Peculiarities of a Penial Hemodynamics in Patients with a Cerebrovascular Pathology (New Aspects)
Aim of investigation is assessment of the hemodynamic disturbance influence in patients with a cerebrovascular pathology on the erectile functions.
Materials and Methods. 171 patients with a dyscirculatory encephalopathy, 96 — with initial manifestations of a cerebral circulation insufficiency, 92 — with consequences of ischemic insult were examined with a method of ultrasonic doplerography with a spectral analysis.
Results. The arterial inflow disturbances in patients with a dyscirculatory encephalopathy were revealed in a half of cases, however they were faintly expressed, and a functional possibility of cavernous bodies is conserved in majority of cases. A venous hemodynamics disturbance in a penis in patients with the cerebrovascular diseases is revealed in more than a quarter of humans with ischemic insult and in 8.7% of humans with a dyscirculatory encephalopathy. The critical disturbances of a venous hemodynamics in a penis are not revealed in patients with initial manifestations of a cerebral circulation disturbance.
A participation of erectile dysfunction in a pathogenesis at the vascular factor cerebrovascular diseases is confirmed, and moreover both arterial and venous systems of a penis circulation are affected, frequently in combination with each other.