THE USE OF SHOCK WAVES IN THE TREATMENT OF ERECTILE DYSFUNCTION

Česká verze

Authors: Pavel Turčan
Authors place of work: Centrum MEDIOL s. r. o., ordinace sexuologie a andrologie, Olomouc
Published in the journal: Ces Urol 2016; 20(1): 16-22
Category: Přehledový článek

Summary

Erectile dysfunction is a problem affecting many men. It is defined as the inability to develop or maintain sufficient erection of the penis to perform satisfying sexual intercourse. Several modalities are used for the treatment of erectile dysfunction and the choice of a suitable approach respects recommendations of the European Association of Urology. One of the new options, widening the range of methods used, is the use of low-intensity extracorporeal shock wave. This review summarises information concerning the technology of shock waves, their effect, functioning mechanism, treatment effectiveness, and also an overview of instruments available in the market used for this purpose. According to various studies the effectiveness of different types of such instruments is fairly identical; the improvement of erection is obtained by 70–80 % of patients. No matter how promising the actual results may seem further research of the method´s efficacy is still necessary.

KEY WORDS:
Erectile dysfunction, cardiovascular risk, shock wave treatment, recommended approach.

Zdroje

1. Turčan P, Pokorný P, Fait T, a kol. Sexuologie pro urology a gynekology. Praha, Maxdorf, 2012: 437.

2. Feldman HA, Goldstein I, Hatzichristou DG, et al. Impotence and its medical and psychosocial correlates: Results of the Massachusetts Male Aging Study. J Urol 1994; 151: 54–61.

3. Weiss P, Zvěřina J. Sexuální chování v ČR – situace a trendy. 1. vydání, Portál, Praha 2001; 159.

4. Fang SC, Rosen RC, Vita JA, Ganz P, Kupelian V. Changes in erectile dysfunction over time in relation to framingham cardiovacular risk in the Boston Area Community Health (BACH) Survey. J Sex Med. 2015; 12(1): 100–108.

5. Montorsi F, Adaikan G, Becher E, et al. Summary of the recommendations on sexual dysfunction in men. J Sex Med. 2010; 7(11): 3572–3588.

6. Wespes E, Eardley I, Giuliano F, et al. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. European Association of Urology, 2013, dostupné na: http://www.uroweb.org/gls/pdf/14_Male%20Sexual%20Dysfunction_LR.pdf

7. Študent V, Záťura F, Mucha Z. Základy urologické andrologie. Praha, Galén, 2003: 160.

8. Zvěřina J. Erektilní dysfunkce a mezioborový pohled na jejich léčbu. Psychiatr. praxi 2013: 14(2); 58–60.

9. Fried R. Erectile dysfunction as a cardiovascular impairtment. Academic Press, San Diego 2014: 335.

10. Šrámková T. Poruchy sexuality u somaticky nemocných a jejich léčba. Praha, Grada, 2013: 237.

11. Turčan P. Aktuální pohled na léčbu erektilní dysfunkce v ordinaci praktického lékaře. Med. praxi 2015; 12(2): 83–86.

12. Kandeel R, (ed). Male sexual dysfunction. New York, Informa Healthcare, 2007.

13. Hatzimouratidis K, Eardley I, Giuliano F, et al. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation 2014 http://www.uroweb.org/.

14. Abu-Ghanem Y, Kitrey ND, Gruenvald I, Appel B, Vardi Y. Penile low-intensity shock wave therpy: a promising novel modality for erectile dyfunction. Korean J Urol. 2014; 55(5): 295–299.

15. Zimmermann R, Cumpanas A, Hoeltl L, et al. Extracorporeal shock-wave therapy for treating chronic pelvic pain syndrome: a feasibility study and and the first clinical results. BJU International. 2008; 102(8): 976–980.

16. Kernesyuk MN, Prouza O. Experience of the use of extracorporeal shock wave therapy in the treatment oc category III B chronic prostatitis. Urology. 2013: 6; 40–42.

17. Palmieri A, Imbimbo C, Longo N, et al. A first prospective, randomized, double-blind, placebo-controlled clinical trial evaluating extracorporeal shock wave therapy for the treatment of peyrpnie´s disease. Eur Urol. 2009; 56: 363–370.

18. Gruenvald I, Appel B, Kitrey ND, Vardi Y. Shockwave treatment of erectile dysfunction. Ther Adv Urol. 2013; 5: 95–99.

19. Vardi Y, Appel B, Jacob G, Massarwi O, Gruenvald I. Can low-intensity extracorporeal shockwave therapy improve erectile function? A 6-month follow-up pilot study in patients with organic erectile dysfunction. Eur Urol. 2010; 58: 243–248.

20. Nishida T, Shimokawa H, Oi K, et al. Extracorporeal cardiac shock wave therapy markedly ameliorates ischemia-induced myocardial dysfunction in pigs in vivo. Circulation. 2004; 110: 3055–3061.

21. Aicher A, Heeschen C, Sasaki K, et al. Low-energy shock wave for enhancing recruitment of endothelial progenitor cells: a new modality to increase efficacy of cell therapy in chronic hind limb ischemia. Circulation. 2006; 114: 2823–2830.

22. Gerdesmeyer L, Gollwitzer H, Diehl P, Wagner K. Radial extracorporeal shockwave therapy (rESWT) in orthopaedics. J Miner Stoffwechs. 2004; 11(4): 36–39.

23. Delius M. Medical applications and bioeffects of extracorporeal shock waves. Shock Waves. 1994; 4(2): 55–72.

24. Watson T. Shock wave therapy. 2013. Dostupné na: http://www.electrotherapy.org/assets/shockwave%20May%202014.pdf

25. Olsen AB, Persiani M, Boie S, Hanna M, Lund L. Can low-intensity extracorporeal shockwave therapy improve erectile dysfunction? A prospective, randomized, double-blind, placebo-controlled study. Scand J Urol. 2015; 49(4): 329–333.

26. Nacak U, Calis M, Atilla P, Cetin A, Aksu AE. Extracorporeal shock wave therapy as a delay procedure to improve viability of zone 4. An experimental study in rat tram flap model. Ann Plast Surg. 2014; DOI: http://dx.doi.org/10.1097/SAP.0000000000000261

27. Šrámková T. Erektilní dysfunkce ve světle nových poznatků. Remedia. 2014; 24(1), 42–47.

28. Gruenvald I, Kitrey ND, Appel B, Vardi Y. Low-intensity extracorporeal shock wave therapy in vascular disease and erectile dysfunction: theory and outcomes. Sex Med Rev. 2013; 1: 83–90.

29. Turcan P, Pokorny P, Prochazka M, Prochazkova J. Evaluation of radial extracorporeal shock wave therapy in the treatment of erectile dysfunction. J Sex Med. 2015; 12(S3): 188–271.

30. Kazalakova K, Yordanova S. Evaluation of SWT efficiency in treatment of erectile dysfunction. Sofia. Clinical Study report, 2014.

31. Motíl I, Drábek M, Šrámková T. Využití lineární aplikace rázové vlny (LSWT) v léčbě erektilní dysfunkce. 59. výroční konference ČUS, Karlovy Vary 2013. Dostupné na: http://www.cus.cz//wp-content/uploads/2013/10/109_poster.pdf.

32. Zámečník L, Trojan O, Szakácsová M. Rárová vlna v terapii erektilní dysfunkce – první zkušenosti. 59. výroční konference ČUS, Karlovy Vary 2013. Dostupné na: http://www.cus.cz/wp-content/uploads/2013/10/110_Poster-110-CUS-Karlovy-Vary-Zamecnik_NP.pdf.

33. Gerbel S. EDSWT nový liečebný protokol. XI. Labádyho sexuologické dni. Trnava 2015. Dostupné na: http://labady.sexology.sk/labadyho-sexuologicke-dni-2015-prednasky/

34. Chung E, Cartmill R. Evaluation of clinical efficacy, safety and patient satisfaction rate after low-intensity extracorporeal shockwave therapy for the treatment of male erectile dysfunction: an australian first open-label single-arm prospective clical trial. BJU Int. 2015; 115 (S5): 46–49.

35. Bechara A, Casabé A, De Bonis W, Nazar J. Effectiveness of low-intensity extracorporel shock wave therapy on patients with ercetile dysfunction (ED) who have failed to respond to PDE5i therapy. A Pilot Study. Arch Esp Urol. 2015; 68(2); 152–160.

36. Motíl I, Šrámková T. Léčba ED nízkoenergetickou fokusovanou rázovou vlnou – srovnání dostupných přístrojů a terapeutických technik provedeno na základě léčby 150 pacientů. Předneseno na XI. Labádyho sexuologickém dni. Trnava. 2015.

37. Turčan P, Pokorný P. Naše zkušenosti s využitím léčby rázovou vlnou při řešení intimních potíží mužů. Předneseno na XXVII. Bohnických sexuologických dnech. Praha 2015.

38. Lineárně fokusované piezo rázové vlny k léčbě erektilní syfunkce. Brožura společnosti ELvation Medical GmbH a Richard Wolf GmbH. Dustupné na: http://www.stargen-eu.cz/wp-content/uploads/2015/06/Raz.- vlna_ED_PW2_0515_cz_X3.pdf.