PMID- 31749340 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201215 IS - 2287-4208 (Print) IS - 2287-4690 (Electronic) IS - 2287-4208 (Linking) VI - 38 IP - 2 DP - 2020 Apr TI - Electromagnetic Low-Intensity Extracorporeal Shock Wave Therapy in Patients with Erectile Dysfunction: A Sham-Controlled, Double-Blind, Randomized Prospective Study. PG - 236-242 LID - 10.5534/wjmh.190130 [doi] AB - PURPOSE: The aim of the present study was to evaluate the efficacy and safety of the electromagnetic-type low-intensity extracorporeal shock wave therapy (Li-ESWT) in patients with erectile dysfunction (ED). MATERIALS AND METHODS: The randomized, sham-controlled, double-blind prospective study was performed at two referral hospitals. Participants were randomized in a 1:1 ratio to receive sham or Li-ESWT for 6 weeks. ED was evaluated at screening and at 4 and 7 weeks after treatment. Participants were asked to complete the international index of erectile function-erectile function (IIEF-EF) domain questionnaire, erection hardness scale (EHS), and sexual encounter profile questionnaire (SEPQ 2 and 3). The development of complications was investigated. RESULTS: Eighty-one of 96 patients completed the study. The median change in the IIEF-EF score in the Li-ESWT and sham groups was 5.1 and -2.2 (p<0.001), respectively, at the 7-week follow-up; 47.4% (18/38) patients had EHS <3, of which 77.8% (14/18) showed significant improvement in virtue of Li-ESWT treatment (p=0.001). A significant improvement was observed in the percentage of "Yes" responses to SEPQ 2 and 3 in the Li-ESWT group vs. sham group from baseline to 7-week follow-up (91.3% vs. 69.4%; p=0.008 and 50.0% vs. 14.3%; p=0.002, respectively). No patients reported pain or other adverse events during treatment or follow-up. CONCLUSIONS: Thus, Li-ESWT could have a role in improving erectile function. Furthermore, it is safe. We believe that Li-ESWT is an attractive new treatment modality for patients with ED. CI - Copyright (c) 2020 Korean Society for Sexual Medicine and Andrology. FAU - Kim, Kang Sup AU - Kim KS AUID- ORCID: 0000-0002-9534-7829 AD - Department of Urology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Jeong, Hyun Cheol AU - Jeong HC AUID- ORCID: 0000-0001-8846-1351 AD - Department of Urology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. FAU - Choi, Sae Woong AU - Choi SW AUID- ORCID: 0000-0002-3829-939X AD - Department of Urology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Choi, Yong Sun AU - Choi YS AUID- ORCID: 0000-0003-2903-0812 AD - Department of Urology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Cho, Hyuk Jin AU - Cho HJ AUID- ORCID: 0000-0003-2599-2950 AD - Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Ha, U Syn AU - Ha US AUID- ORCID: 0000-0001-9930-0588 AD - Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Hong, Sung Hoo AU - Hong SH AUID- ORCID: 0000-0002-1952-4010 AD - Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Lee, Ji Youl AU - Lee JY AUID- ORCID: 0000-0001-6775-1157 AD - Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Lee, Seung Wook AU - Lee SW AUID- ORCID: 0000-0002-4818-5847 AD - Department of Urology, Hanyang University College of Medicine, Seoul, Korea. FAU - Ahn, Sun Tae AU - Ahn ST AUID- ORCID: 0000-0003-1233-5951 AD - Department of Urology, Korea University College of Medicine, Seoul, Korea. FAU - Moon, Du Geon AU - Moon DG AUID- ORCID: 0000-0002-9031-9845 AD - Department of Urology, Korea University College of Medicine, Seoul, Korea. FAU - Bae, Woong Jin AU - Bae WJ AUID- ORCID: 0000-0001-7703-1161 AD - Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. AD - Catholic Integrative Medicine Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea. bwoong@catholic.ac.kr. FAU - Kim, Sae Woong AU - Kim SW AUID- ORCID: 0000-0002-9127-9400 AD - Department of Urology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. AD - Catholic Integrative Medicine Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea. ksw1227@catholic.ac.kr. LA - eng GR - HI17C1944/Korea Health Industry Development Institute/Republic of Korea GR - HI17C1944/MHW/Ministry of Health and Welfare/Korea PT - Journal Article DEP - 20191119 PL - Korea (South) TA - World J Mens Health JT - The world journal of men's health JID - 101596899 CIN - Eur Urol. 2020 Jul;78(1):110-111. PMID: 32127212 CIN - J Urol. 2020 Jun;203(6):1045. PMID: 32186454 PMC - PMC7076310 OTO - NOTNLM OT - Electromagnetic OT - Erectile dysfunction OT - Humans OT - Low-intensity extracorporeal shock wave therapy COIS- The authors have nothing to disclose. EDAT- 2019/11/22 06:00 MHDA- 2019/11/22 06:01 PMCR- 2020/04/01 CRDT- 2019/11/22 06:00 PHST- 2019/09/26 00:00 [received] PHST- 2019/10/31 00:00 [revised] PHST- 2019/10/31 00:00 [accepted] PHST- 2019/11/22 06:00 [pubmed] PHST- 2019/11/22 06:01 [medline] PHST- 2019/11/22 06:00 [entrez] PHST- 2020/04/01 00:00 [pmc-release] AID - 37.e59 [pii] AID - 10.5534/wjmh.190130 [doi] PST - ppublish SO - World J Mens Health. 2020 Apr;38(2):236-242. doi: 10.5534/wjmh.190130. Epub 2019 Nov 19.