聚焦型體外震波術合併負壓助勃器對派尼爾氏症病患治療之
初步報告
杜元博 1許富順 1周政緯
1新北市立聯合醫院
Preliminary Report of Therapeutic Efficiency with Focused mode Extracorporeal Shock Wave Therapy combined Vacuum Erectile Device in Patients with Peyronie’s Disease
Tu, Yuan-Po 1Hsu, Fu-Shun Chou, Chen-Wei
1New Taipei City Hospital
Objective: To evaluate the effect of focused mode Extracorporeal Shock Wave Therapy (ESWT) combined Vacuum Erectile Device(VED) for the treatment of patients with peyronie’s disease(PD).
Materials and Methods: This study has enrolled two patients with a history of PD not
more than 12 months who had not received any previous medical therapy or surgical intervention. As was shown in the earlier reports, the ESWT and VED treatments has been applied as the alternative conservative therapy for PD, the two patients received the new therapeutic protocol VEEST 6 weeks with focused mode Extracorporeal Shock Wave Therapy combined Vacuum Erectile Device. To analyze the efficacy of treatment by VEEST, cases were graded by IIEF-5; Numeric Rating pain Scale (NRS), and measured plaque size in cm2, penile curvature in degrees.
Results: At the end of new treatment course, two cases of peyronie’s disease, which IIEF-5 score were significantly increased and NRS significantly decreased compared with the pre-treatment data (P<0.01); Penile plaque size and angle curvature reveals the significant improvement with decreased size and reduction degree after six week VEEST therapy.
Conclusion: For patients of peyronie’s disease, the new therapeutic protocol VEEST with focused mode Extracorporeal Shock Wave Therapy combined Vacuum Erectile Device can effectively treat the troublesome symptoms of PD in an relatively short therapeutic time based on the marked increase of the IIEF-5 rating score; decreased NRS scale and improved result of penile plaque size and angle curvature.