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Abstract(s)
A National Institutes of Health, no seu consenso sobre impotência, definiu em 1993,
disfunção erétil como a persistente incapacidade de atingir e/ou manter uma ereção
suficiente para permitir relações sexuais satisfatórias. Esta patologia, afeta o sexo
masculino em qualquer faixa etária, porém a sua prevalência está intimamente
relacionada com o aumento da idade, estimando-se que cerca de metade dos homens,
entre os 40-70 anos, detenham alguma sintomatologia típica desta doença.
Os dispositivos médicos, nomeadamente as próteses penianas e os dispositivos de vácuo,
fazem parte das alternativas terapêuticas da disfunção erétil desde há várias décadas.
Contudo, na década de 90, com a chegada dos inibidores da 5-fosfodiesterase, o
tratamento desta doença sofreu uma revolução. Esta categoria de fármacos, que são
atualmente considerados a primeira linha de tratamento, são ineficazes em cerca de 30%
dos doentes, continuando a existir assim a necessidade de recorrer aos dispositivos
médicos, em razão das suas elevadas taxas de satisfação e eficácia. Em consequência disto,
com o passar dos anos, os dispositivos médicos usados no tratamento da disfunção erétil,
foram sofrendo progressos, com o intento de se adaptarem à realidade atual.
Deste modo, esta dissertação tem como objetivos apresentar de forma estruturada a
evolução e inovação que os dispositivos médicos, utilizados no tratamento da disfunção
erétil, tiveram desde o seu aparecimento, bem como, comparar diversos estudos,
principalmente no que se refere à satisfação dos pacientes sujeitos a estes tipos de
modalidades terapêuticas.
The National Institutes of Health consensus on impotence has defined erectile dysfunction in 1993 as the persistent inability of male to achieve and/or maintain an erect penis to permit satisfactory sexual intercourse. This condition affects millions of men in any age, but its prevalence is closely associated with aging, and it is estimated that about fifty percent of men, aged 40-70, experience some degree of this disease. Medical devices, namely penile prostheses and vacuum devices have been part of the therapeutic alternatives of erectile dysfunction for several decades. However, in the ‘90s, with the arrival of type-5 phosphodiesterase, the treatment of erectile dysfunction suffered a revolution. This class of drugs, which is currently considered the first line of treatment, is ineffective in about 30% of patients, thus continuing to require medical devices due to their high satisfaction and efficacy rates. As a result, over the years, medical devices used to treat erectile dysfunction were undergoing evolutions in order to adapt to the current reality. Thus, this dissertation aims to present in a structured way the evolution and innovation that medical devices, used in the treatment of erectile dysfunction, had since its inception, as well as to compare several studies, mainly concerning to patient satisfaction, subject to these kinds of therapeutic modalities.
The National Institutes of Health consensus on impotence has defined erectile dysfunction in 1993 as the persistent inability of male to achieve and/or maintain an erect penis to permit satisfactory sexual intercourse. This condition affects millions of men in any age, but its prevalence is closely associated with aging, and it is estimated that about fifty percent of men, aged 40-70, experience some degree of this disease. Medical devices, namely penile prostheses and vacuum devices have been part of the therapeutic alternatives of erectile dysfunction for several decades. However, in the ‘90s, with the arrival of type-5 phosphodiesterase, the treatment of erectile dysfunction suffered a revolution. This class of drugs, which is currently considered the first line of treatment, is ineffective in about 30% of patients, thus continuing to require medical devices due to their high satisfaction and efficacy rates. As a result, over the years, medical devices used to treat erectile dysfunction were undergoing evolutions in order to adapt to the current reality. Thus, this dissertation aims to present in a structured way the evolution and innovation that medical devices, used in the treatment of erectile dysfunction, had since its inception, as well as to compare several studies, mainly concerning to patient satisfaction, subject to these kinds of therapeutic modalities.
Description
Keywords
Disfunção Erétil Dispositivos de Vácuo Dispositivos Médicos Próteses Penianas Satisfação