インポテンス患者の心身医学的研究(性障害と心身医学)

概要

論文の詳細を見る
In our Urology Department, a total of 132 patients of impotence were seen in the past one year and three months. These patients represented 4.2% of all one male patients treated at our outpatient clinic during this period. When classified according to primary afflictions, mental impotence was seen as high as 72.4% of the patients aged 20-30,whereas it was gradually superseded by organic impotence from the ages around 40,finally holding 70% of the patients over 60. In discriminating organic impotence from functional ones, a high-sensitive thermometer is used ; temperatures of the penile skin are recorded. In addition, changes with visual sexual stimulation or in REM sleep period are checked to distinguish the two categories of impotence. According to our discrimination criteria, 88.3% of the patients proved functional impotence. In treating these impotence patients, we do not necessarily insist on managing the impotent penis to force its way into the vagina, but rather help the couple enjoy their sexual life by using appropriate drugs as occasion calls besides employing a silicone prosthetic supplement for an erection effect, which would help the patient feel confident that even the impotent could physically perform sexual activity with help of sophysticated techniques. Consequently, 84.6% of the patients reached complete cure when treated with our synthetic approach.
日本心身医学会の論文
1980-02-01