Comparison of focused and unfocused ESWT in treatment of erectile dysfunction

Abstract

Recently, extracorporeal shock wave therapy (ESWT) is more commonly used in noninvasive treatment of erectile dysfunction (ED). There is no definitive treatment protocol on the use of ESWT. In this study, we aimed to compare focused and unfocused ESWT in ED. We created two groups, each including 20 patients with similar demographics. Focused ESWT is performed in one group, while unfocused ESWT is performed for the other group. Patients are assessed with IIEF-5 and EHS. Mean score of IIEF-5 was increased by 6.3 ± 3.3 (p < .05) from 9.6 ± 2.9 to 15.0 ± 5.0 in 3-month follow-up in the unfocused group. In the focused group, IIEF-5 score increased by 5.34 in average from 10.01 ± 2.5 to 15.4 ± 3.1. In conclusion, IIEF-5 score was significantly higher in the unfocused ESWT group than the focused ESWT group.

Is Li-ESWT effective in diabetic patients with severe erectile dysfunction?

“…In a recent study conducted by Eryilmaz et al . 29 53.7% of the Li-ESWT group of 20 patients who were unresponsive to PDE5Is therapy had DM. In their study, significant changes in IIEF-5 scores and EHS scores were observed; however, due to the lack of IIEF-5 score classification of DM patients, the efficiency of this treatment in patients with severe ED has not been established clearly.…”

Impotence literature: Scientometric analysis of erectile dysfunction articles between 1975 and 2018

“…Erectile dysfunction (ED) is portrayed as lasting deficiency to achieve or sustain penile erection in accomplished vaginal penetration and is a major problem affecting the quality of life in men (Altunkol, Topuz, Genç, Alma, & Topuz, ). In the common population, the incidence of ED in men aged 40–80 years ranges from 30% to 65% (Eryilmaz, Kaplan, Aslan, Demir, & Taken, ). ED is often related with varied risk factors such as metabolic syndrome, obesity, diabetes mellitus, dyslipidemia, sedentary life and smoking (Besiroglu, Otunctemur, & Ozbek, ).…”