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Patients Outcomes for LI-ESWT Vary Widely

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Low-Intensity Extracorporeal Shockwave Therapy (LI-ESWT), commonly called shockwave therapy, is an increasingly popular treatment option for men with vasculegenic erectile dysfunction.

Shockwave therapy may be administered as a series of treatments in a clinic, or by using a home shockwave device.

There is a large body of clinical evidence showing the effectiveness of shockwave therapy. However, a recent review1 found out the treatment devices and protocols are not all equal.

The review compared the results and patient experiences of studies involving six different devices. The review found that the treatments and studies varied in a number of characteristics:

  • The patient selection criteria
  • The number of frequency of treatments
  • The sources of energies are used: electromagnetic, electrohydraulic, or piezoelectric.
  • The Energy Flux Density (EFD), ranging between 0.09 and 0.55 mJ/mm²

All of the studies reported positive outcomes; the overall success rate was 45% for Erectile Dysfunction patients, and 47% for Peyronie’s Disease patients.

The review concluded that “There is growing evidence that concentrated treatment protocols and increasing energies may yield better results.”


References

  1. Porst, Hartmut. “Review of the Current Status of Low Intensity Extracorporeal Shockwave Therapy (Li-ESWT) in Erectile Dysfunction (ED), Peyronie’s Disease (PD), and Sexual Rehabilitation After Radical Prostatectomy With Special Focus on Technical Aspects of the Different Marketed ESWT Devices Including Personal Experiences in 350 Patients.” Sexual Medicine Reviews. Jan 2021; vol. 9 issue 1, pages 93-122.
    <https://www.sciencedirect.com/science/article/pii/S2050052120300317>

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