Current guideline recommendations and analysis of evidence quality on low-intensity shockwave therapy for erectile dysfunction.

Abstract:

:Erectile dysfunction (ED) is defined as the inability to attain and maintain erection of the penis sufficient to permit satisfactory sexual activity. ED most commonly affects men from 40 years of age with a clear age-associated increase in prevalence. The condition may have significant negative impact on quality of life for both the patients and their partners. Over recent years, low-intensity shockwave therapy (LIST) has gained popularity in the treatment of ED, based on the assumption that LIST application may result in neoangiogenesis and thus increased blood flow to the corpora cavernosa. The increasing usage of LIST is contrasting with current guidelines, with the EAU guideline on ED stating that LIST can be used in mild organic ED patients or poor responders to PDE5I's, but with a weak strength of recommendation. In the AUA guideline on ED, the panel makes a conditional recommendation of grade C that LIST should be considered investigational. In this review, we will briefly review practice patterns, and critically discuss the evidence based on which these guideline statements have been made.

journal_name

Int J Impot Res

authors

Schoofs E,Fode M,Capogrosso P,Albersen M,for the European Association of Urology Young Academic Urologists (EAU - YAU) Men’s Health Group.

doi

10.1038/s41443-019-0132-0

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

209-217

issue

3

eissn

0955-9930

issn

1476-5489

pii

10.1038/s41443-019-0132-0

journal_volume

31

pub_type

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