Effect of Low-Energy Linear Shockwave Therapy on Erectile Dysfunction—A Double-Blinded, Sham-Controlled, Randomized Clinical Trial

Fojecki, Grzegorz; Tiessen, Stefan; Osther, Palle J S

doi:10.1016/j.jsxm.2016.11.307

Cited by 68 publications

(89 citation statements)

References 16 publications

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“…After Li-ESWT treatment, about half of the patients (54.1%) were able to achieve erection hard enough for penetration with PDE5i [27]. Fojecki et al [28] performed a well-designed study regarding linear focused Li-ESWT of ED, but with completely inappropriate settings. We are using the same device; so we calculated the energy used by Fojecki et al [28] The setting they used delivers 6 mJ energy for every pulse; in the setting we use, every pulse has 15.45 mJ energy.…”

Section: Discussionmentioning

confidence: 99%

Erectile Dysfunction Treatment Using Focused Linear Low-Intensity Extracorporeal Shockwaves: Single-Blind, Sham-Controlled, Randomized Clinical Trial

Šrámková

Motil²,

Jarkovský

et al. 2019

Urol Int

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Introduction: Low-intensity extracorporeal shock wave therapy (Li-ESWT) is a new treatment modality for erectile dysfunction (ED). Our aim was to evaluate the treatment outcome of Li-ESWT for ED in single-blind, placebo controlled, randomized clinical trial. Methods: Sixty patients were randomized into 2 age-matched groups: Group A – treatment and Group B – placebo. Treatment consisted of 4 sessions on the PiezoWave2 unit (R. Wolf and ELvation Medical). Effectiveness was assessed according to the International Index of Erectile Function 5 (IIEF-5), Erectile Hardness Score (EHS), questions 2 and 3 of the Sexual Encounter Profile (SEP 2, SEP 3), and Global Assessment Question (GAQ) scores at baseline and 4 and 12 weeks after treatment. We evaluated patient’s and partner’s subjective satisfaction. Results: A statistically significant difference between the groups was found at 4 and 12 weeks after treatment with regard to the quality of erection as measured by the IIEF-5 (p = 0.049 and p < 0.001, respectively), the EHS after week 12 (p < 0.001), an increase in the EHS after 4 and 12 weeks (p = 0.030 and p < 0.001, respectively), after 12 weeks in GAQ (p < 0.001), SEP 2 (p = 0.05), SEP 3 (p < 0.001), and patient’s satisfaction (p < 0.001) and partner’s satisfaction (p < 0.001). Conclusions: The randomized single-blind study confirms that Li-ESWT significantly improves erectile function.

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Section: Discussionmentioning

confidence: 99%

Erectile Dysfunction Treatment Using Focused Linear Low-Intensity Extracorporeal Shockwaves: Single-Blind, Sham-Controlled, Randomized Clinical Trial

Šrámková

Motil²,

Jarkovský

et al. 2019

Urol Int

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“…Low-intensity extracorporeal shock wave therapy (Li-ESWT) is a promising treatment option in regenerative medicine and has been used to treat penile diseases for more than 10 years (Shrivastava & Kailash, 2005;M€ uller et al, 2008;Antonic et al, 2011;Fojecki et al, 2017). The mechanism of action of Li-ESWT is not very clear, but energy from the sonic waves is hypothesized to increase the release of growth factors, thereby improving endothelial function and angiogenesis and increasing blood supply (Rassweiler et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

The impact of low‐intensity extracorporeal shock wave therapy on testicular function in adult rats

Zang

Liu

et al. 2018

Andrology

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“…A meta‐analysis including seven randomized controlled trials using LI‐SWT compared with sham for the treatment of 602 subjects with vasculogenic ED showed a statistically significant improvement in erectile function for the LI‐SWT‐treated subjects compared with sham at 6‐week follow‐up, maintained up to 1 year. The included subjects received identical treatments with LI‐SWT (twice weekly for 3 weeks; once weekly for 3 weeks; and three more weeks of twice‐weekly treatments; Table ).…”

Section: Methodsmentioning

confidence: 99%

“…LI-SWT twice weekly for 3 wk; once weekly for 3 wk; and three more weeks of twice-weekly treatments. 1,4,9,[14][15][16][17] Efficacy of LI-SWT was maintained after 2 y. 18 Safety of the procedure, contraindications to implementation, risks/benefits, and adverse events when applying these treatments.…”

Section: Con Clus Ionmentioning

confidence: 99%

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Radial shockwave therapy for male erectile rejuvenation in a dermatology and/or medical aesthetic practice

Goldberg

Andriessen²,

Gold

2019

J of Cosmetic Dermatology

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Introduction Erectile dysfunction is defined as the inability to achieve and maintain an erection to satisfactorily complete intercourse. Treatment depends on the cause and includes phosphodiesterase 5 inhibitor medications, penile pumps, implants, and surgery. Low‐intensity shockwave therapy has been shown to be effective and safe for the treatment of erectile dysfunction. Objective We explored the role of low‐intensity radial shockwave therapy for erectile dysfunction treatment in a dermatology and/or medical aesthetic practice setting. Materials and Methods A literature review was conducted on radial low‐intensity shockwave technology in use for erectile rejuvenation to explore its positioning, safety, efficacy, tolerability, subject satisfaction, and usability in a dermatology and/or medical aesthetic setting. Results Low‐intensity shockwave therapy was shown to be effective in subjects with organic erectile dysfunction, and the treatment effect was maintained for up to 2 years post‐treatment. The treatment is reported to be safe and well‐tolerated and have little downtime. Many dermatologists use low‐intensity shockwave therapy for the treatment of cellulite and other conditions. This type of treatment is now available for erectile dysfunction and seems an attractive and safe option for subjects with organic vascular erectile dysfunction. Conclusions Studies and clinical experience suggest that male erectile rejuvenation using low‐intensity radial shockwave therapy seems an attractive option. The treatment can be safely, and effectively, delivered by trained staff as part of the total package that is available to men in a dermatology and/or medical aesthetic practice.

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Effect of Low-Energy Linear Shockwave Therapy on Erectile Dysfunction—A Double-Blinded, Sham-Controlled, Randomized Clinical Trial

Abstract: No clinically relevant effect of LLi-ESWT on ED was found.

Cited by 68 publications

References 16 publications

Erectile Dysfunction Treatment Using Focused Linear Low-Intensity Extracorporeal Shockwaves: Single-Blind, Sham-Controlled, Randomized Clinical Trial

Erectile Dysfunction Treatment Using Focused Linear Low-Intensity Extracorporeal Shockwaves: Single-Blind, Sham-Controlled, Randomized Clinical Trial

The impact of low‐intensity extracorporeal shock wave therapy on testicular function in adult rats

Radial shockwave therapy for male erectile rejuvenation in a dermatology and/or medical aesthetic practice

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