Low-intensity extracorporeal shockwave therapy among urologist practitioners: how the opinion of urologists changed between 2016 and 2019
Over the past few years, an increase use of low-intensity shockwave therapy (LISWT) for the treatment of erectile dysfunction (ED) has been observed. However, many controversies in the scientific literature about its efficacy still exist. We aimed to investigate changes in the pattern of usage and a...
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| Veröffentlicht in: | International journal of impotence research 2020-12, Vol.33 (8), p.839-843 |
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| creator | Capogrosso, Paolo Di Mauro, Marina Fode, Mikkel Lowenstein, Lior Reisman, Yacov Dehò, Federico Salonia, Andrea Russo, Giorgio Ivan |
| description | Over the past few years, an increase use of low-intensity shockwave therapy (LISWT) for the treatment of erectile dysfunction (ED) has been observed. However, many controversies in the scientific literature about its efficacy still exist. We aimed to investigate changes in the pattern of usage and attitudes toward LISWT for ED among experts over the last years. A dedicated online survey was sent to delegates at the Congress for the EAU Section of Andrological Urology (ESAU) in Prague from 31st October to 1st November 2019. The survey captured demographic data, professional background, and the experience and personal knowledge about LISWT. The results were compared with a previous survey conducted in 2016 and investigating the same topics in order to assess changes in the knowledge and opinion on LISWT over time. Overall, 172 and 192 questionnaires were available from 2019 and 2016, respectively. Participants in the 2019 survey were 80 (45.7%) urologists, 52 (29.7%) uro-andrologists, and 34 (19.4%) residents in urology, from 30 different countries. Compared to the past, we observed an increase of respondents who were familiar with LISWT (75 vs. 95%;
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| doi_str_mv | 10.1038/s41443-020-00347-x |
| format | Article |
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p
< 0.0001) and who performed LISWT in their routine practice (38% in 2019 vs. 14% in 2016;
p
< 0.0001). Conversely, no changes in terms of overall perception of treatment efficacy were registered over time (68% in 2019 vs. 72% in 2016 considered LISWT as an effective treatment, respectively (
p
= 0.5)). An increased proportion of physicians had suggested a wider application of LISWT, and some even advocated its use in nonvasculogenic ED (33% in 2019 vs. 5.9% in 2016;
p
< 0.0001). The awareness and clinical application of LISWT for ED have increased over time, despite the lack of robust evidence in terms of effectiveness. Further research on the benefit of LISWT is needed to guide physicians in the therapeutic management of ED patients.</description><identifier>ISSN: 0955-9930</identifier><identifier>EISSN: 1476-5489</identifier><identifier>DOI: 10.1038/s41443-020-00347-x</identifier><identifier>PMID: 32826969</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/2768 ; 692/700/565 ; Attitude ; Attitudes ; Care and treatment ; Erectile dysfunction ; Erectile Dysfunction - therapy ; Extracorporeal Shockwave Therapy ; Genital diseases, Male ; Humans ; Lithotripsy ; Male ; Medicine ; Medicine & Public Health ; Physicians ; Practice ; Reproductive Medicine ; rology ; Surveys ; Urologists ; Urology</subject><ispartof>International journal of impotence research, 2020-12, Vol.33 (8), p.839-843</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020</rights><rights>2020. The Author(s), under exclusive licence to Springer Nature Limited.</rights><rights>COPYRIGHT 2020 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-39aab40b6ce5bd42e44c4465a4ce44deff29b0db664e9a026cb230a47b8eeaf03</citedby><cites>FETCH-LOGICAL-c473t-39aab40b6ce5bd42e44c4465a4ce44deff29b0db664e9a026cb230a47b8eeaf03</cites><orcidid>0000-0003-4687-7353 ; 0000-0003-2347-9504 ; 0000-0002-0595-7165 ; 0000-0002-3873-6940</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32826969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Capogrosso, Paolo</creatorcontrib><creatorcontrib>Di Mauro, Marina</creatorcontrib><creatorcontrib>Fode, Mikkel</creatorcontrib><creatorcontrib>Lowenstein, Lior</creatorcontrib><creatorcontrib>Reisman, Yacov</creatorcontrib><creatorcontrib>Dehò, Federico</creatorcontrib><creatorcontrib>Salonia, Andrea</creatorcontrib><creatorcontrib>Russo, Giorgio Ivan</creatorcontrib><creatorcontrib>European Association of Urology Young Academic Urologists (EAU-YAU) Men’s Health Working Group</creatorcontrib><creatorcontrib>European Association of Urology Young Academic Urologists (EAU-YAU) Men’s Health Working Group</creatorcontrib><title>Low-intensity extracorporeal shockwave therapy among urologist practitioners: how the opinion of urologists changed between 2016 and 2019</title><title>International journal of impotence research</title><addtitle>Int J Impot Res</addtitle><addtitle>Int J Impot Res</addtitle><description>Over the past few years, an increase use of low-intensity shockwave therapy (LISWT) for the treatment of erectile dysfunction (ED) has been observed. However, many controversies in the scientific literature about its efficacy still exist. We aimed to investigate changes in the pattern of usage and attitudes toward LISWT for ED among experts over the last years. A dedicated online survey was sent to delegates at the Congress for the EAU Section of Andrological Urology (ESAU) in Prague from 31st October to 1st November 2019. The survey captured demographic data, professional background, and the experience and personal knowledge about LISWT. The results were compared with a previous survey conducted in 2016 and investigating the same topics in order to assess changes in the knowledge and opinion on LISWT over time. Overall, 172 and 192 questionnaires were available from 2019 and 2016, respectively. Participants in the 2019 survey were 80 (45.7%) urologists, 52 (29.7%) uro-andrologists, and 34 (19.4%) residents in urology, from 30 different countries. Compared to the past, we observed an increase of respondents who were familiar with LISWT (75 vs. 95%;
p
< 0.0001) and who performed LISWT in their routine practice (38% in 2019 vs. 14% in 2016;
p
< 0.0001). Conversely, no changes in terms of overall perception of treatment efficacy were registered over time (68% in 2019 vs. 72% in 2016 considered LISWT as an effective treatment, respectively (
p
= 0.5)). An increased proportion of physicians had suggested a wider application of LISWT, and some even advocated its use in nonvasculogenic ED (33% in 2019 vs. 5.9% in 2016;
p
< 0.0001). The awareness and clinical application of LISWT for ED have increased over time, despite the lack of robust evidence in terms of effectiveness. Further research on the benefit of LISWT is needed to guide physicians in the therapeutic management of ED patients.</description><subject>692/699/2768</subject><subject>692/700/565</subject><subject>Attitude</subject><subject>Attitudes</subject><subject>Care and treatment</subject><subject>Erectile dysfunction</subject><subject>Erectile Dysfunction - therapy</subject><subject>Extracorporeal Shockwave Therapy</subject><subject>Genital diseases, Male</subject><subject>Humans</subject><subject>Lithotripsy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Physicians</subject><subject>Practice</subject><subject>Reproductive Medicine</subject><subject>rology</subject><subject>Surveys</subject><subject>Urologists</subject><subject>Urology</subject><issn>0955-9930</issn><issn>1476-5489</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9ksFu1DAQhi0EokvhBTggS0iIS4pjO86aW1VRQFqJC5wtx5lsXBI72A67-wi8dR22sBQh5IOt8TejmX9-hJ6X5KIkbP0m8pJzVhBKCkIYr4v9A7QqeS2Kiq_lQ7QisqoKKRk5Q09ivCGESFKKx-iM0TUVUsgV-rHxu8K6BC7adMCwT0EbHyYfQA849t583envgFMPQU8HrEfvtngOfvBbGxOeMp5sst5BiG9x73cLiv1kXY5h353YiE2v3RZa3EDaAThMczdYu3Z5yKfoUaeHCM_u7nP05frd56sPxebT-49Xl5vC8JqlgkmtG04aYaBqWk6Bc8O5qDQ3-dlC11HZkLYRgoPUhArTUEY0r5s1gO4IO0evj3Wn4L_NEJMabTQwDNqBn6OinAmWtWHrjL78C73xc3C5O0UF5YSXdUVP1FYPoKzr_KLhUlRdClnmJeTGM3XxDyqfFkZrsnydzfF7Ca_-SOjzOlIf_TAvWsf7ID2CJvgYA3RqCnbU4aBKohajqKNRVDaK-mkUtc9JL-5Gm5sR2t8pv5yRAXYEYv7KWwun2f9T9hZVxsld</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Capogrosso, Paolo</creator><creator>Di Mauro, Marina</creator><creator>Fode, Mikkel</creator><creator>Lowenstein, Lior</creator><creator>Reisman, Yacov</creator><creator>Dehò, Federico</creator><creator>Salonia, Andrea</creator><creator>Russo, Giorgio Ivan</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4687-7353</orcidid><orcidid>https://orcid.org/0000-0003-2347-9504</orcidid><orcidid>https://orcid.org/0000-0002-0595-7165</orcidid><orcidid>https://orcid.org/0000-0002-3873-6940</orcidid></search><sort><creationdate>20201201</creationdate><title>Low-intensity extracorporeal shockwave therapy among urologist practitioners: how the opinion of urologists changed between 2016 and 2019</title><author>Capogrosso, Paolo ; 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However, many controversies in the scientific literature about its efficacy still exist. We aimed to investigate changes in the pattern of usage and attitudes toward LISWT for ED among experts over the last years. A dedicated online survey was sent to delegates at the Congress for the EAU Section of Andrological Urology (ESAU) in Prague from 31st October to 1st November 2019. The survey captured demographic data, professional background, and the experience and personal knowledge about LISWT. The results were compared with a previous survey conducted in 2016 and investigating the same topics in order to assess changes in the knowledge and opinion on LISWT over time. Overall, 172 and 192 questionnaires were available from 2019 and 2016, respectively. Participants in the 2019 survey were 80 (45.7%) urologists, 52 (29.7%) uro-andrologists, and 34 (19.4%) residents in urology, from 30 different countries. Compared to the past, we observed an increase of respondents who were familiar with LISWT (75 vs. 95%;
p
< 0.0001) and who performed LISWT in their routine practice (38% in 2019 vs. 14% in 2016;
p
< 0.0001). Conversely, no changes in terms of overall perception of treatment efficacy were registered over time (68% in 2019 vs. 72% in 2016 considered LISWT as an effective treatment, respectively (
p
= 0.5)). An increased proportion of physicians had suggested a wider application of LISWT, and some even advocated its use in nonvasculogenic ED (33% in 2019 vs. 5.9% in 2016;
p
< 0.0001). The awareness and clinical application of LISWT for ED have increased over time, despite the lack of robust evidence in terms of effectiveness. Further research on the benefit of LISWT is needed to guide physicians in the therapeutic management of ED patients.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32826969</pmid><doi>10.1038/s41443-020-00347-x</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-4687-7353</orcidid><orcidid>https://orcid.org/0000-0003-2347-9504</orcidid><orcidid>https://orcid.org/0000-0002-0595-7165</orcidid><orcidid>https://orcid.org/0000-0002-3873-6940</orcidid></addata></record> |
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| subjects | 692/699/2768 692/700/565 Attitude Attitudes Care and treatment Erectile dysfunction Erectile Dysfunction - therapy Extracorporeal Shockwave Therapy Genital diseases, Male Humans Lithotripsy Male Medicine Medicine & Public Health Physicians Practice Reproductive Medicine rology Surveys Urologists Urology |
| title | Low-intensity extracorporeal shockwave therapy among urologist practitioners: how the opinion of urologists changed between 2016 and 2019 |
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