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Tom 16, Nr 1 (2018)
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Opublikowany online: 2018-08-08

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Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

Fala uderzeniowa o niskiej energii w leczeniu zaburzeń erekcji

Dariusz Kałka, Jana Gebala, Ryszard Smoliński, Maciej Womperski, Lesław Rusiecki, Romuald Zdrojowy
DOI: 10.5603/20-35
Seksuologia Polska 2018;16(1).

Streszczenie

Fala uderzeniowa o niskiej energii i częstotliwości (LESWT) jest nową, innowacyjną opcją terapeutyczną leczenia zaburzeń erekcji (ED). Aktualnie została zaliczona do metod pierwszego rzutu w leczeniu ED. Mechanizm działania LESWT nie jest dokładnie poznany, jednak wiadomo, że sprzyja on neowaskularyzacji, zwiększeniu proliferacji i różnicowania komórek śródbłonka, zwiększeniu liczby komórek mięśni gładkich oraz promocji wytwarzania tlenku azotu. Skuteczność LESWT wykazano przede wszystkim wśród pacjentów z naczyniopochodnymi zaburzeniami erekcji. W wyniku zastosowania tej terapii dochodzi do istotnej poprawy w zakresie domeny funkcji erekcyjnej, funkcji śródbłonka naczyniowego i wzrostu średniej punktacji skali twardości erekcji. Skuteczność LESWT potwierdzono u pacjentów należących do różnych grup w tym u chorych z najbardziej zaawansowanymi naczyniopochodnymi zaburzeniami erekcji nie reagującymi na leczenie PDE5i. W badaniach z udziałem ludzi nie odnotowano skutków ubocznych zarówno podczas leczenia jak i po terapii, a pacjenci deklarowali wysoki poziom zadowolenia z leczenia. Skuteczność poprawy funkcji erekcyjnej utrzymywała się długoterminowo. Mniej oczywiste są efekty uzyskane przy zastosowaniu tej metody w grupach chorych z ED w przebiegu choroby Pyeroniego, po zabiegu radykalnej prostatektomii metodą oszczędzającą pęczki naczyniowo-nerwowe i u chorych z przewlekłym bólem miednicy. Zalety terapii LESWT wiążą się z usuwaniem przyczyny naczyniopochodnych ED, co skutkuje długotrwałą poprawą sprawności seksualnej i pozwala przywrócić chorym spontaniczność prowadzenia życia seksualnego. Dotychczas uzyskane dowody wskazujące na skuteczność, bezpieczeństwo, komfort pacjenta i prostotą przeprowadzenia terapii LESWT skłaniają do szerszego stosowania tej innowacyjnej metody w celu poprawy funkcji erekcyjnej.

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