Long-term results of patient satisfaction after low-intensity shockwave treatment (Li ESWT) of erectile dysfunction and Peyronie's disease in an urological private practice
Ratz, C1; Ratz, CHR1; Thieme-Martens, S1
1: Urologie Gross-Gerau, Germany
Objectives: Clinical studies showed an improvement of erectile function after Li ESWT. Regarding Peyronie`s disease data are more inconsistent, yet selected patients seem to benefit from Li ESWT. Still there is little data on patient satisfaction after Li ESWT in a private practice .
Methods: 20 patients with erectile dysfunction (ED) and 10 patients with Peyronie`s disease (PD) were treated with Li ESWT (12 sessions, 5000 impulses, linear tissue coverage (additionally point-focused in PD) plus 5mg Tadalafil daily use) in our practice. After 3-6 month a follow-up appointment was made or patients were contacted by telephone. 5 simple questions were asked, only dealing with patient satisfaction: 1. Improvement of complaints? 2. Sexual intercourse possible? 3. Intercourse with PDE-5-I possible/better? 4. Overall content? 5. Would you recommend Li ESWT to others?
Results: 19 patients (mean age 62 years) in the ED group (mean IIEF 12) were followed up (9 in PD group), 2 were lost to follow up, 11 (58%) reported improvement (PD: 7 (78%)), 13 (68%) could perform sexual intercourse (PD: 8 (89%)), 14 (74%) patients improved sexual performance with PDE-5-I (PD: 5 (55%)). Overall content with the treatment were 13 (68%) patients (PD: 8 (89%)) and 14 (74%) would recommend Li ESWT to other patients or friends (PD: 8 (89%)). In the group of PDE-5-I non responder 8/11 (73%) could perform sexual intercourse, 7 (64%) were content with the result.
Conclusion: Despite the many limitations of this small survey (e.g. unselected and small group of patients, variations of standard protocol und follow-up intervals due to patient will) it is safe to say that Li ESWT treatment leads to high patient satisfaction and improvement of complaints in ED and PD not only in clinical studies but also in a private practice. It seems mandatory to find better criteria for patient selection to decrease the number of unsatisfied patients.
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