Initial good effect of shock wave for erectile dysfunction is not stable over time


Low-intensity shock wave treatment is effective for short-term treatment of erectile dysfunction, but its efficacy declines after 2 years, particularly in those with initial severe dysfunction

In this recent study, the long-term efficacy of penile low-intensity shock wave treatment was evaluated after an initially successful outcome among 156 patients.

The researchers found that the treatment was immediately successful in 99 patients (63.5%), but during follow-up, a gradual decrease in efficacy was observed. At 2 years, the beneficial effect was maintained in only 53.5% of patients. Over follow-up, the treatment effect was lost in all patients with diabetes who initially had severe erectile dysfunction. However, for patients with milder forms of erectile dysfunction without diabetes, there was a 76% chance that the beneficial effect of low-intensity shock wave treatment would be preserved after 2 years.

Low-intensity shock wave treatment is effective in the short term but treatment efficacy was maintained after 2 years in only half of the patients. In patients with milder forms of erectile dysfunction, without diabetes, the beneficial effect is more likely to be preserved.


Kitrey ND, Vardi Y, Appel B, et al. Low Intensity Shock Wave Treatment for Erectile Dysfunction-How Long Does the Effect Last? J Urol. DOI: 10.1016/j.juro.2018.02.070

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