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免吃藥新選擇，低能量震波治療，物理性的改善男性雄風！

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陳盈昌院長表示，男性幸福功能門診，就診患者年齡層逐漸下降，現在30多歲的男性，已有相當比例，出現幸福功能困擾，進而影響婚姻生活，及生育計劃。因為攸關國家人口政策及社會安定，建議患者積極求診，切莫隨意服食來路不明的藥品或迷信偏方。新型線性體外震波治療，衛福部核可，對血管性勃起功能障礙有幫助。

勃起功能障礙(erectile dysfunction, ED)
是根治性攝護腺切除術(radical prostatectomy, RP)後常見的副作用，
即使是在術中使用神經保留技術。當神經成功保留的狀況下，
造成勃起功能障礙的機轉通常被推測為術中的直接損傷、
神經拉扯、電燒溫度損傷、暫時缺血和局部的發炎反應
而引起的海綿體神經暫時性訊號傳導受阻。

勃起過程可以帶給陰莖組織足夠的氧飽和動脈血，
代表著當陰莖組織在勃起功能障礙時，
組織是處於低氧供應的狀態。
這可能反過來導致平滑肌細胞凋亡和組織纖維化，
術後長期的勃起功能障礙就可能產生。
在攝護腺根除手術後，治療勃起功能障礙的方式很多，
陰莖注射治療、負壓助勃器治療甚至是侵入性手術治療，
例如人工陰莖植入手術，都可能是有效的治療方法，
而較新的治療方式選擇則是低能量體外震波治療。

自2010年以來，低能量震波治療被嘗試治療勃起功能障礙。
可以增加α-SMA、vWF、nNOS和VEGF
以及聚集內皮細胞來促進新生血管生成。
此外，亦有其他臨床研究顯示LIEST具有好的治療效果和較小的副作用

低能量震波治療的方式是利用機器經由震波探頭傳遞出震波
會平均施打於陰莖海綿體六個不同的地方。
每週兩次震波治療，連續三週治療後休息兩週，
之後再連續三週共計六次的治療，總共12次。在治療期間，
不需要施打麻醉藥，也不需要服用止痛藥，目前也無嚴重的併發症的報告。

目前勃起功能障礙的治療有很多，
而低能量震波治療(LIEST)新治療選擇之一，
非侵入性且無嚴重併發症。

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