• 대한한의학회지
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• 제17권2호
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• pp.73-87
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• 1996

Erectile dysfunction is defined as the inability to attain and maintain penile rigidity sufficient to allow sexual intercourse. Although erectile dysfunction is usually considered a benign disorder, it has a dramatic impact on quality of life of the patients as well as their sexual partners. And it is common in men between the age of 40 and 70 years, and its incidence increases with age. The prevalence is reported to occupy 10% at the age of 40 years, 20% in 50s, 30% in 60s and 50% at the age of 70 years, and is more prevalent as stress in modern life and interest onsexual behavior increase. This article has aims to investigate and summarize the current trend of treatment for erectiledysfunction so as to suggest the effective and available way to treat the disease. In oriental medicine, erectile dysfunction has been treated with herb medicine and acupuncture with good results. Some of herb drugs have the substances which induce penile erection. So it should be investigated on the neurotransmitter or endothelial mediator which can be included in herb drugs. The acupuncture therapy stimulates the erectile nerves and is reported to be effective for erectile dysfunction. And suppository, locus injection therapy and topical agent are found to be effective as well as stellate ganglion block and biofeedback treatment. So the study on the approach and application of these treatments on erectile dysfunction would be necessary.

• Tuberculosis and Respiratory Diseases
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• 제54권3호
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• pp.304-310
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• 2003

연구배경 : 과거 발기 부전증의 원인은 적어도 90% 이상이 심인적인 것으로 생각하였으나, 최근 진단 기술의 개발로 인하여 과거에 심인적이거나 원인 불명으로 생각되었던 많은 환자가 기질성 발기 부전증으로 판명되고 있는 실정이다. 최근 만성폐쇄성폐질환 환자의 많은 수가 성욕의 감퇴와 성기능 장애를 자주 호소한다고 보고되고 있다. 이에 저자는 만성폐쇄성폐질환 환자에서 발기의 정도를 평가하여, 이 질환이 발기부전에 미치는 영향을 알아 보고자하였다. 방 법 : 1999년 1월부터 2000년 12월까지 전북대학교병원 호흡기내과에 입원하여 만성폐쇄성폐질환으로 진단 받은 환자 10명과, 정상 성인 대조군 10명을 대상으로 각 군에게 Rigi Scan을 실시하여 수면중 10시간 동안의 음경팽창정도(둘레의 증가)와 강직도를 동시에 지속적으로 측정하였다. 결 과 : 만성폐쇄성폐질환 환자에서 수면중 음경의 평균발기 횟수($2.4{\pm}1.2$회) 및 발기의 지속시간($30.5{\pm}13.9$분)은 정상군에 비해 감소되었으며(p<0.05), 발기 지속시간의 감소는 동맥 혈중내의 산소 농도와 유의한 연관성을 보였다(p<0.05, r=0.636). 결 론 : 만성폐쇄성폐질환 자체로 인한 저산소증은 발기 장애를 일으킬 수 있는 기질적인 원인이 될 것으로 사료된다.

• Journal of Yeungnam Medical Science
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• 제15권2호
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• pp.391-396
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• 1998

Foreign bodies in genitourinary tract are common and almost of them are within the bladder. These foreign bodies were inserted or applied for autoerotic, psychiatric, therapeutic, or no definite reasons by the patient. Foreign bodies(a thermometer and a piece of cloth) in the bladder were inserted as a mean of masturbation in two cases, and a cooper wire in the posterior urethra was introduced by iatrogenic causes in one case. In one case, four magnets were inserted into the bladder for the purpose of forceful penile erection. Clinical history, symptom, radiologic study, and endoscopic examination were required to diagnose foreign body. They were easily removed by endoscopic manipulation or open surgical procedure.

• The Korean Journal of Pain
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• 제8권2호
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• pp.336-340
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• 1995

Impairment of erectile function, although normally a benign disorder, has a profound impact on the well-being of many men. Penile erection is produced by a complex series of events involving cognition, peripheral sensory input, central and peripheral autonomic nervous events and hormonal vascular events. The multiplicity of potential determinants identified suggest that impotence does not inexorably accompany age, but it is an arugmented significantly modifiable paraaging phenomena. A 53 year old male patients developed sudden impotence. The patients did not respond to intracavernous injection of papaverine. This patient was successfuly treated with 4 repeated stellate ganglion blocks.

• 대한수의학회지
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• 제36권3호
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• pp.599-605
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• 1996

This study was designed to examine the mechanism of penile erection in adult bull by analyzing the responses of bovine proximal retractor penile muscle strips(BRP) to electtical field stimulation(EFS), exogenous nitric oxide(NO), NO synthesis precursor(L-arginine), NO synthase inhibitors(L-NAME, L-NMMA), guanylate cyclase inhibitor(methylene blue) and nonspecific potassium channel blocker(tetraethylammonium, TEA) treatments. Isometric tension of BRP was measured using physiograph. Results were summarized as follows: 1. EFS of nonadrenergic noncholinrgic(NANC) nerve in BRP produced frequency-dependent inhibitory responses to the contraction induced by co-treatment of epinephrine, guanethidine and atropine. The inhibitory responses to EFS were blocked by tetrodotoxin(TTX, $1{\mu}M$). 2. Treatment of L-NAME ($10,\;20{\mu}M$) inhibited the relaxation to EFS whereas L-NMMA ($100{\mu}M$) had no effect. 3. Treatment of NO($20,\;40{\mu}M$; as an acidified solution of $NaNO_2$) induced concentration-dependent relaxation whereas preincubation of TTX($1{\mu}M$) and L-NAME($20{\mu}M$) had no effect on the relaxation response. 4. L-arginine treatment(10mM) blocked the inhibitory effect of L-NAME($20{\mu}M$). 5. Pretreatment of methylene blue($40{\mu}M$) reduced the NANC-induced relaxation of BRP. 6. Tetraethylammonium(TEA, 80mM) reduced NANC relaxation. These results suggest that NO may act as a NANC neurotransmitter in BRP and the effects might be mediated by cGMP and potassium channel.

• 대한핵의학회지
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• 제28권3호
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• pp.371-376
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• 1994

저자들은 파파베린유도 음경발기촬영술이 발기부전 원인의 선별검사로서 유용한지를 알아보고자 정상인 12예와 제반검사에서 확진된 동맥성 발기부전 5예, 정맥성 발기부전 12예, 심인성 발기부전 11예, 혼합형 발기부전 8예 및 신경성 발기부전 19예를 대상으로 하여 파파베린의 국소 주사로 발기를 유도하고 $^{99m}Tc$-HSA를 정주하여 관심영역의 시간방사능곡선을 구한 다음 발기유발시간, 발기지속시간 및 정맥성 계수를 비교하였다. 동맥성 발기부전군에서 발기유발시간이 정상 대조군에 비해 지연되어 있었고, 정맥성 발기부전군에서는 정상대조군과 동맥성 발기부전군에 비하여 발기지속시간이 단축되었으며 정맥성계수는 더 낮았다. 심인성 발기부전군에서는 발기지속시간이 정상 대조군 및 동맥성 발기부전군에 비해 지연되어 있었다. 이상의 결과로 파파베린유도 음경발기촬영술은 동맥성과 정맥성 발기부전 뿐만 아니라 심인성 발기부전도 선별할 수 있는 좋은 검사법으로 생각되나 혼합형과 신경성 발기부전을 감별하지 못하는 단점이 있었다.

• International Journal of Industrial Entomology and Biomaterials
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• 제20권2호
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• pp.75-77
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• 2010

Until now, the main treatment for impotence has been the vasodilator injection, penile implants and etc. Among many methods, most effective way is known to be the medical therapy. The oral drug for an impotence remedy has to be above all, effective to the erection, and second, safety when taking in long-term. However, so far the drug in such condition and sufficiency has not been discovered. Consequently, it is crucial to develop the new medicine, made of natural materials only, without any uncertainty of side effect. The silkworm is very difference in physiological chemical change according to growth stage. Therefore the functional effect shows a very big difference according to preparation method with a growth stage. This research carry out the experiment with the pupa powder immediately before the eclosion, eclosion adult, the pupa extract immediately before the eclosion, and the silkworm powder of 5 instar 3rd day. The result showed not a big chance in weight, feed and water intake quantity. But testosterone hormone secretion effects of the freeze drying powder of the pupa immediately before the eclosion was very high 7.31 ng/ml, compared to 2.37 ng/ml of non treatment and 2.67 ng/ml of alcohol extraction method. As this result, the freeze drying pupa powder of the pupa immediately before the eclosion was confirmed to promote the secretion of the testosterone hormone more than alcohol extraction method of existing.

• 대한한의학회지
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• 제17권2호
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• pp.88-99
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• 1996

Impotence is defined as a consistent inability to achieve or maintain penile erection that is adequate for completion of sexual intercourse. In oriental midicine, the chief cause of impotence is the decline of the fire from the gate of life, and in western medicine that is psycogenic and organic. Because of the increase aging people and psycologic stress that modern people get, impotence became common. This bibliographic study on impotence in the oriental and western medicine books has come to the following conclusions. 1. The main cause of impotence in the oriental medicine is the decline of the fire from the gate of life(命門火衰), followed by the deficiency of both heart and spleen(心脾兩虛), the depression of Liver energy(肝氣鬱結), and attack of blended wetness and heat to the lower wanner(濕熱下注). 2. The theraphics of impotence in oriental medicine are warming and strenghthening Kidney. softness of Liver energy, tonifying the Kidney to relieve mental strain, clear away the wetness-heat, and infairment of Heart and Spleen. 3. The prescriptions of impotence are Yugyeyum, Gyibitang, Soyosan, Sunjitang, and Yongdamsagantang. 4. In the western medicine, psycotherapy, medical therapy and surgical therapy are the major way to treat impotence.

• Journal of Yeungnam Medical Science
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• 제23권1호
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• pp.52-61
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• 2006

이상의 결과를 종합하면, 인삼 총사포닌은 본 실험의 조건에서 배뇨개선 효과가 있으며 이에 관여하는 총사포닌의 주 효능은 근위부요도를 이완시킴으로써 이루어지는 것으로 생각된다. 그리고 인삼 총사포닌은 혈류역동학적으로 안전하게 음경해면체 평활근을 이완시켜 음경발기를 유발시키는 것으로 생각된다.

• Journal of Pharmaceutical Investigation
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• 제30권3호
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• pp.173-178
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• 2000

The purpose of this work is to develop a transurethral suppository containing prostaglandin $E_1\;(PGE_1)$, which stabilizes the drug, gives no irritation to physiological body and enhances the erectile response of $PGE_1.\;PGE_1$ transurethral suppositories were prepared with various amounts of compositions such as saturated polyglycolysed glyceride $(Suppocire^{\circledR}\;AP,\;SAP)$, polyoxyethylene hydrogenated castor oil (HCO-50) and ethanol. The melting points, viscosities and $PGE_1$ release of the suppositories were investigated. Ocular irritation test was carried out after application of $PGE_1$ suppository to rabbit's eye. The intracavernous pressure (ICP), penile length and duration of erectile response were determined after transurethral administration of $PGE_1$ suppository and compared with those after intracavernosal injection of $PGE_1$ solution to cats. HCO-50 hardly affected the melting points and viscosities of $PGE_1$ suppositories. Additionally, $PGE_1$ transurethral suppositories, whose melting point ranges was $34-35^{\circ}C$, was speedily melted in physiological body. HCO-50 significantly decreased the dissolution rates of $PGE_1$ from the suppositories. Dissolution mechanism analysis showed the release of $PGE_1$ was proportional to the square root of time, indicating that $PGE_1$ might be released from the suppositories by Fickian diffusion. The release rate of $PGE_1$ from $PGE_1$ suppository [PGE1/SAP/HCO-50/ethanol (1/94.5/2.5/2%)] was about 80% within 2 h. This $PGE_1$ suppository gave no significant irritation to the ocular tissue, expecting that it gave no irritation to the urethral tissue less sensive than ocular tissue. Furthermore, $PGE_1$ in this suppository was stable at $4^{\circ}C$ for 2 years. This suppository increased the ICP and penile erection similar to those of injectable $PGE_1$ solution. However, it gave 2.5-fold increased duration of erectile response than injectable $PGE_1$ solution. Our results suggested that it gave more effective erectile response than injectable $PGE_1$ solution in cats. It is concluded that this $PGE_1$ suppository with good safety, excellent stability and enhanced erectile response, could be a more effective and convenient transurethal delivery system of $PGE_1$.