(PM-29) Efficacy of low-intensity shock waves in patients with erectile dysfunction after robot-assisted radical prostatectomy
Abstract
Erectile Dysfunction (ED) is a frequent complication after radical prostatectomy, even when performed by robotic approach. Injury to neurovascular bands during the procedure can compromise the recovery of erectile function, even with nerve sparing procedures. Low-Intensity Shockwave (LiSWT) has emergerd as a potencial therapeutic alternative in this context.
To evaluate the efficacy of LiSWT in patients with severe ED following robot-assisted radical prostatectomy (RARP), who were previously potent.
In this retropective observational study, 32 patients who underwent RAPR between 2022 and 2025 were evaluated. All patients were previousy potents and developed severe ED postoperatively. It was define by an IIEE-5 score < 11. All had used Tadalafil 10 mg daily for at least 3 months after surgery. All patients underwent a LiWST session for 6 weeks. Treatment parameters included: 3000 radial pulses per session, frequency of 120/min, energy of 0.09 mj/mm2. Tadalafil 10 mg daily was maintained throughout the treatment period of 6 months.
After LiSWT, 21 out of 32 patients (65%) showed an improvement of at least 5 points in IIEF-5 score, after 6 months. All of these patients reported achieving erections sufficient for penetration, in more than half of the attempts, without manual assistance. The remaining 11 patients (35%) did not respond to the treatment. No adverse effects were reported.
LiSWT proved to be effective in a significant proportion of patients with severe ED after RARP,…
Read the paper
Related studies
- Safety and efficacy of COVID‐19 vaccines: A systematic review and meta‐analysis of controlled and randomized clinical trials
- Accuracy Comparison between Robot-Assisted Dental Implant Placement and Static/Dynamic Computer-Assisted Implant Surgery: A Systematic Review and Meta-Analysis of In Vitro Studies
- Determinants of passive antibody efficacy in SARS-CoV-2 infection: a systematic review and meta-analysis
- Cleaning efficacy of EDDY versus ultrasonically-activated irrigation in root canals: a systematic review and meta-analysis
- Bonding Efficacy of Universal Resin Adhesives to Zirconia Substrates: Systematic Review and Meta-Analysis
- In vitro antimicrobial activity of extracts and essential oils of Cinnamomum, Salvia, and Mentha spp. against foodborne pathogens: A meta-analysis study
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.