Erectile Dysfunction
Conditions
Keywords
Erectile dysfunction, Low Intensity Shock Wave
Brief summary
This study aims to evaluate the effect of shockwave therapy on erectile dysfunction on patients responding to PDE5i therapy in a sham controlled randomized double blind manner.
Detailed description
This study aims to evaluate the effect of a 12-session low intensity shockwave therapy protocol for patients with erectile dysfunction.
Interventions
300 shocks in 5 different anatomical locations of the penis.
Sham probe applied same as treatment probe without energy
Treatment parameters will be as follows: Intensity: 0.09 mj/mm2 ,300 shocks per site, on 5 penile anatomical sites. Total number of shock waves: 1500/ session Frequency of 120/min
Probe does not deliver energy but creates same noise and sensation of active probe
Sponsors
Study design
Eligibility
Inclusion criteria
* ED of more than 6 months * Rigidity score ≥ 3 under PDE5i therapy * SHIM ≤21 under PDE5i therapy * Non- hormonal, neurological or psychological pathology * Stable heterosexual relationship for more than 3 months
Exclusion criteria
* Prior prostatectomy surgery * Any unstable medical, psychiatric, spinal cord injury and penile anatomical abnormalities * Clinically significant chronic hematological disease * Anti-androgens, oral or injectable androgens * Radiotherapy in pelvic region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| International Index of Erectile function- Erectile Function Domain | At screening and 17 weeks later at last visit | An increase in score of 5points and above will be considered success. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rigidity scale | At screening and 17 weeks later at last visit | A change from 1,2 to a result of 3 or 4 of the rigidity scale points will be considered success |
| Flow Mediated Dilatation Technique | At screening and 17 weeks later at last visit | A specialized sphygmomanometer cuff located at the penile base, is inflated to 50 mm Hg for 5min to induce a venous filling. A mercury strain gauge is placed at least 1-2 cm above the penile cuff. Baseline penile blood flow is obtained. Postischemic penile blood flow is then recorded immediately after the deflation, until a return to baseline flow is observed. An increase in blood flow above 30% will be considered success. |
Countries
Israel