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JSM Electric ShockEach and every year the understanding and awareness of male sexual dysfunction problems increases. As medical science advances in the pursuit of solutions for issues such as erectile dysfunction, new methods for finding a viable cure are constantly explored. One relatively new type of treatment which involves the use of electrical impulses has already shown favorable results as documented in a recent study published by the Journal of Sexual Medicine.

We first reported about this innovative new therapy back in December of 2009 in an article entitled "Electric Shock Treatment for ED". Although documentation regarding this type of erectile dysfunction treatment remains sparse, we did manage to uncover some research which seems to add credibility to this method. The aim of the following published study was to measure the effect of low intensity shock wave therapy in severe ED patients not responding to oral medication.

Objective: Low Intensity Shock Wave Therapy (LI-ESWT) was shown to have a beneficial effect on ED patients responding to PDE5i's. This study aimed to assess its effect on PDE5i's non-responders.
Methods: We included severe ED patients (60% diabetic, 85% with cardiovascular disease) that failed to respond to PDE5i therapy, who scored 0-2 on the rigidity scale (RS) during PDE5i therapy. Each subject underwent a full baseline assessment of erectile and sexual function (during PDE5i treatment) using validated questionnaires and objective penile endothelial function testing. Treatment included 2 sessions/week for 3 weeks, repeated after a 3-week no-treatment interval. At each session LI-ESWT was applied on the penile shaft and crus for 3 minutes in 5 different penile anatomical sites (intensity of 0.09 mj/mm2, 300 shocks/site). One month after end of treatment the same baseline assessment was repeated. An active PDE5i medication regime was then provided and final erectile function was reassessed. Main endpoints for success were changes in RS and in IIEF-ED Domain score (EDDS).
Results: Twenty-four subjects age 40-78 (mean age 62.8) with an initial average EDDS of 8.8 +/- 0.99 (on PDE5i therapy) were analyzed. All completed a full 12 week treatment course. After one month their EDDS significantly increased to an average of 13.6 +/- 1.11 (without additional medication). At the end of the active PDE5i treatment the mean EDDS was 20.07 +/- 1.33 (an increase of 11.27 points, p < 0.001) and 80% of the patients had a RS of 3 and more (p < 0.0001). Five of 15 subjects were normalized with use of PDE5i. All FMD parameters significantly increased and no adverse events were reported.
Conclusion: LI-ESWT is a new modality that can be used to effectively treat a subgroup of severe ED patients who failed PDE5i therapy. This study further emphasizes the physiological effect that LI-ESWT can have on the erectile mechanism.

Source: (2010), PODIUM SESSIONS. The Journal of Sexual Medicine, 7: 375–394. DOI: 10.1111/j.1743-6109.2010.02103_1.x

Advances in Treatment for SEVERE ED

While the results of this study are promising, it should be noted that the treatment is intended for severe cases of erectile dysfunction such as is sometimes seen in men suffering with diabetes and/or cardiovascular disease. Many times these men do not respond positively to more traditional methods that involve the use of PDE5i's (Phosphodiesterase Type 5 Inhibitors) such as Sildenafil (Viagra®), Vardenafil (Levitra®) and Tadalafil (Cialis®).

This revolutionary new technique represents a potential breakthrough in restoring erectile function in those men who could not otherwise be helped. It will be interesting to see where future research into shockwave therapy for the treatment of erectile dysfunction leads. The cure for tens of thousands of severe ED sufferers may be just around the corner!

Posted by PRS
Wednesday, November 24th, 2010


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