489 Low-energy shock waves in treatment of erectile dysfunction. Clinical experience with the first one hundred patients in Venezuela

Abstract

It is described that low-energy shock waves stress the tissue where are they are applied and produce micro-trauma, with the subsequent activation of biological reactions, that result in angiogenesis and neovascularization. Nowadays their use is recommended in treatment of vascular caused erectile dysfunction. To determine the low-energy shock waves effectiveness in Venezuelan patients with erectile dysfunction from vascular cause. This was a prospective study, the sample was constituted by 100 men aged 39-78 years with vascular caused erectile dysfunction diagnosis, from whom 20 (20%) were PDE5-i non-responders, to which was applied International Index of Erectile Function 5-item (IIEF-5) before and after the treatment (Valencia protocol), that consisted in twelve sessions of 1.500 shock waves of 0,09mJ/mm2 each one, spread over five regions (300 in each one), three in penis (radix and corpora cavernosa right and left) and two in the crura of the penis (right and left), making a total of 18.000 shock waves.