El-Fakahany Hasan, Bassyouni Haythem, GamalEl Din Sameh Fayek, Montaser Mahmoud H A
Department of Dermatology, STDs & Andrology, Faculty of Medicine, Minia University, Minia, Egypt.
Department of Andrology & STDs Kasr Alainy Faculty of Medicine, Cairo University, Al-Saray Street, El Manial, Cairo, 11956, Egypt.
Basic Clin Androl. 2025 Jun 20;35(1):26. doi: 10.1186/s12610-025-00272-3.
Elaboration of alternative therapeutic modality is needed, which should be safer, less costly and with no side effects. Functional Magnetic Stimulator (FMS) is a technique that was approved by the US Food and Drug Administration in 1998. We aimed to evaluate the efficacy of FMS in treating different causes of erectile dysfunction (ED).
The mean baseline 15 items of the international index of erectile function (IIEF-15) scores of groups A (arteriogenic ED), B (veno-occlusive ED) and C (psychogenic ED) were 12.8 ± 2.6, 16.2 ± 3.3 and 27.5 ± 3.7, respectively. The mean post sessions IIEF-15 scores of groups A, B and C were 23.4 ± 4.1, 31.5 ± 3.5, 49.2 ± 3.5, respectively. The mean baseline domains of erectile function (EF) scores of groups A, B and C were 3.8 ± 2, 5.8 ± 3.5 and 11.5 ± 3.1, respectively. The mean post sessions domains of EF scores of groups A, B and C were 10.6 ± 3.1, 15 ± 3.6 and 24.8 ± 2.9, respectively. The mean baseline domains of orgasmic function scores of groups A, B and C were 3.3 ± 0.9, 3.9 ± 0.5 and 4.8 ± 0.4, respectively. The mean post sessions domains of orgasmic function scores of groups A, B and C were 4.8 ± 0.8 5.9 ± 1.0 and 8.6 ± 0.5, respectively. The mean baseline domains of sexual desire scores of groups A, B and C were 2.6 ± 0.6, 3.1 ± 0.7 and 4.8 ± 0.7, respectively. The mean post sessions domains of sexual desire scores of groups A, B and C were 3.6 ± 0.5, 4.4 ± 0.7 and 6.6 ± 0.6, respectively. The mean baseline domains of intercourse satisfaction scores of groups A, B and C were 1.9 ± 0.5, 2.4 ± 0.6 and 4.1 ± 0.6, respectively. The mean post sessions domains of intercourse satisfaction scores of groups A, B and C were 2.6 ± 0.5, 3.6 ± 0.5 and 5.5 ± 0.6, respectively. The baseline domains of overall satisfaction scores of groups A, B and C were 1.1 ± 0.3, 1.1 ± 0.3 and 2.4 ± 0.7, respectively. The mean post sessions domains of overall satisfaction scores of groups A, B and C were 2 ± 0.7, 2.7 ± 0.7 and 3.8 ± 0.7, respectively.
All patients showed significant improvement regarding domains of the IIEF-15 especially psychogenic cases following the sessions of FMS. Future studies should demonstrate the impact of these sessions on the response of poor responders to phosphodiesterase inhibitors and intracorporeal injections.
需要研发更安全、成本更低且无副作用的替代治疗方式。功能性磁刺激仪（FMS）是一项于1998年获得美国食品药品监督管理局批准的技术。我们旨在评估FMS治疗不同病因勃起功能障碍（ED）的疗效。
A组（动脉性ED）、B组（静脉闭塞性ED）和C组（心因性ED）国际勃起功能指数（IIEF - 15）15项指标的平均基线得分分别为12.8±2.6、16.2±3.3和27.5±3.7。A组、B组和C组治疗后的IIEF - 15平均得分分别为23.4±4.1、31.5±3.5、49.2±3.5。A组、B组和C组勃起功能（EF）的平均基线领域得分分别为3.8±2、5.8±3.5和11.5±3.1。A组、B组和C组治疗后EF领域的平均得分分别为10.6±3.1、15±3.6和24.8±2.9。A组、B组和C组性高潮功能得分的平均基线领域分别为3.3±0.9、3.9±0.5和4.8±0.4。A组、B组和C组治疗后性高潮功能得分的平均领域分别为4.8±0.8、5.9±1.0和8.6±0.5。A组、B组和C组性欲得分的平均基线领域分别为2.6±0.6、3.1±0.7和4.8±0.7。A组、B组和C组治疗后性欲得分的平均领域分别为3.6±0.5、4.4±0.7和6.6±0.6。A组、B组和C组性交满意度得分的平均基线领域分别为1.9±0.5、2.4±0.6和4.1±0.6。A组、B组和C组治疗后性交满意度得分的平均领域分别为2.6±0.5、3.6±0.5和5.5±0.6。A组、B组和C组总体满意度得分的基线领域分别为1.1±0.3、1.1±0.3和2.4±0.7。A组、B组和C组治疗后总体满意度得分的平均领域分别为2±0.7、2.7±0.7和3.8±0.7。
所有患者在FMS治疗后IIEF - 15各领域均有显著改善，尤其是心因性病例。未来研究应证明这些治疗对磷酸二酯酶抑制剂和阴茎海绵体内注射反应不佳者的影响。
