The Role of Low-Intensity Extracorporeal Shockwave Therapy (LI-ESWT) in the Management of Erectile Dysfunction.

Ahmed Abdelsalam Saadoun Ismaael;

Abstract


Extra-corporeally generated shock waves were first used for kidney stone fragmentation in 1980 and have since become the method of choice for most kidney and ureteral stones. More than 10 years later, shock waves were successfully utilized for the treatment of several musculoskeletal diseases.
Shock waves are mechanical waves passing through the surface of a body without causing injury and may act therapeutically in predetermined areas within the body.
LI-ESWT is a revolutionary treatment of ED, and probably possesses unprecedented qualities that can rehabilitate erectile tissue. The clinical improvement in subjective erectile function together with the significant improvement in penile hemodynamics following LI-ESWT confirms that LI-ESWT has unique properties that may create a new standard of care for men with ED.
LI-ESWT is both feasible and tolerable and without any adverse or unwanted effects. Its main advantage is its ability to improve and potentially restore erectile function in men with ED without additional pharmacotherapy.
Hence, LI-ESWT is an appealing addition to the armamentarium of existing treatment options for ED.
In the near future we hope that LI-ESWT will be used for the long-term clinical management of ED either as an alternative or as an enhancer to the current treatments of ED.
LI-ESWT improves male sexual function inducing neovascularization in the treated tissues by stimulating the expression of angiogenesis-related growth factors, such as endothelial nitric oxide synthase, vascular endothelial growth factor, and endothelial cell proliferation factors, such as proliferating cell nuclear antigen. This therapy shows a statistically significant clinical improvement of erectile function without any side effect or contraindication.
Unlike conventional ED treatment, such as PDE5 inhibitors, LI-ESWT does not involve the use of any pharmaceuticals. Moreover, the shock wave treatment causes no side-effects or systemic load on other organs and healthy tissues.
The non-invasive, painless LI-ESWT procedure is performed during a series of brief visits to the urology office, and requires no sedation or anesthesia.
Discernable improvement in the erectile function of the penis can be visible within two weeks after therapy begins.
Recent clinical studies revealed that patients reported a high rate of satisfaction for more than two years after treatment – all without reliance on PDE5 inhibitors.
Insummary, Low-intensity extracorporeal shock wave therapy (LI-ESWT) is a novel modality that has recently been developed for treating erectile dysfunction.


Other data

Title The Role of Low-Intensity Extracorporeal Shockwave Therapy (LI-ESWT) in the Management of Erectile Dysfunction.
Other Titles دورجهاز الموجات التصادمية ذات الكثافة المنخفضة فى علاج الضعف الجنسي عند الرجال
Authors Ahmed Abdelsalam Saadoun Ismaael
Issue Date 2014

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