Rapid Review Quiz: Erectile Dysfunction

Bradley Schwartz, DO

Disclosures

August 17, 2022

A recent meta-analysis evaluated the effectiveness of LI-ESWT as an ED treatment. The analysis covered 16 randomized controlled trials (RCTs) pulled from the EMBASE, PubMed, and Cochrane databases. The RCTs were conducted between 2011 and 2021 and included 1064 participants. All evaluated the efficacy of LI-ESWT in the treatment of ED.

After a 1-month follow-up, the LI-ESWT group showed more improvement than the control group, based on the International Index of Erectile Function (IIEF). Eight of the 16 trials offered data on the baseline Erectile Hardness Score, which was also significantly better in the LI-ESWT group compared with those who received placebo. The results also suggest that patients with ED benefit most from treatment plans with pulses that number 1500 to 2000 and an energy density of 0.09 mJ/mm2. The researchers found that IIEF improvement was more profound after ESWT among patients with moderate ED.

Learn more about ED.

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