唐慈翊1,2、李永進1、阮雍順2、沈榮宗1、王巽玄1、耿俊閎1、詹鎮豪1、曹曜軒1、吳怡萱1、吳文正2
高雄市立小港醫院1泌尿科
高雄醫學大學附設醫院2泌尿科
Tsz-Yi Tang1,2, Yung-Chin Lee1, Yung-Shun Juan2, Jung-Tsung Shen, Hsun-Shuan Wang, Jhen-Hao Jhan1, Jiun-Hung Geng, Wen-Jeng Wu2
Department of Urology1, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan
Department of Urology2, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
Purpose: The therapeutic benefits of low-intensity extracorporeal shockwave treatment (LiESWT) on hyperactive bladder were investigated in this clinical experiment (OAB).
Materials and Methods: The study included female patients between the ages of 20 and 75 clinically diagnosed with OAB. The LiESWT applicator was used with a 0.25 mJ/mm2, 3000 pulses, and 3 pulses/second intensity on the suprapubic skin region. At 4 weeks of LiESWT (W4), 8 weeks of LiESWT (W8), 1-month follow-up (F1), and 3-month follow-up (F3) after LiESWT, all subjects were required to complete the validated OAB symptoms and life bothersome questionnaires, 3-day urinary diary, uroflowmetry, and post-voided residual urine (PVR) measurement.
Results: A total of 82 people, with an average age of, were included in the study. Compared to baseline data, the questionnaire scores improved considerably at W4, W8, F1, and F3 (W0). The mean values of functional bladder capacity rose significantly by W8. The 3-day urinary diary revealed a considerable reduction in daytime frequency, urgency, and nocturia. The findings of the uroflowmetry revealed a significant increase in the mean voided urine volume and peak flow rate. The amount of PVR was also reduced considerably.
Conclusions: LiESWT improved OAB symptoms, uroflow metrics, and the quality of life in OAB patients, indicating that LiESWT might be used as an OAB non-invasive treatment.