Effect of low-intensity extracorporeal shock wave therapy on diabetic erectile dysfunction: Randomised control trial.
Andrologia
; 53(4): e13997, 2021 May.
Article
in En
| MEDLINE
| ID: mdl-33559168
ABSTRACT
This study aimed to assess the effectiveness of low-intensity extracorporeal shockwave therapy (Li-ESWT) in the management of erectile dysfunction in diabetic patients with mixed vasculogenic and neurogenic causes as confirmed by nerve conduction and Doppler studies. This randomised controlled trial included 42 patients 41-55 years of age with a confirmed diagnosis of erectile dysfunction and diabetic polyneuropathy. They were randomly allocated to one of two groups shock wave group (n = 21) treated with Li-ESWT plus pelvic floor muscle training and control Group (n = 21) treated with pelvic floor muscle exercise and sham therapy by a shock wave. The erectile function was scored according to the five-item version of the International Index of Erectile Function (IIEF-5). Colour-coded duplex sonography was used for the evaluation of penile perfusion of the two cavernous arteries. The assessment was done before and three months after treatment. IIEF-EF increased significantly in the study group (p < .001), but not in the control group (p = .194). Peak systolic velocity increased significantly in the two groups; however, the post-treatment peak systolic velocity was significantly higher in the study group compared to the control group (p < .001, for both arteries).
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Diabetes Mellitus
/
Extracorporeal Shockwave Therapy
/
Erectile Dysfunction
Type of study:
Clinical_trials
/
Etiology_studies
Limits:
Humans
/
Male
Language:
En
Journal:
Andrologia
Year:
2021
Document type:
Article
Affiliation country: