“…82 Meanwhile, at least one research group believes that EPCs are native inhabitants of certain blood vessel walls, and it would be instructive to determine whether EPCs are embedded within the penile vasculature and can be stimulated to repair dysfunctional penile ECs. 84 Recently, several groups demonstrated that in ED patients, the reduced level of EPCs could be restored by administration of PDE5i, 85,86 such as vardenafil and tadalafil, resulting in an effective vasculoprotection and prevention of the initiation and progression of endothelial dysfunction. The mechanisms remain unknown; however, a possible hypothesis involves the presence of PDE5 in bone marrow that, when inhibited, may magnify the local effect of nitric oxide, thus leading to the mobilisation of stem and progenitor cells.…”