{"id":9922,"date":"2020-02-11T07:56:56","date_gmt":"2020-02-11T07:56:56","guid":{"rendered":"https:\/\/www.dornier.com\/?post_type=dornier-news&p=9922"},"modified":"2020-02-11T08:15:07","modified_gmt":"2020-02-11T08:15:07","slug":"counselling-erectile-dysfunction-patients-for-low-intensity-shock-wave-therapy-prof-dimitrios-hatzichristou","status":"publish","type":"dornier-news","link":"https:\/\/www.dornier.com\/it\/news-plugin\/counselling-erectile-dysfunction-patients-for-low-intensity-shock-wave-therapy-prof-dimitrios-hatzichristou\/","title":{"rendered":"Counselling erectile dysfunction patients for low intensity shock wave therapy: what pitfalls? – Professor Dimitrios Hatzichristou"},"content":{"rendered":"

\"ESSM2020\"<\/p>\n

 <\/p>\n

Key takeaway points<\/strong><\/span><\/p>\n\n\n\n\n\n\n\n\n\n\n
<\/td>\n<\/tr>\n
\"ESWT<\/a><\/td>\n#1 ESWT for ED should not be considered experimental<\/strong><\/p>\n
    \n
  1. 10 Randomized sham-controlled trials [1-10]<\/span><\/a><\/li>\n
  2. 3 Randomized trials [11-13]<\/span><\/a><\/li>\n
  3. 8 meta-analyses [14-21]<\/span><\/a> and 1 systematic review [22]<\/span><\/a><\/li>\n<\/ol>\n<\/td>\n<\/tr>\n
<\/td>\n<\/tr>\n
\"Eswt<\/a><\/td>\n#2 Dornier Aries 2<\/strong> ED treatment protocol (5000 shock waves, 2 sessions\/week, EFD 0.09mJ\/mm2)<\/p>\n

Evidence based, safety, efficacy backed by clinical data. [23-25]<\/span><\/a><\/strong><\/td>\n<\/tr>\n

<\/td>\n<\/tr>\n
\"Eswt<\/a><\/td>\n#3 No major side effects related to treatment.<\/strong><\/p>\n

A few patients reported mild tenderness or numbness in certain parts of the penis that goes away in a couple of days.<\/p>\n

There is clinical evidence to show that ESWT is safe for ED patients on anti-coagulant\/anti-platelet therapy. [23-25]<\/span><\/a><\/strong><\/td>\n<\/tr>\n

<\/td>\n<\/tr>\n
\"Eswt<\/a><\/td>\n#4 ESWT is the only ED therapy that reverses the pathology<\/strong>, with clinical evidence showing that 50% of treated patients experience beneficial effects up to 2 years after treatment.<\/p>\n

Vasculogenic ED is caused by the lack of blood flow to the penis. ESWT reverses the pathology by promoting the formation of new blood vessels in the cavernosal tissues of the penis, thereby improving blood flow to the region. [26]<\/span><\/a><\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

Conclusion<\/strong><\/span><\/p>\n

There is a gradual paradigm shift in ED treatment:<\/strong><\/p>\n

From: Doctor\u2019s visit \u21d2<\/strong><\/span> ED diagnosis \u21d2<\/strong><\/span> Oral medication<\/p>\n

To: Doctor\u2019s visit \u21d2<\/strong><\/span> Identify the type of ED \u21d2<\/strong><\/span> Vasculogenic ED \u21d2<\/strong><\/span> Treating the root cause with ESWT<\/p>\n

 <\/p>\n

References<\/strong><\/span><\/p>\n

<\/a>[1] <\/span>J Sex Med. 2017 Jan;14(1):106-112. doi: 10.1016\/j.jsxm.2016.11.307. Epub 2016 Dec 6.
\n<\/span>Effect of Low-Energy Linear Shock Wave Therapy on Erectile Dysfunction-A Double-Blinded, Sham-Controlled, Randomized Clinical Trial.
\n<\/span>Fojecki GL, Tiessen S, Osther PJ.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27938990<\/a><\/span><\/p>\n

[2] <\/span>J Sex Med. 2017 Jul;14(7):891-897. doi: 10.1016\/j.jsxm.2017.05.012.
\n<\/span>Low-Intensity Shock Wave Therapy Improves Hemodynamic Parameters in Patients With Vasculogenic Erectile Dysfunction: A Triplex Ultrasonography-Based Sham-Controlled Trial.
\n<\/span>Kalyvianakis D, Hatzichristou D.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28673433<\/a><\/span><\/p>\n

[3] <\/span>Scand J Urol. 2015;49(4):329-33. doi: 10.3109\/21681805.2014.984326. Epub 2014 Dec 3.
\n<\/span>Can low-intensity extracorporeal shock wave therapy improve erectile dysfunction? A prospective, randomized, double-blind, placebo-controlled study.
\n<\/span>Olsen AB, Persiani M, Boie S, Hanna M, Lund L.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25470423<\/a><\/span><\/p>\n

[4] <\/span>Sex Med. 2018 Mar;6(1):1-7. doi: 10.1016\/j.esxm.2017.09.002. Epub 2017 Dec 21.
\n<\/span>Effect of Linear Low-Intensity Extracorporeal Shock Wave Therapy for Erectile Dysfunction-12-Month Follow-Up of a Randomized, Double-Blinded, Sham-Controlled Study.
\n<\/span>Fojecki GL, Tiessen S, Osther PJS.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29275957<\/a><\/span><\/p>\n

[5] <\/span>Int J Impot Res. 2019 May;31(3):195-203. doi: 10.1038\/s41443-018-0062-2. Epub 2018 Aug 14.
\n<\/span>Low-intensity shock wave therapy for erectile dysfunction in kidney transplant recipients. A prospective, randomized, double blinded, sham-controlled study with evaluation by penile Doppler ultrasonography.
\n<\/span>Yama\u00e7ake KGR, Carneiro F2, Cury J, Louren\u00e7o R, Fran\u00e7olin PC, Piovesan AC, Srougi M, Nahas WC, Antonopoulos IM.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30108337<\/a><\/span><\/p>\n

[6] <\/span>Int Urol Nephrol. 2018 Nov;50(11):2007-2014. doi: 10.1007\/s11255-018-1987-6. Epub 2018 Sep 19.
\n<\/span>Efficacy and safety of low-intensity shock wave therapy in penile rehabilitation post nerve-sparing radical cystoprostatectomy: a randomized controlled trial.
\n<\/span>Zewin TS, El-Assmy A, Harraz AM, Bazeed M, Shokeir AA, Sheir K, Mosbah A.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30232721<\/a><\/span><\/p>\n

[7] <\/span>J Urol. 2016 May;195(5):1550-1555. doi: 10.1016\/j.juro.2015.12.049. Epub 2015 Dec 13.
\n<\/span>Penile Low Intensity Shock Wave Treatment is Able to Shift PDE5i Nonresponders to Responders: A Double-Blind, Sham Controlled Study.
\n<\/span>Kitrey ND, Gruenwald I, Appel B, Shechter A, Massarwa O, Vardi Y.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26694904<\/a><\/span><\/p>\n

[8] <\/span>Int J Urol. 2014 Oct;21(10):1041-5. doi: 10.1111\/iju.12506. Epub 2014 Jun 17.
\n<\/span>Extracorporeal shock wave therapy in the treatment of erectile dysfunction: a prospective, randomized, double-blinded, placebo controlled study.
\n<\/span>Yee CH, Chan ES, Hou SS, Ng CF.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24942563<\/a><\/span><\/p>\n

[9] <\/span>Can J Urol. 2015 Feb;22(1):7614-22.
\n<\/span>Low intensity extracorporeal shock wave therapy for erectile dysfunction: a study in an Indian population.
\n<\/span>Srini VS1, Reddy RK, Shultz T, Denes B.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25694008<\/a><\/span><\/p>\n

[10] <\/span>Advances in Sexual Medicine, 6, 15-18. (2016)
\n<\/span>Treatment of Vasculogenic Erectile Dysfunction with Piezowave2 Device. Application of Low Intensity Shock Waves Using Novel Linear Shock Wave Tissue Coverage (LSTC-ED\u00ae) Technique. A Prospective, Multicentric, Placebo-Controlled Study.
\n<\/span>Motil, I., Kubis, I. and Sramkova, T.
\n<\/span>http:\/\/dx.doi.org\/10.4236\/asm.2016.62002<\/a><\/span><\/p>\n

<\/a>[11] J Sex Med. 2018 Mar;15(3):334-345. doi: 10.1016\/j.jsxm.2018.01.003. Epub 2018 Feb 1.
\n<\/span>Low-Intensity Shock Wave Therapy for Erectile Dysfunction: A Randomized Clinical Trial Comparing 2 Treatment Protocols and the Impact of Repeating Treatment.
\n<\/span>Kalyvianakis D, Memmos E, Mykoniatis I, Kapoteli P, Memmos D, Hatzichristou D.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29396020<\/a><\/span><\/p>\n

[12] International Journal of Impotence Research (02 September 2019)
\n<\/span>Low-intensity shock wave therapy (LiST) for erectile dysfunction: a randomized clinical trial assessing the impact of energy flux density (EFD) and frequency of sessions
\n<\/span>Dimitrios Kalyvianakis, Ioannis Mykoniatis, Evangelos Memmos, Paraskevi Kapoteli, Dimitrios Memmos & Dimitrios Hatzichristou
\n<\/span>https:\/\/www.nature.com\/articles\/s41443-019-0185-0<\/a><\/span><\/p>\n

[13] Eur Urol Focus. 2018 Apr;4(3):336-337. doi: 10.1016\/j.euf.2018.07.011. Epub 2018 Jul 17.
\n<\/span>A Phase 2 Randomized Trial To Evaluate Different Dose Regimens of Low-intensity Extracorporeal Shock Wave Therapy for Erectile Dysfunction: Clinical Trial Update.
\n<\/span>Katz JE, Molina ML, Clavijo R, Prakash NS, Ramasamy R.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30025713<\/a><\/span><\/p>\n

<\/a>[14] Int J Impot Res. 2019 May;31(3):177-194. doi: 10.1038\/s41443-019-0117-z. Epub 2019 Jan 21.
\n<\/span>Clinical studies on low intensity extracorporeal shock wave therapy for erectile dysfunction: a systematic review and meta-analysis of randomised controlled trials.
\n<\/span>Sokolakis I, Hatzichristodoulou G.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30664671<\/a><\/span><\/p>\n

[15] Am J Mens Health. 2019 Mar-Apr;13(2):1557988319846749. doi: 10.1177\/1557988319846749.
\n<\/span>Effect of Low-Intensity Extracorporeal Shock Wave on the Treatment of Erectile Dysfunction: A Systematic Review and Meta-Analysis.
\n<\/span>Dong L, Chang D, Zhang X, Li J, Yang F, Tan K, Yang Y, Yong S, Yu X.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/31027441<\/a><\/span><\/p>\n

[16] Actas Urol\u00f3gicas Espa\u00f1olas, Vol. 41. Issue 8. Pages 479-542 (October 2017)
\n<\/span>Eficacia de la terapia de ondas de choque de baja intensidad para la disfunci\u00f3n er\u00e9ctil: revisi\u00f3n sistem\u00e1tica y metaan\u00e1lisis
\n<\/span>Efficacy of low-intensity shock wave therapy for erectile dysfunction: A systematic review and meta-analysis
\n<\/span>J.C. Angulo , I. Arancea, M.M. de las Herasa, E. Meil\u00e1na, C. Esquinasa, E.M. Andr\u00e9sc
\n<\/span>https:\/\/www.elsevier.es\/en-revista-actas-urologicas-espanolas-english-392-articulo-efficacy-low-intensity-shockwave-therapy-S2173578617301117<\/a><\/span><\/p>\n

[17] Am J Mens Health. 2019 Mar-Apr; 13(2):
\n<\/span>Effect of Low-Intensity Extracorporeal Shock Wave on the Treatment of Erectile Dysfunction: A Systematic Review and Meta-Analysis
\n<\/span>Liang Dong, MM, Degui Chang, PhD, Xiaojin Zhang, MM, Junjun Li, MBBS, Fang yang, MM, Kun Tan, MM, Yali Yang, MBBS, Shanshan Yong, MBBS, and Xujun Yu, PhD
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6487775\/<\/a><\/span><\/p>\n

[18] Int Braz J Urol. 2017 Sep-Oct;43(5):805-821. doi: 10.1590\/S1677-5538.IBJU.2016.0245.
\n<\/span>Short-term efficacy and safety of low-intensity extracorporeal shock wave therapy in erectile dysfunction: a systematic review and meta-analysis.
\n<\/span>Zou ZJ1, Tang LY1, Liu ZH1, Liang JY1, Zhang RC1, Wang YJ1, Tang YQ1, Gao R2, Lu YP1.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28379665<\/a><\/span><\/p>\n

[19] European Urology, Volume 71, Issue 2, 223 \u2013 233
\n<\/span>Low-intensity Extracorporeal Shock Wave Treatment Improves Erectile Function: A Systematic Review and Meta-analysis
\n<\/span>Zhihua Lua,, Guiting Lin, Amanda Reed-Maldonado, Chunxi Wang, Yung-Chin Lee, Tom F. Lue
\n<\/span>https:\/\/www.europeanurology.com\/article\/S0302-2838(16)30259-7\/abstract\/low-intensity-extracorporeal-shockwave-treatment-improves-erectile-function-a-systematic-review-and-meta-analysis<\/a><\/span><\/p>\n

[20] Int Urol Nephrol. 2019; 51(5): 773\u2013781.
\n<\/span>A systematic review of the long-term efficacy of low-intensity shock wave therapy for vasculogenic erectile dysfunction
\n<\/span>Oliver Brunckhorst, Lauren Wells, Fiona Teeling, Gordon Muir, Asif Muneer, and Kamran Ahmed
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6499893\/<\/a><\/span><\/p>\n

[21] Ther Adv Urol. 2019 Jan-Dec
\n<\/span>Meta-analysis of randomized controlled trials that assess the efficacy of low-intensity shock wave therapy for the treatment of erectile dysfunction
\n<\/span>Jeffrey D. Campbell, Bruce J. Trock, Adam R. Oppenheim, Ifeanyichukwu Anusionwu, Ronak A. Gor, and Arthur L. Burnett
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6444401\/<\/a><\/span><\/p>\n

<\/a>[22] J Sex Med. 2017 Jan;14(1):27-35.
\n<\/span>Effects of Low-Intensity Extracorporeal Shock Wave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis.
\n<\/span>Clavijo RI, Kohn TP, Kohn JR, Ramasamy R.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27986492<\/a><\/span><\/p>\n

<\/a>[23] Int J Impot Res. 2019 Sep 2. doi: 10.1038\/s41443-019-0185-0.
\n<\/span>Low-intensity shock wave therapy (LiST) for erectile dysfunction: a randomized clinical trial assessing the impact of energy flux density (EFD) and frequency of sessions.
\n<\/span>Kalyvianakis D, Mykoniatis I, Memmos E, Kapoteli P, Memmos D, Hatzichristou D.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/31474753<\/a><\/span><\/p>\n

[24] J Sex Med. 2019 Sep;16(9):1478-1480. doi: 10.1016\/j.jsxm.2019.05.008. Epub 2019 Jun 14.
\n<\/span>Low-Intensity Shock Wave Therapy (LiST) for Erectile Dysfunction: Is It Safe for Patients on Anticoagulant Medication?
\n<\/span>Kalyvianakis D, Memmos D, Mykoniatis I, Kapoteli P, Hatzichristou D.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/31204264<\/a><\/span><\/p>\n

[25] J Sex Med. 2018 Mar;15(3):334-345.
\n<\/span>Low-Intensity Shock Wave Therapy for Erectile Dysfunction: A Randomized Clinical Trial Comparing 2 Treatment Protocols and the Impact of Repeating Treatment.
\n<\/span>Kalyvianakis D, Memmos E, Mykoniatis I, Kapoteli P, Memmos D, Hatzichristou D.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29396020<\/a><\/span><\/p>\n

<\/a>[26] J Sex Med. 2019 Feb;16(2):168-194.
\n<\/span>The Basic Science Behind Low-Intensity Extracorporeal Shock Wave Therapy for Erectile Dysfunction: A Systematic Scoping Review of Pre-Clinical Studies.
\n<\/span>Sokolakis I, Dimitriadis F, Teo P, Hatzichristodoulou G, Hatzichristou D, Giuliano F.
\n<\/span>https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30770067<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

  Key takeaway points #1 ESWT for ED should not be considered experimental 10 Randomized sham-controlled trials [1-10] 3 Randomized trials [11-13] 8 meta-analyses [14-21] and 1 systematic review [22] #2 Dornier Aries 2 ED treatment protocol (5000 shock waves, 2 sessions\/week, EFD 0.09mJ\/mm2) Evidence based, safety, efficacy backed by clinical data. [23-25] #3 No […]<\/p>\n","protected":false},"featured_media":0,"template":"","news_type":[],"news_tag":[],"class_list":["post-9922","dornier-news","type-dornier-news","status-publish","hentry"],"acf":[],"yoast_head":"\nCounselling erectile dysfunction patients for low intensity shock wave therapy: what pitfalls? - Professor Dimitrios Hatzichristou — Dornier MedTech<\/title>\n<meta name=\"description\" content=\"  Key takeaway points #1 ESWT for ED should not be considered experimental 10 Randomized sham-controlled trials 3 Randomized trials 8 meta-analyses\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dornier.com\/news-plugin\/counselling-erectile-dysfunction-patients-for-low-intensity-shock-wave-therapy-prof-dimitrios-hatzichristou\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Counselling erectile dysfunction patients for low intensity shock wave therapy: what pitfalls? 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