低能量體外震波治療勃起功能障礙 : 國泰綜合醫院的經驗

蔡樹衛、謝德生、陳國強

國泰綜合醫院 外科部 泌尿科；

Low intensity extracorporeal shockwave therapy for erectile dysfunction: Cathy General Hospital Experience

Shu-Wei Tsai, Teh-Sheng Hsieh, Kuo-Chiang Chen

Division of Urology, Department of Surgery Cathay General Hospital, Taipei, Taiwan, R.O.C

School of Medicine, College of Medicine, Fu-Jen Catholic University, Hsinchuang,

Purpose: Low intensity expracorporeal shockwave therapy (LIEST) has been recently reported to increase local metabolism and angiogenesis, thus improve erectile dysfunction. We herein report the outcomes of treated patients in CGH.

Materials and Methods: Patients received per week for 6 weeks. Between May 2018 to Aug. 2018, 18 patients had received LIEST. The data of ED period, comorbidity, PSA, testosterone, lipid profile, erectile hardness score (EHS), international index of erectile function (IIEF) were collected before treatment. EHS, IIEF were followed up after treatments. Response to treatment was defined as successful vaginal penetration.

Results: 18 patients age from 41 to 69(55.6±8.3). All patients underwent at least 6 treatment sessions. The EHS and IIEF prior to the treatment were 1.77 ± 0.54 and 12.88 ± 4.92, respectively. After 6 treatment sessions, EHS and IIEF were improved (2.72±0.88, 17.83±3.86 ) with statistical significance (P<0.001). The response rate was 55.5% (10/18) ..

Conclusions: The new treatment modality, LIEST, demonstrated therapeutic effect for Taiwanese ED patients . LIESWT appears to improve erectile function, is safe and potential plays an important role in penile rehabilitation in men whom failed medical therapy.