Low Intensity Shock Wave Treatment for Erectile Dysfunction-How Long Does the Effect Last?
| Autor: | Boaz Appel, Omar Massarwi, Yoram Vardi, Ilan Gruenwald, Noam D. Kitrey, Yasmin Abu-Ghanem, Arik Shechter |
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| Rok vydání: | 2018 |
| Předmět: |
Extracorporeal Shockwave Therapy
Male Treatment protocol Time Factors Urology Cardiovascular risk factors 030232 urology & nephrology Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Erectile Dysfunction Diabetes mellitus medicine Humans Aged 030219 obstetrics & reproductive medicine business.industry Minimal clinically important difference Middle Aged medicine.disease Phosphodiesterase Type 5 Inhibitors Intensity (physics) medicine.anatomical_structure Erectile dysfunction Treatment Outcome Anesthesia business Penis Follow-Up Studies |
| Zdroj: | The Journal of urology. 200(1) |
| ISSN: | 1527-3792 |
| Popis: | We studied the long-term efficacy of penile low intensity shock wave treatment 2 years after an initially successful outcome.Men with a successful outcome of low intensity shock wave treatment according to the minimal clinically important difference on the IIEF-EF (International Index of Erectile Function-Erectile Function) questionnaire were followed at 6, 12, 18 and 24 months. Efficacy was assessed by the IIEF-EF. Failure during followup was defined as a decrease in the IIEF-EF below the minimal clinically important difference.We screened a total of 156 patients who underwent the same treatment protocol but participated in different clinical studies. At 1 month treatment was successful in 99 patients (63.5%). During followup a gradual decrease in efficacy was observed. The beneficial effect was maintained after 2 years in only 53 of the 99 patients (53.5%) in whom success was initially achieved. Patients with severe erectile dysfunction were prone to earlier failure than those with nonsevere erectile dysfunction. During the 2-year followup the effect of low intensity shock wave treatment was lost in all patients with diabetes who had severe erectile dysfunction at baseline. On the other hand, patients with milder forms of erectile dysfunction without diabetes had a 76% chance that the beneficial effect of low intensity shock wave treatment would be preserved after 2 years.Low intensity shock wave treatment is effective in the short term but treatment efficacy was maintained after 2 years in only half of the patients. In patients with milder forms of erectile dysfunction the beneficial effect is more likely to be preserved. |
| Databáze: | OpenAIRE |
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