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Efekti tronedeljnog tretmana erektalne disfunkcije ekstrakorporalnim udarnim talasima niskog inteziteta

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2019
Disertacija.pdf (2.326Mb)
Arandjelovic_Goran_Z.pdf (2.154Mb)
Author
Aranđelović, Goran Z.
Mentor
Ignjatović, Ivan
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Abstract
Although phosphodiesterase 5 (PDE 5) inhibitors represent the gold standard for medical treatment of erectile dysfunction (ED), they are not curative. Over recent years, low-intensity extracorporealshock wave therapy (LI-ESWT) has been proposed as a valid non-invasive therapy approach for erectile dysfunction. The aim of our work is to assess the shortened, threeweek low-intensity extracorporeal shock wave treatment of vasculogenic erectile dysfunction. The study involved a total of 32 patients with an International Index of Erectile Function (IIEF) score between 5 and 20, and whose vasculogenic ED had been proven through Doppler ultrasound. All patients had a washout period of 1 month after previous therapy and agreed to discontinue the PDE5-I tgerapy during the follow-ap. The patients were evaluated at baseline, after 1, 3 and 6 months, with the IIEF, Doppler ultrasound and Beck Depression Inventory (BDI). All investigated parameters ( International Index of Erectile Fu...nction, Beck Depression Inventory and penile Doppler ultrasound parameters) showed statistically significant improvement just one month after the treatment, compared to pre-treatment values, in all investigated domains. The international index of erectile function passed from baseline values of 12.75 ± 4.62 to 14.87 ± 5.04 at one month after treatment (p<0.01). This trend remained positive in IIEF and all the parameters tested at the 3-month and 6-month follow-up. The shortened three-week low-intensity shock wave treatment of vasculogenic erectile dysfunction proved to be clinically effective.

Faculty:
University of Niš, Faculty of Medicine
Date:
08-03-2019
Keywords:
Erektilna disfunkcija / Erectile dysfunction / ekstrakorporalni udarni talasi niskog intenziteta / međunarodni indeks erektilne funkcije / dopler ultrazvuk penisa / Bekov upitnik za depresiju / low-intensityextracorporeal shock wave therapy / international index of erectile function (IIEF) / Penis Doppler ultrasound / Beck depression inventory (BDI)
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URI
http://eteze.ni.ac.rs/application/showtheses?thesesId=6868
http://nardus.mpn.gov.rs/handle/123456789/11687
https://fedorani.ni.ac.rs/fedora/get/o:1586/bdef:Content/download
http://vbs.rs/scripts/cobiss?command=DISPLAY&base=70052&RID=1026319341

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