ISSN: 2544-4395
Physiotherapy Quarterly
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4/2022
vol. 30
 
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abstract:
Original paper

Response of erectile dysfunction to extracorporeal shock wave therapy in type 2 diabetic men

Ali Mohamed Ali Ismail
1
,
Alshaymaa Shaaban Abd El-Azeim
2

1.
Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
2.
Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Physiother Quart. 2022;30(4):77–80
Online publish date: 2022/12/19
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Introduction
Erectile dysfunction is a major complication of type 2 diabetes mellitus (T2DM). This study aimed to investigate the effect of active vs. sham low-intensity extracorporeal shock wave therapy (Li-ESWT) on erectile dysfunction in T2DM men.

Methods
Overall, 40 married T2DM men aged 40–50 years with erectile dysfunction were assigned to the study and the control group. Besides a 12-week daily administration of a 5-mg tablet of phosphodiesterase-5 inhibitor (PDE5I) tadalafil in both groups, the control group (n = 20) received sham Li-ESWT, while the study group (n = 20) received 2 active Li-ESWT (on the penile shaft with 1800 pulses and intensity of 0.09 mJ/mm2) sessions weekly for 3 consecutive weeks; then, the procedure was repeated for another 3 consecutive weeks, with a 3-week rest between the 2 procedures. Erectile dysfunction was assessed by the 5-item version of the International Index of Erectile Function (IIEF-5). Baseline, 1-month follow-up, 3-month follow-up, and 6-month follow-up IIEF-5 scores were documented.

Results
After 1- and 3-month follow-up, there was a significant difference between the active and sham groups in favour of the active Li-ESWT group (p-value of 0.0001 and 0.01, respectively), but there was no significant difference between the groups at 6-month follow-up.

Conclusions
Li-ESWT can increase the long-term efficacy of PDE5I in T2DM men with erectile dysfunction.

keywords:

low-intensity extracorporeal shock wave therapy, erectile dysfunction, type 2 diabetes mellitus

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