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Reisman Y et al, 2015: Initial experience with linear focused shockwave treatment for erectile dysfunction: a 6-month follow-up pilot study.

Reisman Y, Hind A, Varaneckas A, Motil I
Men's Health Clinic, Amstelland Hospital, Amsterdam, The Netherlands
Urology and Andrology Center, Red Crescent Hospital (RCH), Ramallah, Palestine
Amber Clinic, Klaipėda, Lithuania
Urologickaambulance.cz, Brno, Czech Republic

Abstract

Low-intensity shockwaves (LISW) are known to produce revascularization and have been in evaluation and in use to treat erectile
dysfunction (ED). The present single-arm pilot study is aimed to assess the safety and efficacy of a dedicated shockwave device (Renova) on vasculogenic ED patients. Fifty-eight patients with mild to severe ED were treated by LISW and their erectile function was evaluated by the
International Index of Erectile Function-Erectile Function Domain (IIEF-EF), Sexual Encounter Profile and Global Assessment Questions questionnaires, at baseline and at 1, 3 and 6 months post treatment. The average IIEF-EF increased significantly from 14.78 at baseline to 21.93 at 3 months post treatment and stabilized at 22.26 at 6 months post treatment. Out of 58 patients, 47 (81%) had a successful treatment. No adverse events were reported during the treatment and the follow-up duration. In conclusion, it suggests that the performance of LISW could add a new advanced treatment for ED.International Journal of Impotence Research advance online publication, 4 December 2014; doi:10.1038/ijir.2014.41. 

Int J Impot Res. 2014 Dec 4. doi: 10.1038/ijir.2014.41. [Epub ahead of print]

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Comments 1

Peter Alken on Wednesday, 22 April 2015 11:29

In the stone business we are lacking good prospective randomized trials in order to better understand what we are doing. The erectile dysfunction business is probably in an even less favourable situation. I completely agree to the authors: “This pilot study on a small number of ED patients with a relatively short follow-up shows encouraging results. Large multicenter, long-term, randomized and sham-controlled studies are needed to be able to evaluate and define those patients who respond to this type of treatment. More data are also needed with regard to the possible long-term impact of shockwaves on penile tissue. More basic research is needed to be able to understand the mechanism of action of LISW on tissues.”

In the stone business we are lacking good prospective randomized trials in order to better understand what we are doing. The erectile dysfunction business is probably in an even less favourable situation. I completely agree to the authors: “This pilot study on a small number of ED patients with a relatively short follow-up shows encouraging results. Large multicenter, long-term, randomized and sham-controlled studies are needed to be able to evaluate and define those patients who respond to this type of treatment. More data are also needed with regard to the possible long-term impact of shockwaves on penile tissue. More basic research is needed to be able to understand the mechanism of action of LISW on tissues.”
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