Evidence map›Paper›PMID 40775125›Full record

ArticleInternational journal of impotence research2026

Synergy between oral PDE5 inhibitors and topically applied nitric oxide microparticles on the erectile response in a rat model of cavernous nerve injury.

Moses T Tar, Andrew Draganski, Kelvin P Davies

Abstract read
In one paragraph

Article in International journal of impotence research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Moses T TarDepartment of Urology, Albert Einstein College of Medicine, Bronx, NY, USA.
Andrew DraganskiZylo Therapeutics, Inc, Grenville, SC, USA.
Kelvin P DaviesDepartment of Urology, Albert Einstein College of Medicine, Bronx, NY, USA. kelvin.davies@einsteinmed.edu.ORCID http://orcid.org/0000-0002-0201-9210

Funding

Targeting the microtubule cytoskeleton to promote cavernous nerve regeneration and erectile function after injuryR01DK136889 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI KELVIN P DAVIES, DAVID James SHARP · 2023 to 2026
$2.6M
Optimization of microparticle-based topical treatments for treating erectile dysfunction in patients refractory to oral PDE5 inhibitorsR41DK121587 · NIDDK · ZYLO THERAPEUTICS, INC. · PI DAVIES, KELVIN P, DRAGANSKI, ANDREW R · 2019 to 2019
$225k
NIDDK NIH HHS R01 DK136889NIDDK NIH HHS R41 DK121587
6 · The paper itself

Abstract

This study aimed to evaluate the effectiveness of combining a nitric oxide microparticle delivery system (NO-MP) with various FDA-approved PDE5 inhibitors (PDE5i) for improving erectile responses in a rat model of erectile dysfunction (ED) following cavernous nerve injury, similar to the effects of radical prostatectomy. Male Sprague-Dawley rats, 4-5 months old (weighing ~275 g) underwent bilateral cavernous nerve transection. One week post-surgery animals were administered PDE5i via oral gavage (sildenafil 0.05 mg/kg (N = 9), tadalafil 0.005 mg/kg (N = 8), vardenafil 0.01 mg/kg (N = 7), avanafil 0.1 mg/kg (N = 8) or untreated (N = 5) followed by topical application of 250 mg NO-MP to the penile dermis. Erectile responses were assessed by measuring intracorporeal pressure (ICP) and systemic blood pressure (BP) after the application of NO-MP. Compared to NO-MP alone, combination therapy with a PDE5i significantly (P < 0.05) reduced the time to initial erectile response from 63 ± 21.6 min to 8-23 min (vardenafil: 23 ± 2.3, avanafil: 11 ± 8.1, sildenafil: 19.9 ± 9.8, tadalafil: 18 ± 12.8), and increased the frequency of spontaneous erections from 1 ± 0.71 to 1.7-2.7 per hour (vardenafil: 2.1 ± 0.9, avanafil: 2.7 ± 1.1, sildenafil: 1.7 ± 0.6, tadalafil: 2.5 ± 0.8). No significant changes in maximal ICP/BP, duration of erectile response or baseline ICP/BP were observed. These results suggest that combining NO-MP with PDE5i may provide a promising approach for treating ED after radical prostatectomy.

Indexed as

Erectile DysfunctionNitric OxidePenile ErectionPenisPeripheral Nerve InjuriesPhosphodiesterase 5 InhibitorsAdministration, OralAdministration, TopicalAnimalsDisease Models, AnimalDrug SynergismMalePyrimidinesRatsRats, Sprague-DawleySildenafil CitrateavanafilNitric OxidePhosphodiesterase 5 InhibitorsPyrimidinesSildenafil CitrateTadalafilVardenafil Dihydrochloride

Identifiers

PMID40775125
PMCPMC13249558

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.