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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