Application of shock wave therapy in combined treatment of erectile dysfunction

Introduction. According to data acquired in studies worldwide, erectile dysfunction (ED) incidence is about 16% to 52% among males aged 20-70 years. Vasculogenic ED is found in about 70% of all ED cases with 30% being arteriogenic, 20-40% being venogenic and 30% being combined arteriogenic-venogenic ED. Shock wave therapy (SWT) is a new and promising modality of treatment for patients with erectile dysfunction. Lack of consensus regarding SWT efficacy in various types of ED and duration of its effect necessitates further studies. Aim of the study: to evaluate the results of combined treatment (shock wave therapy and endovascular embolization of deep dorsal vein) in patients with mixed vasculogenic ED. Materials and methods: 30 patients aged 26-45 years with clinically diagnosed arteriogenic-venogenic ED underwent endovascular embolization of deep dorsal vein of penis with subsequent 9-week course of shock wave therapy. Treatment efficacy was evaluated using International index of erectile function (IIEF-5) questionnaire and penile doppler ultrasound with pharmacologically induced erection...