World J Mens Health.  2021 Jan;39(1):1-8. 10.5534/wjmh.200077.

Clinical Practice Guideline Recommendation on the Use of Low Intensity Extracorporeal Shock Wave Therapy and Low Intensity Pulsed Ultrasound Shock Wave Therapy to Treat Erectile Dysfunction:The Asia-Pacific Society for Sexual Medicine Position Statement

Affiliations
  • 1Department of Urology, Princess Alexandra Hospital, University of Queensland, Brisbane, Australia.
  • 2Department of Urology, Macquarie University Hospital, Sydney, Australia
  • 3Department of Urology, National University Hospital, Singapore
  • 4Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
  • 5Department of Urology and Andrology, Kansai Medical University, Osaka, Japan
  • 6Department of Urology, First Affiliated Hospital of Fujian, Fujian, China
  • 7Department of Urology and Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
  • 8AndroUrology Centre, Brisbane and Sydney, Australia

Abstract

Published literature shows low intensity extracorporeal shock wave therapy (LIESWT) and low intensity pulsed ultrasound (LIPUS) therapy to improve erectile function and penile hemodynamic by inducing neovascularisation and promoting tissue regeneration. Key opinion leaders across the Asia Pacific region attended the recent biennial meeting of the Asia Pacific Society for Sexual Medicine in Australia, and presented the current evidence on LIESWT and LIPUS for erectile dysfunction (ED). The clinical findings were internally discussed, and the quality of evidence was graded based on the Oxford Centre for EvidenceBased Medicine recommendations. Existing literature supports the use of LIESWT and LIPUS in men with ED, with many clinical studies reported encouraging results with improved erectile function, good safety profile and short-term durability. However, controversial exists due to sampling heterogeneity, non-standardised treatment protocol and lack of large multiinstitutional studies. There is a need to better define which subgroup of ED population is best-suited, and specific treatment protocol to optimise shock wave energy delivery. More stringent and larger multi-institutional randomised placebo-controlled trials are warranted before clinical adoption of LIESWT and LIPUS as the new standard of care for men with ED.

Keyword

Clinical outcome; Erectile dysfunction; Low intensity pulsed ultrasound; Low intensity shock wave therapy; Safety; Shock wave machine
Full Text Links
  • WJMH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr