Evaluation Of Linear Shock Wave Therapy In Patients With

R e s u l t s

Evaluation Of Linear Shock Wave Therapy In Patients With Vasculogenic Erectile Dysfunction

In The Slovenian Population

Linear shock wave therapy (LSWT) has beenproposed as an effective treatment option forvasculogenic erectile dysfunction (ED). Ouraim was to assess the effectiveness oftreatment among the Slovenian malepopulation.

Before the first session, the average IIEF-15 score was32.33 (14.00-52.00).54.5% of patients stated that morning erections improved inquality and quantity already before the end of the therapy.Preliminary SEP and GAQ scores after LSWT are showingimprovement of the ED.This is still an ongoing study. According to the literature, weare expecting a positive association between IIEF-15, SEPand GAQ scores before and after the therapy.

LSWT is a safe, convenient and non-invasive method. Therewere no side effects during the therapy in our group of patients.Our preliminary results suggest that LSWT is a promisingmethod for the treatment of vasculogenic, non-venous ED.However, additional angiography or penile Dopplerultrasonography before and after the LSWT treatment wouldgive objective data.

KEY WORDS: erectile dysfunction, LSWT, ED therapy

With LSWT we treated 88 patients withclinically determinated vascular ED and nohistory of prostate surgery, androgen therapy,pelvic radiation, haematologic disease, penilecurvation or venous ED. Their average agewas 61 (34-93) years.

Firstly, the patients were examined and theInternational index of erectile function (IIEF-15), Sexual Encounter Profile (SEP) andGlobal Assessment Questions (GAQ) scoreswere assessed.

After that, they underwent 4 weekly LSWTsessions with RENOVA. We applied 1600shockwaves on each crura and 900shockwaves on each cavernosa with anenergy intensity of 0.09 mJ/mm2. Eachsession lasted approximately 20 minutes.Currently, we are evaluating the IIEF-15, SEPand GAQ scores, which were collectedbefore the treatment, 1 month and 3 monthsafter the last session.

MARKO LOVŠIN*, KLEMEN LOVŠIN***Division of Surgery, Dept. of Urology, University Medical Centre Ljubljana, Slovenia

**University of Ljubljana, Faculty of Medicine, Ljubljana, Slovenia

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