Physiotherapeutic approaches for the erectile dysfunction management: basic principles and an efficacy evaluation of the current technologies
Physiotherapy is a treatment method for a wide range of diseases of various organs and systems. Its efficacy and practicability are of the great discussions during the past few decades. In urology, this method is used for treatment of erectile dysfunction (ED) caused by a violation of the trophism o...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation
2023-10-01
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| Series: | Vestnik Urologii |
| Subjects: | |
| Online Access: | https://www.urovest.ru/jour/article/view/759 |
| _version_ | 1797272111765520384 |
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| author | A. A. Androsov L. L. Chuvalov M. S. Taratkin D. O. Korolev Yu. P. Gorobets L. M. Rapoport D. V. Enikeev D. G. Tsarichenko M. E. Enikeev |
| author_facet | A. A. Androsov L. L. Chuvalov M. S. Taratkin D. O. Korolev Yu. P. Gorobets L. M. Rapoport D. V. Enikeev D. G. Tsarichenko M. E. Enikeev |
| author_sort | A. A. Androsov |
| collection | DOAJ |
| description | Physiotherapy is a treatment method for a wide range of diseases of various organs and systems. Its efficacy and practicability are of the great discussions during the past few decades. In urology, this method is used for treatment of erectile dysfunction (ED) caused by a violation of the trophism of genitalia due to radical prostatectomy, atherosclerosis, diabetes mellitus, Peyronie's disease. Shock wave therapy based on the remote action of a low-intensity focused acoustic wave is one of the widely used effective physiotherapeutic methods for the treatment of vasculogenic ED. The main effects of shock waves are neoangiogenesis, nerve fibers regeneration, deceleration of the cavernous fibrosis and reduction of the sympathetic outflow. Some technologies (e.g. radio waves) in addition to those effects also warm the tissues, what accelerates metabolism and improves regenerative processes. All shockwave and radiowave technologies have already demonstrated their efficacy compared with sham control. However, in the few comparative studies, no significant difference was found in efficacy between different technologies. Clinical guidelines consider physiotherapy only as an alternative treatment for patients with mild vasculogenic ED who are refractory or unresponsive to oral vasoactive therapy. Nevertheless, some studies make it possible to judge the efficacy of physiotherapy for treatment of patients with either etiology of the ED. The result of the ED treatment does not depend on the number of treatment courses, their duration, the number of pulses per course and the periodicity of therapy sessions. Also, the original studies have some major shortcomings (i.e. a large percentage of patients dropping out of follow-up). These factors cast doubt on the organotropism of physiotherapy. So, additional comparative studies are required to determine the optimal dosing regimen and to explore the influence of physiotherapy organotropic and psychological components on the results of the treatment. The study aimed to summarize the currently available data evaluating the efficacy of different physiotherapeutic technologies, to compare the efficacy of different technologies for ED treatment. |
| first_indexed | 2024-03-07T14:23:44Z |
| format | Article |
| id | doaj.art-e94a5ff3e30e41a0930551659eb027b9 |
| institution | Directory Open Access Journal |
| issn | 2308-6424 |
| language | Russian |
| last_indexed | 2024-03-07T14:23:44Z |
| publishDate | 2023-10-01 |
| publisher | State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation |
| record_format | Article |
| series | Vestnik Urologii |
| spelling | doaj.art-e94a5ff3e30e41a0930551659eb027b92024-03-06T08:56:06ZrusState Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian FederationVestnik Urologii2308-64242023-10-01113879710.21886/2308-6424-2023-11-3-87-97469Physiotherapeutic approaches for the erectile dysfunction management: basic principles and an efficacy evaluation of the current technologiesA. A. Androsov0L. L. Chuvalov1M. S. Taratkin2D. O. Korolev3Yu. P. Gorobets4L. M. Rapoport5D. V. Enikeev6D. G. Tsarichenko7M. E. Enikeev8I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Yevdokimov Moscow State University of Medicine and Dentistry; Noginsk Regional HospitalI.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University); Medical University of Vienna; Karl Landsteiner University of Health Sciences — Institute of Urology and AndrologyI.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Physiotherapy is a treatment method for a wide range of diseases of various organs and systems. Its efficacy and practicability are of the great discussions during the past few decades. In urology, this method is used for treatment of erectile dysfunction (ED) caused by a violation of the trophism of genitalia due to radical prostatectomy, atherosclerosis, diabetes mellitus, Peyronie's disease. Shock wave therapy based on the remote action of a low-intensity focused acoustic wave is one of the widely used effective physiotherapeutic methods for the treatment of vasculogenic ED. The main effects of shock waves are neoangiogenesis, nerve fibers regeneration, deceleration of the cavernous fibrosis and reduction of the sympathetic outflow. Some technologies (e.g. radio waves) in addition to those effects also warm the tissues, what accelerates metabolism and improves regenerative processes. All shockwave and radiowave technologies have already demonstrated their efficacy compared with sham control. However, in the few comparative studies, no significant difference was found in efficacy between different technologies. Clinical guidelines consider physiotherapy only as an alternative treatment for patients with mild vasculogenic ED who are refractory or unresponsive to oral vasoactive therapy. Nevertheless, some studies make it possible to judge the efficacy of physiotherapy for treatment of patients with either etiology of the ED. The result of the ED treatment does not depend on the number of treatment courses, their duration, the number of pulses per course and the periodicity of therapy sessions. Also, the original studies have some major shortcomings (i.e. a large percentage of patients dropping out of follow-up). These factors cast doubt on the organotropism of physiotherapy. So, additional comparative studies are required to determine the optimal dosing regimen and to explore the influence of physiotherapy organotropic and psychological components on the results of the treatment. The study aimed to summarize the currently available data evaluating the efficacy of different physiotherapeutic technologies, to compare the efficacy of different technologies for ED treatment.https://www.urovest.ru/jour/article/view/759erectile dysfunctionphysical therapy modalitiesradiowave therapylow-intensity extracorporeal shock wave therapy |
| spellingShingle | A. A. Androsov L. L. Chuvalov M. S. Taratkin D. O. Korolev Yu. P. Gorobets L. M. Rapoport D. V. Enikeev D. G. Tsarichenko M. E. Enikeev Physiotherapeutic approaches for the erectile dysfunction management: basic principles and an efficacy evaluation of the current technologies Vestnik Urologii erectile dysfunction physical therapy modalities radiowave therapy low-intensity extracorporeal shock wave therapy |
| title | Physiotherapeutic approaches for the erectile dysfunction management: basic principles and an efficacy evaluation of the current technologies |
| title_full | Physiotherapeutic approaches for the erectile dysfunction management: basic principles and an efficacy evaluation of the current technologies |
| title_fullStr | Physiotherapeutic approaches for the erectile dysfunction management: basic principles and an efficacy evaluation of the current technologies |
| title_full_unstemmed | Physiotherapeutic approaches for the erectile dysfunction management: basic principles and an efficacy evaluation of the current technologies |
| title_short | Physiotherapeutic approaches for the erectile dysfunction management: basic principles and an efficacy evaluation of the current technologies |
| title_sort | physiotherapeutic approaches for the erectile dysfunction management basic principles and an efficacy evaluation of the current technologies |
| topic | erectile dysfunction physical therapy modalities radiowave therapy low-intensity extracorporeal shock wave therapy |
| url | https://www.urovest.ru/jour/article/view/759 |
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