(O-27) PRELIMINARY DATA ON THE USE OF PLATELET-RICH PLASMA IN PENIS FOR ERECTILE DYSFUNCTION OF VASCULAR ORIGIN

M. Mayer, A. Gioielli, S. Valente
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Abstract

After conducting an exhaustive review of the literature published to date, we decided to evaluate the effects of acute exposure to autologous PRP on erectile function and assess the impact of this therapeutic strategy in patients with erectile dysfunction of mild-moderate vascular origin. All patients who participated in our study completed the IIEF 5 questionnaire prior to the procedure. autologous venous blood was extracted, the sample was processed and activated with 10% calcium chloride solution. After local anesthesia in the trunk of the penis shaft with benzocaine and xylocaine. 8 ml of PRP was applied to 9 patients, with a 25G needle, distributed in 4 applications. 2 applications in each cavernous body, one in the distal region and another in the proximal regionsThe designed protocol indicates: 4 applications spaced by 15 days. The 9 patients complied with all applications. The average age of the patients was 68.7 years (range 58-77). The IIEF-5 average prior to applications was 14.6.One month after completing the complete protocol, the IIEF-5 score showed a result of 18.9. This type of procedure, being an autologous treatment and not having relevant complications, could be a promising therapeutic strategy for patients with erectile dysfunction of mild-moderate vascular origin, as long as expectations are explained and health is addressed. integral to avoid the eventual progressive deterioration of the endothelium. No conflict.
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(O-27) 在阴茎中使用富血小板血浆治疗血管性勃起功能障碍的初步数据
在对迄今为止发表的文献进行详尽回顾后,我们决定评估急性暴露于自体 PRP 对勃起功能的影响,并评估这种治疗策略对轻度-中度血管性勃起功能障碍患者的影响。 所有参与研究的患者在术前都填写了 IIEF 5 问卷。抽取自体静脉血,样本经处理后用 10% 氯化钙溶液激活。用苯佐卡因和二甲苯佐卡因对阴茎干进行局部麻醉。用 25G 的针头为 9 名患者注射 8 毫升 PRP,分 4 次使用。每个海绵体使用 2 次,一次在远端区域,另一次在近端区域:4 次注射间隔 15 天。9 名患者均完成了所有治疗。 患者的平均年龄为 68.7 岁(58-77 岁不等)。使用前的 IIEF-5 平均值为 14.6。完成整个方案一个月后,IIEF-5 得分显示为 18.9。 这种手术是一种自体治疗,没有相关并发症,对于轻度-中度血管性勃起功能障碍患者来说,只要解释清楚期望值并解决健康问题,它可能是一种很有前景的治疗策略。 无冲突。
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Delineating patient errors in an intracavernosal injection program. Cosmetic penile enhancement procedures: an SMSNA position statement. The relationship between female orgasmic disorder, attention-deficit/hyperactivity disorder, and depression in Dominican women. Associated factors of vaginal laxity and female sexual function: a cross-sectional study. The effect of combination treatment with low-intensity shockwave therapy and daily tadalafil on severe erectile dysfunction: a double-blind, randomized, sham-controlled clinical trial.
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