1. ¹Cairo University, Almanial, Cairo, Egypt
2. ²AlHoud AlMarsoud Hospital, Egypt

Correspondence: Dr MM Arafa, Department of Andrology, Cairo University, Almanial, Cairo 12411, Egypt. E-mail: mohamedarafa@email.com

Received 4 December 2006; Revised 21 June 2007; Accepted 21 June 2007; Published online 2 August 2007.

Abstract

To evaluate the efficacy, safety and patients' preference of different treatment modalities of ED in men with SCI. Sixty SCI men with ED were included in the study. They were divided into three groups. Group A received sildenafil, group B received intracorporal injection (ICI) and were then shifted to sildenafil and group C used vacuum constriction devices (VCD) and were then shifted to sildenafil. Erection was evaluated before and after each treatment. Ninety percent of patients reported improvement of erection after sildenafil and ICI treatment according to IIEF-EF and only 70% of patients reported improvement in erection with VCD. However, 14 patients reported that they preferred sildenafil due to the easier route of administration. In men with SCI, sildenafil is the most effective treatment and is widely accepted. ICI, VCD therapy in SCI patients should be used according to patient's preference and choice.