Impact of aging and comorbidity on the efficacy of low-intensity shock wave therapy for erectile dysfunction

Objectives To evaluate the efficacy of low‐intensity shock wave therapy and to identify the predictive factors of its efficacy in Japanese patients with erectile dysfunction. Methods The present study included 57 patients with erectile dysfunction who satisfied all the following conditions: more tha...

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Veröffentlicht in:International journal of urology 2016-01, Vol.23 (1), p.80-84
Hauptverfasser: Hisasue, Shin-ichi, China, Toshiyuki, Horiuchi, Akira, Kimura, Masaki, Saito, Keisuke, Isotani, Shuji, Ide, Hisamitsu, Muto, Satoru, Yamaguchi, Raizo, Horie, Shigeo
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container_title International journal of urology
container_volume 23
creator Hisasue, Shin-ichi
China, Toshiyuki
Horiuchi, Akira
Kimura, Masaki
Saito, Keisuke
Isotani, Shuji
Ide, Hisamitsu
Muto, Satoru
Yamaguchi, Raizo
Horie, Shigeo
description Objectives To evaluate the efficacy of low‐intensity shock wave therapy and to identify the predictive factors of its efficacy in Japanese patients with erectile dysfunction. Methods The present study included 57 patients with erectile dysfunction who satisfied all the following conditions: more than 6‐months history of erectile dysfunction, sexual health inventory for men score of ≤12 without phosphodiesterase type‐5 inhibitor, erection hardness score grade 1 or 2, mean penile circumferential change by erectometer assessing sleep related erection of
doi_str_mv 10.1111/iju.12955
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Methods The present study included 57 patients with erectile dysfunction who satisfied all the following conditions: more than 6‐months history of erectile dysfunction, sexual health inventory for men score of ≤12 without phosphodiesterase type‐5 inhibitor, erection hardness score grade 1 or 2, mean penile circumferential change by erectometer assessing sleep related erection of &lt;25 mm and non‐neurological pathology. Patients were treated by a low‐energy shock waves generator (ED1000; Medispec, Gaithersburg, MD, USA). A total of 12 shock wave treatments were applied. Sexual health inventory for men score, erection hardness score with or without phosphodiesterase type‐5 inhibitor, and mean penile circumferential change were assessed at baseline, 1, 3 and 6 months after the termination of low‐intensity shock wave therapy. Results Of 57 patients who were assigned for the low‐intensity shock wave therapy trial, 56 patients were analyzed. Patients had a median age of 64 years. The sexual health inventory for men and erection hardness score (with and without phosphodiesterase type‐5 inhibitor) were significantly increased (P &lt; 0.001) at each time‐point. The mean penile circumferential change was also increased from 13.1 to 20.2 mm after low‐intensity shock wave therapy (P &lt; 0.001). In the multivariate analysis, age and the number of concomitant comorbidities were statistically significant predictors for the efficacy. Conclusions Low‐intensity shock wave therapy seems to be an effective physical therapy for erectile dysfunction. Age and comorbidities are negative predictive factors of therapeutic response.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/iju.12955</identifier><identifier>PMID: 26501992</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Aging - physiology ; Diabetes Complications - complications ; Dyslipidemias - complications ; erectile dysfunction ; Erectile Dysfunction - complications ; Erectile Dysfunction - physiopathology ; Erectile Dysfunction - therapy ; Humans ; Hypertension - complications ; low intensity shock wave treatment ; low-intensity shock wave therapy ; Male ; Middle Aged ; Myocardial Ischemia - complications ; Penile Erection - physiology ; Phosphodiesterase 5 Inhibitors - therapeutic use ; predictive factor ; Prospective Studies ; Severity of Illness Index ; Surveys and Questionnaires ; Treatment Outcome ; Ultrasonic Therapy</subject><ispartof>International journal of urology, 2016-01, Vol.23 (1), p.80-84</ispartof><rights>2015 The Japanese Urological Association</rights><rights>2015 The Japanese Urological Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5235-ef03618dfe5bb7e0bb8f17c995f740ff83d5f825e771af8b211a89c8ea49c97e3</citedby><cites>FETCH-LOGICAL-c5235-ef03618dfe5bb7e0bb8f17c995f740ff83d5f825e771af8b211a89c8ea49c97e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fiju.12955$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fiju.12955$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26501992$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hisasue, Shin-ichi</creatorcontrib><creatorcontrib>China, Toshiyuki</creatorcontrib><creatorcontrib>Horiuchi, Akira</creatorcontrib><creatorcontrib>Kimura, Masaki</creatorcontrib><creatorcontrib>Saito, Keisuke</creatorcontrib><creatorcontrib>Isotani, Shuji</creatorcontrib><creatorcontrib>Ide, Hisamitsu</creatorcontrib><creatorcontrib>Muto, Satoru</creatorcontrib><creatorcontrib>Yamaguchi, Raizo</creatorcontrib><creatorcontrib>Horie, Shigeo</creatorcontrib><title>Impact of aging and comorbidity on the efficacy of low-intensity shock wave therapy for erectile dysfunction</title><title>International journal of urology</title><addtitle>Int. J. Urol</addtitle><description>Objectives To evaluate the efficacy of low‐intensity shock wave therapy and to identify the predictive factors of its efficacy in Japanese patients with erectile dysfunction. Methods The present study included 57 patients with erectile dysfunction who satisfied all the following conditions: more than 6‐months history of erectile dysfunction, sexual health inventory for men score of ≤12 without phosphodiesterase type‐5 inhibitor, erection hardness score grade 1 or 2, mean penile circumferential change by erectometer assessing sleep related erection of &lt;25 mm and non‐neurological pathology. Patients were treated by a low‐energy shock waves generator (ED1000; Medispec, Gaithersburg, MD, USA). A total of 12 shock wave treatments were applied. Sexual health inventory for men score, erection hardness score with or without phosphodiesterase type‐5 inhibitor, and mean penile circumferential change were assessed at baseline, 1, 3 and 6 months after the termination of low‐intensity shock wave therapy. Results Of 57 patients who were assigned for the low‐intensity shock wave therapy trial, 56 patients were analyzed. Patients had a median age of 64 years. The sexual health inventory for men and erection hardness score (with and without phosphodiesterase type‐5 inhibitor) were significantly increased (P &lt; 0.001) at each time‐point. The mean penile circumferential change was also increased from 13.1 to 20.2 mm after low‐intensity shock wave therapy (P &lt; 0.001). In the multivariate analysis, age and the number of concomitant comorbidities were statistically significant predictors for the efficacy. Conclusions Low‐intensity shock wave therapy seems to be an effective physical therapy for erectile dysfunction. Age and comorbidities are negative predictive factors of therapeutic response.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Diabetes Complications - complications</subject><subject>Dyslipidemias - complications</subject><subject>erectile dysfunction</subject><subject>Erectile Dysfunction - complications</subject><subject>Erectile Dysfunction - physiopathology</subject><subject>Erectile Dysfunction - therapy</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>low intensity shock wave treatment</subject><subject>low-intensity shock wave therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Ischemia - complications</subject><subject>Penile Erection - physiology</subject><subject>Phosphodiesterase 5 Inhibitors - therapeutic use</subject><subject>predictive factor</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><subject>Ultrasonic Therapy</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10MFO3DAQBmCrKioL7aEvUPnYHgIeJ17bxwoV2BZRVSpqb5bjjMGQxIudsOTtm-0CN3wZH775pfkJ-QjsCOZ3HG7HI-BaiDdkAVXFC84q_pYsmAZdKJB8nxzkfMsYlBzUO7LPl4KB1nxB2lW3tm6g0VN7HfpravuGutjFVIcmDBONPR1ukKL3wVk3bWEbN0XoB-zzFuSb6O7oxj7gFia7nqiPiWJCN4QWaTNlP_bzP_bvyZ63bcYPT_OQXJ1--31yXlz8PFudfL0onOClKNCzcgmq8SjqWiKra-VBOq2FlxXzXpWN8IoLlBKsVzUHsEo7hbbSTkssD8nnXe46xfsR82C6kB22re0xjtmAFJXgApSa6ZcddSnmnNCbdQqdTZMBZrblmrlc87_c2X56ih3rDpsX-dzmDI53YDMfPr2eZFbfr54ji91GyAM-vmzYdGeWspTC_Lk8M79O2fLyb_nDiPIfF3aUbg</recordid><startdate>201601</startdate><enddate>201601</enddate><creator>Hisasue, Shin-ichi</creator><creator>China, Toshiyuki</creator><creator>Horiuchi, Akira</creator><creator>Kimura, Masaki</creator><creator>Saito, Keisuke</creator><creator>Isotani, Shuji</creator><creator>Ide, Hisamitsu</creator><creator>Muto, Satoru</creator><creator>Yamaguchi, Raizo</creator><creator>Horie, Shigeo</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201601</creationdate><title>Impact of aging and comorbidity on the efficacy of low-intensity shock wave therapy for erectile dysfunction</title><author>Hisasue, Shin-ichi ; China, Toshiyuki ; Horiuchi, Akira ; Kimura, Masaki ; Saito, Keisuke ; Isotani, Shuji ; Ide, Hisamitsu ; Muto, Satoru ; Yamaguchi, Raizo ; Horie, Shigeo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5235-ef03618dfe5bb7e0bb8f17c995f740ff83d5f825e771af8b211a89c8ea49c97e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Diabetes Complications - complications</topic><topic>Dyslipidemias - complications</topic><topic>erectile dysfunction</topic><topic>Erectile Dysfunction - complications</topic><topic>Erectile Dysfunction - physiopathology</topic><topic>Erectile Dysfunction - therapy</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>low intensity shock wave treatment</topic><topic>low-intensity shock wave therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Ischemia - complications</topic><topic>Penile Erection - physiology</topic><topic>Phosphodiesterase 5 Inhibitors - therapeutic use</topic><topic>predictive factor</topic><topic>Prospective Studies</topic><topic>Severity of Illness Index</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><topic>Ultrasonic Therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hisasue, Shin-ichi</creatorcontrib><creatorcontrib>China, Toshiyuki</creatorcontrib><creatorcontrib>Horiuchi, Akira</creatorcontrib><creatorcontrib>Kimura, Masaki</creatorcontrib><creatorcontrib>Saito, Keisuke</creatorcontrib><creatorcontrib>Isotani, Shuji</creatorcontrib><creatorcontrib>Ide, Hisamitsu</creatorcontrib><creatorcontrib>Muto, Satoru</creatorcontrib><creatorcontrib>Yamaguchi, Raizo</creatorcontrib><creatorcontrib>Horie, Shigeo</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hisasue, Shin-ichi</au><au>China, Toshiyuki</au><au>Horiuchi, Akira</au><au>Kimura, Masaki</au><au>Saito, Keisuke</au><au>Isotani, Shuji</au><au>Ide, Hisamitsu</au><au>Muto, Satoru</au><au>Yamaguchi, Raizo</au><au>Horie, Shigeo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of aging and comorbidity on the efficacy of low-intensity shock wave therapy for erectile dysfunction</atitle><jtitle>International journal of urology</jtitle><addtitle>Int. J. Urol</addtitle><date>2016-01</date><risdate>2016</risdate><volume>23</volume><issue>1</issue><spage>80</spage><epage>84</epage><pages>80-84</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>Objectives To evaluate the efficacy of low‐intensity shock wave therapy and to identify the predictive factors of its efficacy in Japanese patients with erectile dysfunction. Methods The present study included 57 patients with erectile dysfunction who satisfied all the following conditions: more than 6‐months history of erectile dysfunction, sexual health inventory for men score of ≤12 without phosphodiesterase type‐5 inhibitor, erection hardness score grade 1 or 2, mean penile circumferential change by erectometer assessing sleep related erection of &lt;25 mm and non‐neurological pathology. Patients were treated by a low‐energy shock waves generator (ED1000; Medispec, Gaithersburg, MD, USA). A total of 12 shock wave treatments were applied. Sexual health inventory for men score, erection hardness score with or without phosphodiesterase type‐5 inhibitor, and mean penile circumferential change were assessed at baseline, 1, 3 and 6 months after the termination of low‐intensity shock wave therapy. Results Of 57 patients who were assigned for the low‐intensity shock wave therapy trial, 56 patients were analyzed. Patients had a median age of 64 years. The sexual health inventory for men and erection hardness score (with and without phosphodiesterase type‐5 inhibitor) were significantly increased (P &lt; 0.001) at each time‐point. The mean penile circumferential change was also increased from 13.1 to 20.2 mm after low‐intensity shock wave therapy (P &lt; 0.001). In the multivariate analysis, age and the number of concomitant comorbidities were statistically significant predictors for the efficacy. Conclusions Low‐intensity shock wave therapy seems to be an effective physical therapy for erectile dysfunction. Age and comorbidities are negative predictive factors of therapeutic response.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>26501992</pmid><doi>10.1111/iju.12955</doi><tpages>5</tpages></addata></record>
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subjects Adult
Age Factors
Aged
Aged, 80 and over
Aging - physiology
Diabetes Complications - complications
Dyslipidemias - complications
erectile dysfunction
Erectile Dysfunction - complications
Erectile Dysfunction - physiopathology
Erectile Dysfunction - therapy
Humans
Hypertension - complications
low intensity shock wave treatment
low-intensity shock wave therapy
Male
Middle Aged
Myocardial Ischemia - complications
Penile Erection - physiology
Phosphodiesterase 5 Inhibitors - therapeutic use
predictive factor
Prospective Studies
Severity of Illness Index
Surveys and Questionnaires
Treatment Outcome
Ultrasonic Therapy
title Impact of aging and comorbidity on the efficacy of low-intensity shock wave therapy for erectile dysfunction
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