Efeitos da terapia extracorpórea por onda de choque na vascularização peniana em pacientes com disfunção erétil

Abstract

ABSTRACT Introduction: Erectile Dysfunction (ED) is defined as the inability to obtain or maintain an erection sufficient for satisfactory sexual performance and is a global health issue as approximately 50% of men aged 40 years and over suffer from this dysfunction. Among traumatic arterial disease, atherosclerosis and systemic arterial hypertension (SAH) are among the main etiologies of vasculogenic erectile dysfunction (ED). Objectives: To verify the effects of extracorporeal shock wave therapy on male erectile dysfunction. Methods: This is an epidemiological, retrospective and descriptive study carried out through the analysis of medical records that included the medical records of male patients treated at the Mais Homem clinic in Goiânia. The medical records of male patients with a clinical diagnosis of erectile dysfunction who underwent the Extracorporeal Shockwave Therapy technique at the Mais Homem clinic in 2019 and 2020 were excluded. there were no complete patient data or those that were not filled in correctly. A total of 283 medical records were evaluated and, after the analysis, 40 records were selected. Results: At the end of the collection, 40 medical records of patients diagnosed with erectile dysfunction were selected, and their ages ranged between 29 and 71 years, with a mean of 54.4 years. It was found that 20.8% of patients reported having the condition of having hypercholesterolemia, thus corresponding to the majority of the sample, with kidney disease patients corresponding to 16.7% and depression patients being also significant, corresponding to 12 .5%. The data collected by the institution's clinical staff recorded the statistical difference (p<0.001) in penile vascularization recorded by the initial flow (right flow 37.68 dp±9.18 and left flow 33.53 dp±9.67) in the first contact with the patient and final flow at the end of treatment (right flow 59.13 sd±12.21 and left flow 60.78 sd±10.86). Conclusion: This study can assess the improvement in penile blood flow before and after the use of Extracorporeal Shockwave Therapy with statistically significant results (p<0.001) in the analyzed medical records. And, this data suggests an improvement in ED as a consequence of the use of Extracorporeal Shockwave Therapy.