低强度体外冲击波疗法在勃起功能障碍中的有效性:性功能和勃起时阴茎硬度的分析:一个雨审查
Esther M Medrano-Sánchez1, Belén Peña-Cantonero2, Paloma Candón-Ballester3
1Research Group CTS305, Department of Physical Therapy, Faculty of Nursing, Physical Therapy and Podiatry, Universidad de Sevilla, 6, Avenzoar St., 41009 Sevilla, Spain.
Journal of personalized medicine
|February 23, 2024
概括
低强度体外冲击波疗法 (Li-ESWT) 在患有血管性勃起功能障碍 (ED) 的男性中显著改善勃起功能. 这种创新的治疗方法在最小的风险下显示出前景,提高了IIEF-EF和EHS分数.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 再生医学是一种再生医学.
背景情况:
- 血管勃起功能障碍 (ED) 影响着大量人群,需要新的治疗方法.
- 目前对ED的治疗方法存在局限性,这推动了对冲击波疗法等替代方法的研究.
研究的目的:
- 评估低强度体外冲击波疗法 (Li-ESWT) 对治疗血管性ED的疗效.
- 综合现有系统审查和对Li-ESWT对ED的元分析的发现.
主要方法:
- 采用了一种综合性审查方法,分析了五项系统性审查和元分析.
- 在包括PubMed,Scopus,Medline,SciELO和Embase在内的主要数据库中进行了搜索.
- 主要使用国际勃起功能指数-勃起功能 (IIEF-EF) 和勃起硬度得分 (EHS) 评估有效性.
主要成果:
- 李-ESWT证明了平均IIEF-EF分数的统计学上显著改善.
- 在包括的五项研究中,有四项报告称,与安慰剂相比,Li-ESWT组的EHS得分增加.
- 最佳结果与0.09mJ/mm2的能量密度和1500-2000脉冲有关,6-12个月的随访显示出比3个月的随访更大的改善.
结论:
- -ESWT代表了血管性ED的一个有希望的,创新的治疗选择.
- 该疗法与低风险相关,并且在勃起功能方面表现出显著的改善.
- 需要进一步的研究来探索超过12个月的长期结果.
相关概念视频
01:30Electroconvulsive Therapy
39
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
39
01:28Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
158
Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
158
01:20Disorders of the Male Reproductive System
416
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
416
01:17Male Sexual Response: Erection & Ejaculation
2.3K
Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
2.3K