The two types of shockwaves differ substantially in their depth of tissue penetration, ability to focus the shockwave, and the rapidity of the rise and fall of pressure (shape of the shockwave). Acoustic waves can be delivered to tissues by two distinct mechanisms: focused shockwaves and non-focused radial waves. The effect of rWT on men with vasculogenic ED, while often marketed as evidence-based ED treatment modality, is unknown.Įxtracorporeal shockwaves used in medicine entail an acoustic wave of energy that travels through tissues and releases a rapid rise and fall of pressure at tissue interfaces, known as a shockwave. Radial wave therapy (rWT) is an alternative method of creating acoustic waves that is commonly utilized in orthopedics, physical therapy, and dermatology, but has not been evaluated for use in men with ED ( 13- 16). To date, all pre-clinical and clinical trials thus far have utilized focused shockwave therapy (fSWT) ( 12). While there is substantial heterogeneity in treatment regimens employed and the devices used, meta-analyses of these trials suggest men with vasculogenic ED experience a significant improvement in erectile function after SWT ( 8- 11). The efficacy of SWT in this setting has been evaluated in several randomized trials with varying benefit ( 1- 7). Low intensity shockwave therapy (SWT) is an emerging treatment option for men with vasculogenic erectile dysfunction (ED).
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