长期使用高能冲击波疗法的经验,用于治疗慢性期佩罗尼病,使用两种不同的电磁石石片
Jens J Rassweiler1, W Scheitlin2, A S Goezen3
1Chair of Urology and Andrology, Danube Private University, Steiner Landstraße 124, 3500, Krems-Stein, Austria. jens.rassweiler@gmail.com.
World journal of urology
|March 7, 2024
概括
皮罗尼病的高能体外冲击波疗法 (ESWT) 提供了安全的,长期的结果. 这种治疗有效地减少了疼痛,并改善了大多数患者的阴茎曲和性功能.
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
- 冲击波的石化三症.
背景情况:
- 皮罗尼氏病的管理仍然是一个挑战.
- 身体外冲击波石 (ESWT) 是一种非手术的选择.
- 高能ESWT的长期疗效需要进一步研究.
研究的目的:
- 评估高能ESWT对皮罗尼病的长期结果.
- 评估疼痛,阴茎曲和性功能的变化.
- 确定是否需要随后的手术干预.
主要方法:
- 在1996年至2020年期间接受治疗的110名患有慢性佩罗尼病的患者的回顾性研究.
- 使用两台电磁石石机,用于高能冲击波应用.
- 标准化问卷评估了疼痛,曲,性功能和手术需要.
主要成果:
- 分析了85名患者 (平均年龄54岁),平均随访时间为228个月.
- 所有患者都经历了疼痛减轻; 76%的人没有疼痛.
- 阴茎曲在51%的患者中得到改善;68%的性功能障碍患者报告改善.
- 只有10.5%需要手术;设备之间没有显著差异.
结论:
- 高能ESWT对皮罗尼病是安全有效的,产生稳定的长期结果.
- 在减轻疼痛和改善功能方面,ESWT显示出显著的益处.
- 进一步的研究应该考虑高能ESWT对于显著的斑块形成.
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