Cavernosal smooth muscle relaxation, one of the primary events in peni
le erection, is initiated by the synthesis and release of nitric oxide
(NO) from the neurons of the cavernosa. The present study was underta
ken to determine whether or not serum levels of NO metabolites rise du
ring an erection. Since NO is rapidly converted into nitrites and nitr
ates, we measured these serum levels in the peripheral and cavernosal
blood of 15 potent adult male volunteers who were exposed to erotic st
imuli in order to elicit a penile erection. Our data demonstrate that
both nitrite and nitrate levels in the peripheral and cavernosal blood
do not appreciably change during and immediately following an erectio
n. This indicates that the determination of whether or not abnormaliti
es in the synthesis and release of NO play any role in erectile dysfun
ction will require alternative testing methods.