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Clinical elicitation of the penilo-cavernosus reflex in circumcised menPodnar, SimonObjective: To test clinical observations that the penilo-cavernosus reflex is much more difficult to elicit in circumcised men. Patients and methods: Men consecutively referred for uro-neurological ... or uro-neurophysiological examination were prospectively included. * Those with possible sacral neuropathic lesions were excluded. A history was obtained, and a clinical neurological examination was performed. The penilo-cavernosus reflex was tested clinically and neurophysiologically using electrical and mechanical stimulation. * Reflex elicitability scores in groups of circumcised men, men with foreskin retraction and a control group of uncircumcised men were compared using the Mann-Whitney U test. Results: The reflex was clinically non-elicitable in 73%, 64% and 8% of 30 circumcised men, 15 men with foreskin retraction, and 29 control men, respectively. * The scored reflex elicitability was significantly (P < 0.001) higher in control men than in the other two groups clinically, but not neurophysiologically. Conclusions: The study confirmed the lower clinical and similar neurophysiological elicitability of the penilo-cavernosus reflex in circumcised men and in men with foreskin retraction. This finding needs to be taken into account by urologists and other clinicians in daily clinical practice.Source: BJU international. - ISSN 1464-4096 (Vol. 109, issue 4, 2012, str. 582-585)Type of material - article, component partPublish date - 2012Language - englishCOBISS.SI-ID - 29503449
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Podnar, Simon | 14502 |
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