[50] The efficacy and safety of low-intensity shockwave therapy in erectile dysfunction

Objective: To assess the effectiveness and safety of low-intensity extracorporeal shockwave therapy (Li-ESWT) on patients with erectile dysfunction (ED). Methods: This prospective single-centre study included 21 male patients between January 2015 and October 2017. All patients were aged >18 years...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Riyad Al Mousa, Abdulrahman Almuhrij, Mohammed Almujhim, Hassan Alsayegh, Abdulmohsin Alfadagh, Hamed Alali, Adel Aldayel
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/a5890366e1c64e939a1f5e142fa3c4c8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a5890366e1c64e939a1f5e142fa3c4c8
record_format	dspace
spelling	oai:doaj.org-article:a5890366e1c64e939a1f5e142fa3c4c82021-12-02T10:12:19Z[50] The efficacy and safety of low-intensity shockwave therapy in erectile dysfunction2090-598X10.1016/j.aju.2018.10.003https://doaj.org/article/a5890366e1c64e939a1f5e142fa3c4c82018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300974https://doaj.org/toc/2090-598XObjective: To assess the effectiveness and safety of low-intensity extracorporeal shockwave therapy (Li-ESWT) on patients with erectile dysfunction (ED). Methods: This prospective single-centre study included 21 male patients between January 2015 and October 2017. All patients were aged >18 years and in a stable sexual relationship. They had been diagnosed with ED for ⩾6 months and still not satisfied with oral or intracavernosal injection treatment of their ED. Patients who had penile surgery, coagulopathy abnormalities, unstable or uncontrolled medical or psychiatric disorders, with neurological disorders, post radical pelvic surgery, on hormonal therapy or post pelvic radiation were excluded. The treatment course comprised of two phases using a low-energy shockwave generator, each for 3 weeks with two sessions each week (total 6 sessions) with a 3-week break, and total course duration of 9 weeks. Li-SWT was applied at 19 penile sites, each session delivering 3000 J to the patient’s penis, divided between the 10 points (each 300 J). The energy administered was 0.7–0.25 mJ/mm2 depending on the patient’s tolerability. Patients were in the supine position with no anaesthesia given. The outcome was assessed using the International Index of Erectile Function-Erectile Function (IIEF-EF) score before and after treatment. Results: In all, 21 patients were included in the study, with mean age of 43.9 years. Diabetes mellitus was present in 66.6%. All patients had sexual desire, with 95.25% having orgasmic function. All patients completed the first phase of treatment, and 71.4% felt an improvement and completed the second phase. The mean base IIEF-EF score for all patients was 10.14, which increased to 10.73 after the first phase. The IIEF-EF score rose to 12.8 in 15 of 21 patients who completed the full treatment course. About 66.6% of the patients would repeat the treatment and recommend it to a friend. Only one patient had mild ecchymosis and pain after treatment, which was treated conservatively. Conclusion: Li-SWT is a safe modality for ED and could be an effective treatment with minimal changes that could be beneficial with other non-surgical management strategies such as oral and intracavernosal injection treatments.Riyad Al MousaAbdulrahman AlmuhrijMohammed AlmujhimHassan AlsayeghAbdulmohsin AlfadaghHamed AlaliAdel AldayelTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S25- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Riyad Al Mousa Abdulrahman Almuhrij Mohammed Almujhim Hassan Alsayegh Abdulmohsin Alfadagh Hamed Alali Adel Aldayel [50] The efficacy and safety of low-intensity shockwave therapy in erectile dysfunction
description	Objective: To assess the effectiveness and safety of low-intensity extracorporeal shockwave therapy (Li-ESWT) on patients with erectile dysfunction (ED). Methods: This prospective single-centre study included 21 male patients between January 2015 and October 2017. All patients were aged >18 years and in a stable sexual relationship. They had been diagnosed with ED for ⩾6 months and still not satisfied with oral or intracavernosal injection treatment of their ED. Patients who had penile surgery, coagulopathy abnormalities, unstable or uncontrolled medical or psychiatric disorders, with neurological disorders, post radical pelvic surgery, on hormonal therapy or post pelvic radiation were excluded. The treatment course comprised of two phases using a low-energy shockwave generator, each for 3 weeks with two sessions each week (total 6 sessions) with a 3-week break, and total course duration of 9 weeks. Li-SWT was applied at 19 penile sites, each session delivering 3000 J to the patient’s penis, divided between the 10 points (each 300 J). The energy administered was 0.7–0.25 mJ/mm2 depending on the patient’s tolerability. Patients were in the supine position with no anaesthesia given. The outcome was assessed using the International Index of Erectile Function-Erectile Function (IIEF-EF) score before and after treatment. Results: In all, 21 patients were included in the study, with mean age of 43.9 years. Diabetes mellitus was present in 66.6%. All patients had sexual desire, with 95.25% having orgasmic function. All patients completed the first phase of treatment, and 71.4% felt an improvement and completed the second phase. The mean base IIEF-EF score for all patients was 10.14, which increased to 10.73 after the first phase. The IIEF-EF score rose to 12.8 in 15 of 21 patients who completed the full treatment course. About 66.6% of the patients would repeat the treatment and recommend it to a friend. Only one patient had mild ecchymosis and pain after treatment, which was treated conservatively. Conclusion: Li-SWT is a safe modality for ED and could be an effective treatment with minimal changes that could be beneficial with other non-surgical management strategies such as oral and intracavernosal injection treatments.
format	article
author	Riyad Al Mousa Abdulrahman Almuhrij Mohammed Almujhim Hassan Alsayegh Abdulmohsin Alfadagh Hamed Alali Adel Aldayel
author_facet	Riyad Al Mousa Abdulrahman Almuhrij Mohammed Almujhim Hassan Alsayegh Abdulmohsin Alfadagh Hamed Alali Adel Aldayel
author_sort	Riyad Al Mousa
title	[50] The efficacy and safety of low-intensity shockwave therapy in erectile dysfunction
title_short	[50] The efficacy and safety of low-intensity shockwave therapy in erectile dysfunction
title_full	[50] The efficacy and safety of low-intensity shockwave therapy in erectile dysfunction
title_fullStr	[50] The efficacy and safety of low-intensity shockwave therapy in erectile dysfunction
title_full_unstemmed	[50] The efficacy and safety of low-intensity shockwave therapy in erectile dysfunction
title_sort	[50] the efficacy and safety of low-intensity shockwave therapy in erectile dysfunction
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/a5890366e1c64e939a1f5e142fa3c4c8
work_keys_str_mv	AT riyadalmousa 50theefficacyandsafetyoflowintensityshockwavetherapyinerectiledysfunction AT abdulrahmanalmuhrij 50theefficacyandsafetyoflowintensityshockwavetherapyinerectiledysfunction AT mohammedalmujhim 50theefficacyandsafetyoflowintensityshockwavetherapyinerectiledysfunction AT hassanalsayegh 50theefficacyandsafetyoflowintensityshockwavetherapyinerectiledysfunction AT abdulmohsinalfadagh 50theefficacyandsafetyoflowintensityshockwavetherapyinerectiledysfunction AT hamedalali 50theefficacyandsafetyoflowintensityshockwavetherapyinerectiledysfunction AT adelaldayel 50theefficacyandsafetyoflowintensityshockwavetherapyinerectiledysfunction
_version_	1718397529237749760

[50] The efficacy and safety of low-intensity shockwave therapy in erectile dysfunction

Ejemplares similares