The Journal of Urology · 1993 · 112 citations · 20 references
MedicinePharmacologyPhysiologyNeuroendocrinologyNeurophysiologyPharmacodynamicsAutonomic Nervous SystemAutonomic Nervous System PharmacologyErectile DysfunctionSympathetic ActivationSympathetic Nervous System InvolvementSympathetic Nervous System ModulationSympathetic Nervous System PharmacologySympathetic Nervous System Physiology
The effects of the pharmacological changes of sympathetic innervation were studied in a rat model of electrically induced erection. Stimulation of the cavernous nerve elicited an erectile response measured by intracavernous pressure and separated into latency phase, tumescence (corresponding to corpora cavernosa filling), full erection (ICPE: intravenous pressure during full erection) and detumescence (corpora cavernosa emptying). A close dependence of the corpora cavernosa filling rate, ICPE and corpora cavernosa emptying rate on arterial blood pressure was demonstrated. Ganglionic blockade by mecamylamine decreased ICPE. Chemical sympathectomy by 6-hydroxydopamine improved the entire erectile response. Phentolamine (alpha-adrenoreceptor blocking agent) and propranolol (beta-adrenoreceptor blocking agent) increased the latency phase. Phentolamine increased the corpora cavernosa filling rate and the ICPE, while propranolol decreased them. These results demonstrate that a sympathetic inhibition decreases the erectile response to stimulation and that this inhibition is due not only to norepinephrine, but possibly to a nonadrenergic noncholinergic transmitter, colocalized with norepinephrine.
20
Contemporary Management of Impotence and Infertility
Anthony J. Thomas · JAMA · 1989 · 181 citations
Medicine, Internal Medicine, Urology +12
Regulation of Adrenergic Activity in Penile Corpus Cavernosum
Iñigo Sáenz de Tejada, Noel N. Kim, Irene Lagan et al. · The Journal of Urology · 1989 · 160 citations
Medicine, Physiology, Urology +9