治疗勃起功能障碍的真空勃起装置:第五届国际性医学咨询会议的建议
Run Wang1, Francisco E Martins2, David Ralph3
1Department of Urology, University of Texas MD Anderson Cancer Center and McGovern Medical School at Houston, Houston, TX 77030, United States.
Sexual medicine reviews
|February 17, 2025
概括
真空勃起装置 (VED) 对各种患者群体的勃起功能障碍 (ED) 有效,包括糖尿病患者和术后患者. 然而,长期使用显示出高脱率,VEDs不会增加阴茎的长度.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性医学性医学性医学性医学
- 医疗器械 医疗器械
背景情况:
- 真空勃起装置 (VED) 是治疗勃起功能障碍 (ED) 的主要疗法.
- 固酶5型抑制剂 (PDE5i) 的出现影响了现代性医学中VEDs的作用.
研究的目的:
- 提供关于真空勃起装置 (VED) 的最新临床证据.
- 为医疗保健提供者提供最佳VED最佳实践的指导.
主要方法:
- 一个由性医学专家组成的共识小组在第五届性医学国际协商会 (ICSM) 上召开了会议.
- 对同行评审文献的审查,专注于过去十年,向小组提供了信息.
- 使用推评估,开发和评价 (GRADE) 标准对共识陈述进行了制定.
主要成果:
- 视频电脑显示成功作为ED的初级或组合疗法在各种人群中,包括糖尿病,脊髓损伤和前列腺切除术后 (RP) 患者.
- 视觉器械可以在RP,皮罗尼病手术,阴茎假体植入和其他骨盆手术后保持或恢复阴茎大小.
- 视频电脑并没有加速RP后自发勃起功能的恢复,也不会增加阴茎的长度. 女性特定的VED研究是有限的.
结论:
- 新证据支持自第四届ICSM以来,VED在当代性医学中的角色不断变化.
- 目前正在进行的研究研究了VED治疗对阴茎病理生理学和临床结果的影响.
- 临床医生应坚持ICSM建议,同时使用临床判断和与患者共享决策.
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