LI-ESWT: Low Intensity ShockWave Therapy for ED in Non Responders to PDE5i - a Double Blind Placebo Controlled Study
Study Details
Study Description
Brief Summary
Low intensity shock waves (LISW) have been proven in animal studies to induce local growth of new blood vessels. The investigators hypothesized that LISW therapy could improve the symptoms of patients with erectile dysfunction resulting from a problem of blood supply that do not respond to oral therapy (PDE-5 inhibitors).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
In this study Low intensity shockwaves (1/10 the ones used in Lithotripsy) are delivered directly to the penile tissue using a specially designed shockwave device and probe. Shock wave therapy is applied twice a week for three weeks , then a 3- week interval with no therapy followed by another 3 week period of twice a week shock wave therapy. Before and after sexual function questionnaires and objective measures of erectile function will be performed.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Sham Comparator: placebo We use the same probe that induces the same sensation on the penis and the same noise yet no energy |
Device: Extracorporeal Shockwave Therapy Generator (Vascuspec)
Gel is spread around the penis and on the Shock Wave applicator and Treatment (12 sessions in total) of 300 shocks per site, on 5 penile anatomical sites.
Other Names:
|
Active Comparator: Shock wave therapy 12 treatment sessions twice a week during 9 weeks with an interim of 3 weeks no treatment |
Device: Low intensity shock wave therapy
Gel is spread around the penis and on the Shock Wave applicator and Treatment (12 sessions in total) of 300 shocks per site, on 5 penile anatomical sites.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- IIEF-ED Domain [17 weeks]
A change of 5 points or more will indicate success
Secondary Outcome Measures
- rigidity score [17 weeks]
a scale of 3 and above indicates success
Eligibility Criteria
Criteria
Inclusion Criteria:
-
ED of more than 6 months
-
Rigidity score < 3 during PDE5i therapy
-
SHIM <21 during PDE5i therapy
-
Non- hormonal, neurological or psychological pathology Stable heterosexual relationship for more than 3 months
Exclusion Criteria:
-
Prior prostatectomy surgery
-
Any unstable medical, psychiatric, spinal cord injury and penile anatomical abnormalities
-
Clinically significant chronic hematological disease
-
Anti-androgens, oral or injectable androgens
-
Radiotherapy in pelvic region
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Rambam Medical Center | Haifa | Israel | 31096 |
Sponsors and Collaborators
- Rambam Health Care Campus
Investigators
- Principal Investigator: Yoram Vardi, prof, Rambam Health Care Campus
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 507-10 RMB