Abstract
Objectives. To evaluate the efficacy, safety, and tolerability of sildenafil in men
with broad-spectrum erectile dysfunction (ED), with reference to age-matched healthy
control subjects.
Methods. One hundred eleven patients were enrolled in a randomized, double-blind,
placebo-controlled, parallel-group, 12-week, flexible-dose study. Efficacy assessments
included the International Index of Erectile Function (IIEF), a global assessment
question, and patient event log data. In a separate, nontreatment study, 109 control
subjects also completed the IIEF.
Results. Mean IIEF scores at baseline were significantly lower for patients with ED
than for control subjects without a history of ED. After treatment, mean IIEF scores
for patients receiving sildenafil approached values observed in control subjects and
were significantly higher than mean scores for patients receiving placebo (P <0.01). Responses to the global assessment question and patient log data corroborated
the IIEF results. Sildenafil was well tolerated, with no discontinuations because
of adverse events.
Conclusions. The results indicate that sildenafil, an effective oral therapy for the
treatment of broad-spectrum ED, is associated with a near normalization of patient
erectile function.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Impotence.JAMA. 1993; 270: 83-90
- Impotence and its medical and psychosocial correlates.J Urol. 1994; 151: 54-61
- A review of erectile dysfunction.J Urol. 1993; 149: 1246-1255
- Impotence.N Engl J Med. 1989; 321: 1648-1659
- Clinical guidelines panel on erectile dysfunction.J Urol. 1996; 156: 2007-2011
- Male erectile dysfunction assessment and treatment options.Compr Ther. 1994; 20: 669-673
- Development and use of self-report techniques for assessing sexual function.Arch Sex Behav. 1983; 12: 555-576
- Is there a reliable and valid self-report measure of sexual function?.Arch Sex Behav. 1988; 17: 509-525
- The International Index of Erectile Function (IIEF).Urology. 1997; 49: 822-830
- Physiology of penile erection.Physiol Rev. 1995; 75: 191-236
- Nitric oxide is a potent relaxant of human and rabbit corpus cavernosum.J Urol. 1996; 147: 1650-1655
- Nitric oxide and cyclic GMP formation upon electrical field stimulation cause relaxation of corpus cavernosum smooth muscle.Biochem Biophys Res Commun. 1990; 170: 843-850
- Nitric oxide in the penis.J Urol. 1997; 157: 320-324
- Sildenafil.Int J Impot Res. 1996; 8: 47-52
- Sildenafil, a novel effective oral therapy for male erectile dysfunction.Br J Urol. 1996; 78: 257-261
- Oral sildenafil in the treatment of erectile dysfunction.N Engl J Med. 1998; 338: 1397-1404
- Side effects of self-administration of intracavernous papaverine and phentolamine for the treatment of impotence.J Urol. 1989; 141: 54-57
- Intracavernous injection therapy.J Urol. 1990; 143: 1138-1141
- Patient satisfaction with pharmacologic erection program.Urology. 1992; 39: 439-441
- Long-term follow-up of patients receiving injection therapy for erectile dysfunction.Urology. 1997; 49: 932-935
Article info
Publication history
Received:
August 17,
1998
Footnotes
☆This study was funded by Pfizer Inc.
Identification
Copyright
© 1999 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.