Purpose: We studied the effect of intracavernous oxygen tension on the
alteration of cavernous smooth muscle fibers in potent and impotent m
en. Materials and Methods: Intracavernous oxygen tension (mm. Hg) was
measured during flaccidity and 10 minutes after intracavernous prostag
landin E1 injection in psychogenic control patients, and those with ve
nous leakage and arterial lesions. Cavernous biopsies were performed a
nd the percent of smooth muscle fibers was analyzed objectively using
immunohistochemical actin anti-actin staining. Simultaneously brachial
oxygen tension (mm. Hg) was measured and the cavernous brachial oxyge
n tension index was then determined. Results: At flaccidity no signifi
cant difference was noted in oxygen tension values among the 3 groups
of patients. After prostaglandin E1 injection cavernous oxygen tension
and the cavernous brachial oxygen tension index in the control group
were significantly different (p < 0.01) from those of the venogenic an
d arteriogenic groups (p < 0.01). The mean percent of cavernous smooth
muscle fibers in the control group was significantly different from t
hose of the venous leakage and arterial lesion groups (p < 0.01). Ther
e was a good correlation between the percent of cavernous muscle fiber
s and the value of oxygen tension before (p < 0.05) and after prostagl
andin E1 injection (p < 0.01). A similar correlation was noted between
cavernous muscle fibers and cavernous brachial oxygen tension index i
n the different groups of patients (p < 0.01). Conclusions: Reduction
of the intracavernous smooth muscle fibers in impotent patients could
be explained by low intracavernous oxygen tension.