Effect of Extracorporeal Shockwave Therapy on Erectile Dysfunction from Vascular Causes: A single-centered, randomised, prospective study – Turkish Study
Abdulkadir Özmez, Asgar Garayev, Ateş Kadıoğlu, Istanbul University School of Medicine, Andrology Department. Presented at the 26th National Congress of Urology 2017
CONCLUSION: Short-term results of ESWT showed significant increase of IIEF-EF score in mild-to-moderate vascular ED. A positive effect of ESWT on ED shows that it can be used as an alternative treatment to traditional methods.
The demographics between treatment groups were similar. Success rate of 54.5% (n=12) was recorded for the ESWT group and 10% (n=1) for the sham group at the 3rd month (p=0.024). Patients who failed were excluded from further study. Baseline IIEF-EF scores were 19.9 (SD±1.5)
and 21 in ESWT and sham groups. Mean IIEF scores at 3rd and 6th months were 24.8 (SD±1.3) and 24.1 (SD±1.5) in ESWT, 23 and 21 in sham groups. IIEF scores at 3rd and 6th month in ESWT group showed significant increase from baseline values (p=0.001;p=0.002).
Doppler finding of cavernosal dysfunction (veno-occlusive dysfunction) and long-term ED were negatively related to the treatment failure(p=0.029;p=0.024), while these factors did not predict success in logistic regression (p=0.9;p=0.234). One patient received an antibiotherapy due to prostatitis, while other demonstrated PSA increase which was later revealed a PI-RADS 4 lesion.
Read summary of study and methods here.