Recording nocturnal erections following injuries and insurance claims: cost-effectiveness

R. Peled, G. Pillar, Y. Berger, N. Tov, N. Peled, P. Lavie

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Road accidents, work accidents, or other trauma can cause impotence and are frequently followed by insurance claims. During 1990-97 we examined 230 males with such a complaint. All underwent full polysomnographic recordings in the sleep laboratory for 2 nights, during the course of which NPT (nocturnal penile tumescence) was examined with special equipment. It was assessed by an experienced technician following planned awakenings from REM sleep. In 75 of the 230 subjects (33%), satisfactory erections were observed. In 100 (43%), who experienced at least 3 periods of REM sleep, no erections occurred. These patients were categorized as suffering from organic impotence. In the remaining 55 (24%), the results were inconclusive, with only partial erections or not enough REM sleep periods. Since a man recognized as suffering from impotence may be awarded large monthly payments for life, these examinations, in our opinion, are an important tool to prevent unjustified claims, and can save the state unnecessary expenses.

Original languageEnglish
Pages (from-to)432-434, 514, 513
JournalHarefuah
Volume136
Issue number6
StatePublished - 1 Jan 1999
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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