Erectile dysfunction Androgen declining Aging male Vasculogenic Erectile dysfunction ED tadalafil Erectile dysfunction Low intensity shockwave treatment ESWT SWT penile doppler ultrasound flaccid penile doppler ultrasound Androgen declining
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male patients age over 40 years old. 2. Erectile dysfunction at least mild degree from IIEF.
Exclusion criteria
Exclusion criteria: 1. Hba1c above than 9.0 2. LDL cholesterol above than 190 3. PSA (Prostatic Specific Antigen) above than 4.0 4. Severe liver impairment Child-Puge score class C or renal impairment with chronic kidney stage 4 or 5. 5. Psychiatric problems or being treated with psychiatrist. 6. Bed ridden condition. 7. Not fully recovered from stoke. 8. Spinal injury above than T6 level or paraplegia. 9. Can not have daily activities by himself. 10. Blood pressure above 160/100 mmHg or lower than 90/60 mmHg. 11. Recent Myocardial Infarction within 3 months. 12. Retina diseases. 13. Patients taking anti-Coagulants. 14. Patients taking Nitrite or Nitroglycerine medicines. 15. Allergic to PDE5-inhibitors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| IIEF(International Index of Erectile Function) and AMS(Aging Male Symptoms Score). at day 0,45,90 after interventions. Questionnaires | — |
Secondary
| Measure | Time frame |
|---|---|
| Penile doppler ultrasound. at day 0, 90 after interventions. Peak systolic Velocity and Resistive index of cavernosal artery at the penis. | — |
Countries
Thailand
Contacts
Burapha university