{"id":12888,"date":"2025-09-29T09:58:24","date_gmt":"2025-09-29T13:58:24","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/pharmacological-erection-test\/"},"modified":"2026-10-06T18:19:32","modified_gmt":"2026-10-06T22:19:32","slug":"teste-de-erecao-farmacologica","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/teste-de-erecao-farmacologica\/","title":{"rendered":"Teste de Ere\u00e7\u00e3o Farmacol\u00f3gica"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[103],"glossary-product":[104,105],"class_list":["post-12888","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-erectile-dysfunction","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>\n        O Teste de Ere\u00e7\u00e3o Farmacol\u00f3gica, tamb\u00e9m conhecido como Teste de Inje\u00e7\u00e3o Intracavernosa ou Teste FIC (teste de ere\u00e7\u00e3o induzida farmacologicamente), \u00e9 um procedimento diagn\u00f3stico que envolve a administra\u00e7\u00e3o intracavernosa de medicamentos vasoativos para induzir uma ere\u00e7\u00e3o na aus\u00eancia de est\u00edmulos er\u00f3ticos.<sup>1<\/sup> Esse teste avalia a fun\u00e7\u00e3o er\u00e9til por meio da aplica\u00e7\u00e3o direta de medicamentos como alprostadil (prostaglandina E1), papaverina ou fentolamina no corpo cavernoso do p\u00eanis.<sup>2<\/sup> A ere\u00e7\u00e3o resultante \u00e9 ent\u00e3o avaliada quanto \u00e0 rigidez, \u00e0 dura\u00e7\u00e3o e \u00e0 qualidade geral, para determinar a integridade vascular e neurol\u00f3gica do mecanismo er\u00e9til.<sup>3<\/sup> Um teste positivo \u00e9 definido como uma resposta er\u00e9til r\u00edgida (impossibilidade de dobrar o p\u00eanis) que surge em at\u00e9 10 minutos ap\u00f3s a inje\u00e7\u00e3o intracavernosa e dura 30 minutos ou mais.<sup>4<\/sup> Essa ferramenta diagn\u00f3stica ajuda a diferenciar entre as causas org\u00e2nicas e psicog\u00eanicas da disfun\u00e7\u00e3o er\u00e9til e pode identificar anormalidades vasculares espec\u00edficas que afetam o fluxo sangu\u00edneo peniano.<sup>5<\/sup>\n    <\/p>","gt-synonyms":"Teste de inje\u00e7\u00e3o intracavernosa, cavernosometria farmacol\u00f3gica, teste FIC (teste cavernoso induzido por f\u00e1rmaco), teste de inje\u00e7\u00e3o intracavernosa vasoativa, farmacoteste peniano, teste farmacol\u00f3gico intracavernoso, teste de alprostadil, teste de farmacoere\u00e7\u00e3o","gt-citation":"[1] Fontana D, Rolle L, Del Noce G, Tamagnone A, Rosso C. The pharmaco-erection test. Arch Ital Urol Androl. 1994 Sep;66(4):195-9. PMID: 7951357.\n\n[2] Leslie SW, Jain A, Iqbal OA. Alprostadil. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. PMID: 31194374. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK542217\/\n\n[3] Leslie SW, Sooriyamoorthy T. Erectile Dysfunction. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. PMID: 32965924. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562253\/\n\n[4] Hatzimouratidis K, Amar E, Eardley I, et al. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. Eur Urol. 2010;57(5):804-814. DOI: 10.1016\/j.eururo.2010.02.020\n\n[5] Aversa A, Bruzziches R, Spera G. Diagnosing erectile dysfunction: the penile dynamic colour duplex ultrasound revisited. Int J Androl. 2005;28(Suppl 2):61-63. DOI: 10.1111\/j.1365-2605.2005.00587.x. PMID: 16236067","gt-clinical-context":"<p>\n        O Teste de Ere\u00e7\u00e3o Farmacol\u00f3gica \u00e9 utilizado principalmente na avalia\u00e7\u00e3o diagn\u00f3stica da disfun\u00e7\u00e3o er\u00e9til (DE) quando a etiologia permanece incerta ap\u00f3s a avalia\u00e7\u00e3o inicial.<sup>1<\/sup> Esse teste \u00e9 particularmente valioso para distinguir entre as causas psicog\u00eanicas e org\u00e2nicas da DE, pois os pacientes com disfun\u00e7\u00e3o puramente psicog\u00eanica normalmente apresentam respostas er\u00e9teis normais \u00e0s inje\u00e7\u00f5es intracavernosas.<sup>2<\/sup>\n    <\/p>\n    <p>\n        O procedimento \u00e9 indicado em v\u00e1rios cen\u00e1rios cl\u00ednicos: quando os testes n\u00e3o invasivos apresentam resultados inconclusivos; quando h\u00e1 suspeita de anormalidades vasculares; antes de interven\u00e7\u00f5es cir\u00fargicas para a DE; e ao avaliar a poss\u00edvel efic\u00e1cia da terapia com inje\u00e7\u00e3o intracavernosa como op\u00e7\u00e3o de tratamento.<sup>3<\/sup> O teste pode identificar patologias vasculares espec\u00edficas, incluindo insufici\u00eancia arterial, fuga venosa (disfun\u00e7\u00e3o veno-oclusiva dos corpos cavernosos) ou dist\u00farbios vasculares mistos.<sup>4<\/sup>\n    <\/p>\n    <p>\n        Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem homens com disfun\u00e7\u00e3o er\u00e9til persistente que n\u00e3o responderam \u00e0s terapias orais de primeira linha, aqueles com suspeita de anormalidades vasculares e pacientes que consideram interven\u00e7\u00f5es cir\u00fargicas, como implantes penianos ou reconstru\u00e7\u00e3o vascular.<sup>5<\/sup> O teste \u00e9 contraindicado em pacientes com deformidades penianas, priapismo ativo, anemia falciforme ou hipersensibilidade aos medicamentos do teste.<sup>6<\/sup>\n    <\/p>\n    <p>\n        O procedimento envolve a limpeza do local da inje\u00e7\u00e3o com uma solu\u00e7\u00e3o antiss\u00e9ptica, a administra\u00e7\u00e3o de uma dose predeterminada de medicamento vasoativo (comumente alprostadil) na face lateral do p\u00eanis e o monitoramento da ere\u00e7\u00e3o resultante.<sup>7<\/sup> A qualidade da ere\u00e7\u00e3o \u00e9 avaliada com base na rigidez, na tumesc\u00eancia e na dura\u00e7\u00e3o. Uma ere\u00e7\u00e3o completa e r\u00edgida sugere fun\u00e7\u00e3o vascular normal, enquanto respostas parciais ou ausentes podem indicar insufici\u00eancia arterial ou fuga venosa.<sup>8<\/sup>\n    <\/p>\n    <p>\n        Os resultados esperados incluem o esclarecimento diagn\u00f3stico da etiologia da DE, a orienta\u00e7\u00e3o das abordagens terap\u00eauticas subsequentes e a avalia\u00e7\u00e3o da poss\u00edvel resposta \u00e0 terapia com inje\u00e7\u00e3o intracavernosa.<sup>9<\/sup> As complica\u00e7\u00f5es s\u00e3o raras, mas podem incluir ere\u00e7\u00e3o prolongada (priapismo), dor peniana, hematoma ou, raramente, fibrose no local da inje\u00e7\u00e3o.<sup>10<\/sup>\n    <\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":142},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Teste de Ere\u00e7\u00e3o Farmacol\u00f3gica: Avalia\u00e7\u00e3o da DE | Rigicon<\/title>\n<meta name=\"description\" content=\"Conhe\u00e7a o teste de ere\u00e7\u00e3o farmacol\u00f3gica com inje\u00e7\u00e3o intracavernosa. 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