Pan MM et al, 2015: Low-Intensity Extracorporeal Shock Wave as a Novel Treatment for Erectile Dysfunction.
Pan MM, Raees A, Kovac JR.
Baylor College of Medicine, Houston, TX. USA.
Bahraini Defense Force Hospital, Ar-Rifaa, Bahrain.
Urology of Indiana, Carmel, IN, USA.
The paradigm of erectile dysfunction (ED) treatment was fundamentally altered following the introduction of oral phosphodiesterase type 5 inhibitors. Unfortunately, a significant number of men exhibit a suboptimal response and require additional management strategies. One of the novel, minimally invasive strategies being developed is low-intensity extracorporeal shock wave therapy. Used in the hope of delaying placement of an inflatable penile prosthesis, the final phase of ED treatment, low-intensity extracorporeal shock wave therapy is a unique application of an established technology that may hopefully one day expand the medical options for patients with ED. This commentary will highlight the physiology underlying this technique and summarize the most recent studies.
Am J Mens Health. 2015 Mar 17. pii: 1557988315574511. [Epub ahead of print]
This report is an updated summary of the present experience of LI-ESWT for treatment of patients with erectile dysfunction. It is mentioned that so far the effect has been reported in 167 patients. The mechanism seems to be neo-vascularisation as a consequence of shockwave induced microtrauma.