曼谷勃起功能障碍治疗

曼谷勃起功能障碍治疗

为勃起功能障碍(ED)男性提供全面、循证的诊疗——从口服药物到先进的手术方案——在 Bangkok Hospital Headquarters 严格保护您的隐私。

医学审核：Dr. Soarawee Weerasopone, MD —— 认证泌尿外科专科医师 · Research Scholar & Clinical Observer, Scott Department of Urology, Baylor College of Medicine (2025–2026)

什么是勃起功能障碍?

勃起功能障碍(ED)是指持续无法获得或维持足以完成满意性活动的勃起。人群研究显示,其患病率约为 40岁以下男性中占10–16% 并且超过 60 岁以上男性的一半 ——然而由于病耻感,它仍然存在严重的漏诊情况。

ED 不仅仅是性健康问题。它往往是心血管疾病、糖尿病或激素失衡最早的临床表现。现代泌尿外科评估既能恢复性功能,又能在潜在的全身性疾病危及生命之前将其发现。 了解 ED 背后的 4 大支柱 → Dr. Soarawee Weerasopone 还在他的文章中深入讲解了 ED 的发病机制、病因和治疗: 曼谷医院关于勃起功能障碍的文章 →

ED 的常见病因

• 血管因素 ——动脉供血不足、静脉漏、动脉粥样硬化
• 代谢性因素 ——糖尿病、肥胖、阻塞性睡眠呼吸暂停、代谢综合征
• 激素因素 — 低睾酮(性腺功能减退)、甲状腺疾病
• 神经源性因素 ——神经损伤、脊髓损伤、 前列腺切除术后
• 心理性因素 ——焦虑、抑郁、伴侣关系压力
• 药物性因素 ——降压药、抗抑郁药、前列腺用药
• 生活方式因素 ——吸烟、饮酒、久坐不动

Before understanding the treatment ladder below, one point is worth noting: If a certain medication you are taking is likely the cause of your illness, do not stop taking it on your own.Several medications on this list could be dangerous to stop abruptly, and alternative medications can usually be used under the supervision of a doctor.

治疗选择

遵循美国泌尿外科学会(AUA)和欧洲泌尿外科学会(EAU)指南中基于循证医学的阶梯式治疗路径。

第 1 级——口服药物治疗

PDE5 inhibitors （西地那非、他达拉非、伐地那非、阿伐那非）仍是一线治疗药物，对大多数男性效果良好。其中包括每日低剂量他达拉非，适用于同时患有 ED 和 良性前列腺增生(BPH)的男性。这类药物并不适合所有人，尤其是正在服用硝酸酯类药物的男性。 他达拉非如何改善 ED →

The interaction with nitrate drugs is the only rule that absolutely cannot be violated here. Using PDE5 inhibitors concurrently with nitrates—including nitroglycerin spray or tablets for chest pain relief, and amyl nitrite sold as "poppers"—can cause a catastrophic drop in blood pressure. If you have been prescribed nitrates, tell your doctor before you get any more prescriptions; if you experience chest pain after taking PDE5 inhibitors, tell emergency services which medication you took and when.

第 2 级——非侵入性治疗

• 低强度冲击波治疗（LI-ESWT） ——旨在改善血管性 ED 患者的血液供应。 LI-ESWT 的作用原理 →
• 真空勃起装置(VED) ——一种机械性治疗选择，在前列腺手术后的恢复期尤其有用

Bangkok Hospital Headquarters 不提供 MUSE（尿道内前列地尔栓剂）。在适合使用注射剂的情况下，将改用海绵体内注射治疗。

第 3 级——阴茎海绵体注射(ICI)

将药物直接注射到阴茎海绵体组织中的注射疗法，可使大多数男性获得可靠的勃起，其中包括许多对口服药物没有反应的患者。首次剂量始终在诊所内给药，以便安全地评估反应并确定正确的剂量，之后会教导患者自行注射。事先会向您说明的主要风险包括：注射部位疼痛、瘀青、长期使用后出现瘢痕，以及——虽然罕见但十分重要的——勃起持续时间过长（异常勃起）；如果勃起持续超过四小时，需要立即就医。

This last point deserves special emphasis, rather than being mentioned only as a footnote. An erection lasting longer than four hours is considered priapism, a true emergency: after approximately this long, the stagnant blood causes tissue hypoxia, and delaying medical attention could lead to permanent erectile dysfunction. Please go to the emergency room—do not wait until the next morning, and do not attempt to treat it at home.

第 4 级——可膨胀阴茎假体(IPP)

This is a definitive surgical option for men who have not responded to conservative treatment or wish to achieve permanent, readily available results. A series of published studies have shown consistently high satisfaction rates with three-piece inflatable implants; however, as implants, concerns about infection and the potential need for future revision surgery are all topics that need to be discussed before surgery. One point to understand before agreeing to the surgery is that implantation involves the removal of natural erectile tissue, therefore... Irreversible —Once the implant is removed in the future, all previous treatments will no longer be effective. 进一步了解 IPP →

常见问题

问题 1：勃起功能障碍可以治疗吗？

几乎总是可以的。有必要区分两种情况:有些原因是可以逆转的,例如低睾酮、药物副作用、糖尿病控制不佳、大量吸烟;而另一些原因则只能通过治疗加以控制,无法根治。无论是哪一种情况,只要先查明潜在病因,而不是盲目开药,绝大多数男性都能在治疗阶梯的某一层级获得满意的效果。

问题 2:什么时候应该就 ED 去看泌尿外科医生?

如果您持续3个月以上难以获得或维持勃起,请咨询泌尿外科医生,尤其是50岁以下的男性——年轻男性的血管性 ED 可能是心血管疾病的最早信号,需要及时评估。 了解预防 ED 的生活方式策略 →

Q3:PDE5 inhibitors 长期使用安全吗?

When used under the prescription and guidance of a qualified physician, sildenafil, tadalafil, and other PDE5 inhibitors have an excellent long-term safety record. These medications are contraindicated in patients currently using nitrates, including nitroglycerin for chest pain relief and amyl nitrite sold as "poppers," as their combined use may lead to a dangerously low blood pressure; caution should also be exercised when using them in patients with serious cardiovascular disease. Self-medication without medical evaluation is strongly discouraged, and medications purchased online are often counterfeit.

问题 4:什么是阴茎彩色多普勒超声?我需要做吗?

阴茎彩色多普勒超声(PDU)是一种专门评估阴茎血流情况的血管检查。它可以区分动脉供血不足与静脉漏,这对于选择合适的治疗方法至关重要。检查时需向阴茎海绵体内注射药物以模拟性唤起,随后由放射科医生进行成像检查,Dr. Soarawee Weerasopone 会在场。PDU 对于 50 岁以下的 ED 患者、口服药物治疗无效的男性,或考虑手术治疗的患者尤为有价值。但并非每位患者都需要做这项检查。

Question 5: Persistent erection – is this an emergency?

Yes. An erection lasting longer than four hours is considered priapism and requires immediate emergency room attention, not waiting until the next morning for an appointment. Stagnant blood becomes oxygen-deprived, and after several hours, the damage to the erectile tissue can be permanent. This is a rare but recognized risk associated with injectable therapies, and can also be caused by certain medications and blood disorders. Please truthfully inform the emergency team what medications you used and when you used them.

Question 6: In Thailand, does medical insurance cover treatment for erectile dysfunction (ED)?

保险理赔范围因保险公司和保单而异。部分泰国保险保单在 ED 与糖尿病或心血管疾病等基础疾病相关时,会承保诊断评估费用。国际保险通常涵盖门诊咨询和处方药费用。保险理赔和费用方面的问题由医院负责处理,而非 Dr. Soarawee Weerasopone——请发送电子邮件至泌尿外科 bhquro@bdms.co.th,或联系 Bangkok Hospital 的国际患者服务部门。

Question 7: How do I schedule an appointment with Dr. Soarawee Weerasopone?

所有预约仅通过曼谷医院（Bangkok Hospital）官方预约系统办理；春武里诊所的预约则请拨打 Samitivej Sriracha 医院泌尿外科专线 088-022-1445。Dr. Soarawee Weerasopone 不通过私人即时通讯渠道或社交媒体提供医疗评估、建议、诊断或处方。前往曼谷就诊的国际患者可联系曼谷医院国际患者服务部，他们会在您抵达前协助安排就诊时间、转交既往病历资料，并协调整个就诊事宜。

Question 8: Can I consult via video first?

可以。对于许多男性难以启齿的话题，这往往是更容易迈出的第一步。曼谷医院设有远程医疗服务，Dr. Soarawee Weerasopone 也通过该服务接诊；请提前发送电子邮件至泌尿外科 bhquro@bdms.co.th 进行预约。视频问诊适用于问诊病史、查看既往血液检查结果和目前用药情况，以及决定究竟哪些检查真正有必要。体格检查、血液检查和阴茎双功能超声检查需要亲自到院就诊。Samitivej Sriracha 医院不提供远程医疗，仅限现场就诊。

Question 9: Why has Bangkok become a popular destination for ED treatment?

泰国的国际认证（JCI）医院提供泌尿外科诊疗服务，所采用的诊断和手术技术与其他地区的顶尖医疗中心相同，并配有会说英语的工作人员，同时能为这类敏感疾病提供真正的隐私保护。如需了解任何项目的费用，请发送电子邮件至泌尿外科 bhquro@bdms.co.th；价格由医院报价，而非由 Dr. Soarawee Weerasopone 提供。

预约保密门诊

迈出第一步,重拾您的性健康和自信。
所有诊疗均严格保护您的隐私,绝对保密。

无法亲自到院的患者（包括国际患者）可使用 Bangkok Hospital 远程医疗服务——请提前发送电子邮件至泌尿外科 bhquro@bdms.co.th 预约。Samitivej Sriracha 仅提供面诊。

Medical Disclaimer: The information provided on this page is for general health education purposes only and does not constitute medical advice, is not targeted at any specific case, and cannot replace a consultation with a qualified physician. An erection lasting longer than four hours is a medical emergency and requires immediate medical attention. We do not provide medical advice, diagnoses, or prescriptions through personal instant messaging channels or social media. Reading this page does not establish a doctor-patient relationship. For any personal health issues, please consult a healthcare professional for evaluation.