聚焦型體外震波術合併負壓助勃器對頑固器質性勃起功能障礙病患治療之初步報告
杜元博
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 stubborn organic erectile dysfunction
Tu, Yuan-Po
New 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 Organic Erectile Dysfunction.
Materials and Methods:
This study has enrolled five cases treated by one course low-intensity focused mode ESWT had been suffering from the organic erectile dysfunction more than three months follow up. The patients received the new therapeutic protocol VEEST with focused mode Extracorporeal Shock Wave Therapy combined Vacuum Erectile Device. To analyze the efficacy of treatment by VEEST, all cases were graded by IIEF-5; Erection Hardness Grading Scale (EHGS) and Color Doppler US of the penis.
Results:
At the end of treatment course, cases of organic erectile dysfunction, which IIEF-5 score were significantly increased and EHGS scale increased compared with pre-treatment data (P<0.01); Doppler examination reveals the increased the peak systolic velocity (PSV) and elevated value of the resistive index (RI), but there was no statistically significant difference between the two groups (P>0.05).
Conclusion:
For patients of stubborn organic erectile dysfunction, the new therapeutic protocol VEEST with focused mode Extracorporeal Shock Wave Therapy combined Vacuum Erectile Device can effectively treat the troublesome symptoms of ED based on the marked increase of the IIEF-5 rating score; higher EHGS scale and improved result of power Doppler examination.