Is there a role for extracorporeal shock wave therapy for erectile dysfunction unresponsive to phosphodiesterase type 5 inhibitors?

2016 ◽  
Vol 35 (1) ◽  
pp. 167-171 ◽  
Author(s):  
Zi-jun Zou ◽  
Zhi-hong Liu ◽  
Liang-you Tang ◽  
Yi-ping Lu
Keyword(s):  
Shock Wave ◽  
Erectile Dysfunction ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Phosphodiesterase Type 5 Inhibitors ◽  
Extracorporeal Shock Wave ◽  
Phosphodiesterase Type

Low-Intensity Extracorporeal Shock Wave as a Novel Treatment for Erectile Dysfunction

2015 ◽  
Vol 10 (2) ◽  
pp. 146-148 ◽  
Author(s):  
Michael M. Pan ◽  
Ayman Raees ◽  
Jason R. Kovac
Keyword(s):  
Shock Wave ◽  
Erectile Dysfunction ◽  
Management Strategies ◽  
Penile Prosthesis ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Phosphodiesterase Type 5 Inhibitors ◽  
Low Intensity ◽  
Inflatable Penile Prosthesis ◽  
Extracorporeal Shock Wave

The paradigm of erectile dysfunction (ED) treatment was fundamentally altered following the introduction of oral phosphodiesterase type 5 inhibitors. Unfortunately, a significant number of men exhibit a suboptimal response and require additional management strategies. One of the novel, minimally invasive strategies being developed is low-intensity extracorporeal shock wave therapy. Used in the hope of delaying placement of an inflatable penile prosthesis, the final phase of ED treatment, low-intensity extracorporeal shock wave therapy is a unique application of an established technology that may hopefully one day expand the medical options for patients with ED. This commentary will highlight the physiology underlying this technique and summarize the most recent studies.

scholarly journals Impact on the Quality of Erections after Completing a Low-Intensity Extracorporeal Shock Wave Treatment Cycle on a Group of 710 Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Héctor A. Corredor Ayala ◽  
José Pablo Saffon Cuartas ◽  
Diana Cerquera Cleves
Keyword(s):  
Shock Wave ◽  
Erectile Dysfunction ◽  
Sexual Health ◽  
Extracorporeal Shock Wave Therapy ◽  
Shock Wave Therapy ◽  
Low Intensity ◽  
Health Clinics ◽  
Extracorporeal Shock Wave ◽  
Sexual Health Clinics

Objective. The aim of this study is to evaluate the response to low-intensity extracorporeal shock wave therapy in a group of patients with organic vascular erectile dysfunction. Materials and Methods. This is an observational retrospective study. The researchers reviewed 710 patients with a clinical diagnosis of organic vascular erectile dysfunction (ED) of more than 3-month duration from male sexual health clinics of the Boston Medical Group from 12 cities in Spain and 4 in Mexico. Patients received 5 outpatient shock wave therapy sessions. They were evaluated with the erection hardness score (EHS) before the first session (n = 710), at the end of the last session (n = 710), and one month after the last session (n = 412). Results. In the first examination, the EHS improved in 43.1% (306/710) of subjects compared to the baseline measurement and ability to penetrate increased from 26.8% to 44% (p<0.0001). In the second examination, the ability to penetrate was 37.9%, lower than in the first (p=0.042) but higher than the baseline (p=0.0001). Conclusions. The results suggest that the shock wave therapy with or without concomitant treatments improved the quality of erections in patients with erectile dysfunction treated in specialised male sexual health clinics. This trial is registered with NCT03237143.

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