Extracorporeal shock wave therapy (ESWT) in urology: a systematic review of outcome in Peyronie’s disease, erectile dysfunction and chronic pelvic pain
| Autor: | Grzegorz Fojecki, Stefan Tiessen, Palle Jørn Sloth Osther |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Nephrology medicine.medical_specialty Urology Penile Induration 030232 urology & nephrology MEDLINE Prostatitis Pelvic Pain High-Energy Shock Waves law.invention 03 medical and health sciences 0302 clinical medicine Erectile Dysfunction Randomized controlled trial law Internal medicine medicine Humans Randomized Controlled Trials as Topic business.industry Pelvic pain Chronic pain Phosphodiesterase 5 Inhibitors medicine.disease Treatment Outcome Erectile dysfunction 030220 oncology & carcinogenesis Female Chronic Pain medicine.symptom Peyronie's disease business |
| Zdroj: | Fojecki, G L, Thiessen, S & Osther, P J S 2017, ' Extracorporeal shock wave therapy (ESWT) in urology : a systematic review of outcome in Peyronie's disease, erectile dysfunction and chronic pelvic pain ', World Journal of Urology, vol. 35, no. 1, pp. 1-9 . https://doi.org/10.1007/s00345-016-1834-2 |
| ISSN: | 1433-8726 0724-4983 |
| DOI: | 10.1007/s00345-016-1834-2 |
| Popis: | PURPOSE: The objective was to evaluate high-level evidence studies of extracorporeal shock wave therapy (ESWT) for urological disorders.METHODS: We included randomized controlled trials reporting outcomes of ESWT in urology. Literature search on trials published in English using EMBASE, Medline and PubMed was carried out. The systematic review was performed according to PRISMA guidelines.RESULTS: We identified 10 trials on 3 urological indications. Two of 3 trials on Peyronie's disease (PD) involving 238 patients reported improvement in pain; however, no clinical significant changes in penile deviation and plaque size were observed. Four studies on erectile dysfunction (ED) including 337 participants were included. Using International Index of Erectile Function (IIEF-EF) and erectile hardness scale (EHS) data suggested a significant positive effect of ESWT in phosphodiesterase-5 inhibitor (PDE-5i) responders in 2 of 4 trials and 3 of 4 trials, respectively. Three studies on chronic pelvic pain (CPP) engaging 200 men reported positive changes in National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI). There was considerable heterogeneity between trials both with regard to treatment techniques and outcome measures, making it difficult to compare results.CONCLUSIONS: ESWT may resolve pain in PD patients, while evidence for reducing curvature and plaques size is poor. Effects of ESWT on IIEF in ED patients are inconsistent; however, data on EHS does imply that the treatment potentially may recover natural erection in PDE-5i responders. ESWT seems to be able to resolve pain in CPP patients in the short term. In all three disease entities, long-term outcome data are still warranted. |
| Databáze: | OpenAIRE |
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