Linear shock wave therapy in the treatment of erectile dysfunction.
BACKGROUND
Linear Shock Wave Therapy (LSWT) is a new noninvasive therapy that uses low-intensity shock waves to induce local angiogenesis promising modality in the treatment of erectile dysfunction (ED).


OBJECTIVE
To evaluate the effectiveness of LSWT in men with vasculogenic erectile dysfunction (ED), in a Tertiary Care Center.


METHODS
Included 15 men aged 45-70 years, sexually active with mild and moderate vascular ED evaluated with the International Index of Erectile Function (IIEF). The study was conducted in three stage: screening, treatment and results. Treatment stage: 4 weekly sessions LSWT (RENOVA ®) 5000 waves (.09mJ/mm(2)). Erectile function was assessed with IIEFF-EF, SEP (Sexual Encounter Profile) and GAQ (Global Assessment Questions) at one and six months after treatment.


RESULTS
The rate of success was 80% (12/15). Patients with mild ED (6/15) 40% and moderate ED (9/15) 60%. We found a positive association between IIEF-Basal (average 14.23 pts) and IIEF at one month and six months after therapy (19.69 pts) a difference of 5.46 pts. (P<.013).


CONCLUSIONS
The feasibility and tolerability of this treatment, and rehabilitation potential features, make it this an attractive new treatment option for patients with ED.
Departamento de Urología, Centro Médico Nacional 20 de Noviembre, México Distrito Federal, México. Electronic address: marcelapelayo@hotmail.com.
M
M
Pelayo-Nieto
Departamento de Urología, Centro Médico Nacional 20 de Noviembre, México Distrito Federal, México.
E
E
Linden-Castro
Departamento de Urología, Centro Médico Nacional 20 de Noviembre, México Distrito Federal, México.
A
A
Alias-Melgar
Departamento de Urología, Centro Médico Nacional 20 de Noviembre, México Distrito Federal, México.
D
D
Espinosa-Pérez Grovas
Departamento de Urología, Centro Médico Nacional 20 de Noviembre, México Distrito Federal, México.
F
F
Carreño-de la Rosa
Departamento de Urología, Centro Médico Nacional 20 de Noviembre, México Distrito Federal, México.
F
F
Bertrand-Noriega
Departamento de Urología, Centro Médico Nacional 20 de Noviembre, México Distrito Federal, México.
R
R
Cortez-Betancourt
D000368:Aged; D006801:Humans; D018783:Impotence, Vasculogenic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D014464:Ultrasonic Therapy
Disfunción eréctil; Disfunción eréctil vasculogénica; Erectile dysfunction; Linear shock wave; Linear shock wave therapy; Ondas de Choque Lineal; Terapia de Ondas de Choque Lineal; Vasculogenic erectile dysfunction