Use of the ice water test as an early predictor of recovery of erectile function in patients with spinal cord injury.
Spinal Cord Ser Cases
; 6(1): 51, 2020 06 29.
Article
en En
| MEDLINE
| ID: mdl-32601269
ABSTRACT
STUDY DESIGN:
Retrospective, cross-sectional.OBJECTIVES:
To determine the capacity of the ice water test (IWT) to predict erectile function during the early phase of spinal cord injury (SCI).SETTING:
France.METHODS:
This was a retrospective, cross-sectional study. Data from patients with SCI were included if they presented with neurogenic shock causing erectile dysfunction AND detrusor underactivity, and had undergone the following evaluations during the first 6 months post SCI (E1), and again at least 2 years later (E2) a complete neurological examination, urodynamic evaluation with the IWT, and evaluation by the Erection Hardness Score (EHS, from 0 to 4). Patients with cauda equina syndromes were excluded.RESULTS:
Data from 62 patients with SCI were included, 37 with a positive IWT and 25 with a negative IWT. E1 was performed at 3.2 months ± 1.9, and E2 at 2.0 years ± 2.9 post SCI. At E2, 95% of patients with an initial positive IWT had reliable erections (EHS 3 or 4), compared with 0% of patients with a negative IWT. Neurogenic detrusor overactivity was found in 89% of patients with a positive IWT compared with 8% with a negative IWT. The IWT had a good sensitivity and negative predictive value 100% for erectile function, and respectively 94 and 92% for bladder function.CONCLUSION:
The IWT is a reliable and predictive test of erectile potential in patients with sacral and suprasacral SCI.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Traumatismos de la Médula Espinal
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Disfunción Eréctil
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Adult
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Aged
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Spinal Cord Ser Cases
Año:
2020
Tipo del documento:
Article
País de afiliación:
Francia