Table 1. Treatment protocols from randomized sham-controlled trials of low-intensity shockwave therapy for erectile dysfunction.
| Author (Country, Year) | ED: Patient population/PDE5i: Response status | Patient (n) | Energy (mJ/mm2) | Pulse frequency (Hz) | Total shocks | Penile shocks (Shaft/base/hilum) | Proximal shocks (Corpora/crura) | No. of sessions | Device | Outcome |
|---|---|---|---|---|---|---|---|---|---|---|
| Kalyvianakis et al (Greece, 2022) [25] | ED: Mod vasculogenic | 67 | 0.096 | 5 | 5000 | 3000 | 2000 | 12 | Aries 2 (Dornier MedTech) | IIEF: + |
| PDE5i: Concurrent use | ||||||||||
| Motil et al (Czech, 2022) [26] | ED: Post-prostatectomy | 32 | 0.16 | 8 | 4000 | 2000 | 2000 | 4 | PiezoWave2 (Richard Wolf) | IIEF: + |
| PDE5i: Unclassified | ||||||||||
| Ladegaard et al (Denmark, 2021) [24] | ED: Post-prostatectomy | 38 | 0.15 | 5 | 4000 | 3000 | 1000 | 5 | Duolith SD1 (Storz Medical) | IIEF: + |
| PDE5i: Unclassified | EHS: + | |||||||||
| Ortac et al (Turkey, 2021) [27] | ED: Mild | 64 | 0.2 | 5 | 3000 | 2400 | 600 | 4 | Duolith SD1 (Storz Medical) | IIEF: + |
| PDE5i: Unclassified | ||||||||||
| Shendy et al (Egypt, 2021) [28] | ED: DM2, Mild-moderate | 42 | 0.09 | Not listed | 3000 | 1800 | 1200 | 12 | CSW-400 (Chattanooga Intellect) | IIEF: + |
| PDE5i: Unclassified | PSV: + | |||||||||
| Vinay et al (Spain, 2021) [29] | ED: Vasculogenic | 76 | 0.09 | 2 | 5000 | 1800 | 3200 | 4 | Renova (DIREX Group) | IIEF: + |
| PDE5i: Non responders | EHS:+ | |||||||||
| Kim et al (Korea, 2020) [30] | ED: Unclassified | 81 | 12–20 | 5 | 3000 | 2000 | 1000 | 12 | MT 2000H (Urontech Korea) | IIEF: + |
| PDE5i: Non responders | ||||||||||
| Zewin et al (Egypt, 2018) [31] | ED: Post cystectomy | 128 | 0.09 | 2 | 1500 | 900 | 600 | 12 | Aries device (Dornier MedTech) | IIEF: no change |
| PDE5i: Unclassified | EHS: no change | |||||||||
| Fojecki et al (Denmark, 2017) [32] | ED: Unclassified | 118 | 0.09 | 5 | 600 | 300 | 300 | 5 | FBL10 (Richard -Wolf GmbH) | IIEF: no change |
| PDE5i: Unclassified | ||||||||||
| Kalyvianakis and Hatzichristou (Greece, 2017) [33] | ED: Vasculogenic | 46 | 0.09 | 2.7 | 1500 | 900 | 600 | 12 | Omnispec ED1000 (Medispec Ltd) | IIEF: + |
| PDE5i: Partial response | PSV: + | |||||||||
| Kitrey et al (Israel, 2016) [34] | ED: Vasculogenic | 55 | 0.09 | 2 | 1500 | 900 | 600 | 12 | Omnispec ED1000 (Medispec) | IIEF: + |
| PDE5i: Non responders | EHS: + | |||||||||
| Olsen et al (Denmark, 2015) [35] | ED: Unclassified | 103 | 0.15 | 5 | 3000 | 3000 | - | 5 | Duolith SD1 (Storz Medical) | IIEF: no change |
| PDE5i: Responders | EHS: + | |||||||||
| Yee et al (China, 2014) [36] | ED: Unclassified | 58 | 0.09 | 2 | 1500 | 900 | 600 | 12 | Omnispec ED1000 (Medispec) | IIEF: no change |
| PDE5i: Previous users | ||||||||||
| Vardi et al (Israel, 2012) [37] | ED: Unclassified | 60 | 0.09 | 2 | 1500 | 900 | 600 | 12 | Omnispec ED1000 (Medispec) | IIEF: + |
| PDE5i: Responders | EHS: + |
ED: erectile dysfunction, PDE5i: phosphodiesterase 5 inhibitors, IIEF: International Index of Erectile Function, EHS: erection hardness score, PSV: peak systolic velocity.