG), cavernosometry, urodynamics and transrectal ultrasonography. CC-EMG measurements obtained from patients that were divided into groups according to their degree of relaxation. The degree of relaxation is less than 50% of patients in group 1 (23 patients) (autonomic dysfunction) and more than 50% in group 2 (27 patients) patients.

Results

IIEF-5 and IIEF-15 scores of group 1 patients were lower than group 2 patients. I-PSS scores of group 2 patients were lower than group 1 patients. The mean amplitude values were 261.41 ± 112.97 in group 1 before papaverine injection and that was reported to be 246 ± 101.28 in group 2 (p<0.05). The mean amplitude after papaverine enjection value was 182.73 ± 60.71 in group 1 and that value was 83.2 ± 29.19 in group 2 (p<0.05).

Conclusions

Increased electrical bursts and decreased relaxation responses could be the indirect sign of increased contractile status of bladder sphincteric activity and thus CC-EMG could be used in the diagnosing of pelvic autonomic dysfunction as to be used in cavernous autonomic dysfunction analogically.

Funding

none