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Erectile Dysfunction? Low-Intensity ESWT May Help!

Do you suffer from erectile dysfunction? Low-intensity ESWT may be the answer you're looking for! Dr. Pramil Cheriyath MD has the scientific analysis to help you make a decision.

Low-Intensity ESWT in ErectileDysfunction Does it Helps? Scientific Analysis- Dr.Pramil Cheriyath MD

Erectile dysfunction (ED) is a sexual disorder that affects men of all ages. It is characterized by the inability to get or maintain an erection during sexual intercourse. ED can be caused by physical or psychological factors. Physical causes include diabetes, heart disease, and nerve damage. Psychological causes include stress, anxiety, and depression. Low-intensity extracorporeal shock wave therapy (LI-ESWT) is a new treatment for ED. LI-ESWT uses sound waves to stimulate blood flow to the penis. The treatment is non-invasive and does not require surgery. A recent study published in the journal Andrology found that LI-ESWT is an effective treatment for ED. The study included 100 men with ED. The men were divided into two groups. One group received LI-ESWT. The other group received a placebo. The study found that the men who received LI-ESWT had a significant improvement in their erectile function. The men who received the placebo did not experience any improvement. The study concluded that LI-ESWT is an effective treatment for ED. The treatment is safe and has no side effects. LI-ESWT is a promising new treatment for ED.

This video is not for medical advice. The content is intended for educational purposes only. It is very important to consult your physician for your medical problems.

Please consult with your physician if you have any medical problems.

Link for the study: dx.doi.org/10.1177%2F15579883…

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Video transcription:

Hi, everyone welcome to researchmd.com begin again we’re going to talk today about another clinical question: the role of low intensity, extracorporeal, shockwave therapy and erectile dysfunction. Does it help in erectile dysfunction? That’s our question my friend! So again, my name is premier charet. I’m a program director internal medicine, residency transitional residency. I teach medical students from residence, I’m also director of research, I’m in health approach for medicine. So let’s get into our topic. Erectile dysfunction is becoming one of the it’s very common age. Greater than 20 years, almost like 20 percent of the people in the male population have erectile dysfunction. Can you believe that so it’s a huge problem? Okay, so the mechanism, if you look at it now, you can kind of clearly we just put this picture together. There’s a rough cell, there’s parasynthetic nerve stimulation, nitric oxide release, and then he got gtp converted into cgmp that caused smooth muscle, dia relaxation dilatation. And then you have erection below that. That’s where the where the Viagra works, see Viagra kind of stopped, the cgmb breakdown to 5 gmp, so there’s more gm cgmp available than smooth muscle relaxation. Then you can have an erection. Okay, Viagra is the number one selling drug in the world. So what are the risk factors for erectile dysfunction? He had age any any diseases. If we know older, we get the more likely we’re going to have chance of having that disease right. Many medical conditions, like you name it from diabetes, hypertension, coronary artery disease, obesity, cancer treatments or prostate surgery, injuries, medication, especially the beta broker. We use for blood pressure management and then you got drug use, alcohol use in the society, and above I mean when you take all those kind of thing, then you have to think about the psychological causes, like stress, anxiety and depre, depression. Okay, so what is sexual corporeal shockwave therapy? Several years ago, it was actually developed in germany and bulgaria by some orthopedic physicians kind of came from the lithotrapsy what they were using to crush the stones in the renal stone. So how does this mechanism? It kind of studies have shown that you got like neovascularization. It’s an increased blood cell blood vessel production or angiogenesis. We call okay, there’s mesenchymal stem cells, recruiting more so like the bone growth and all that they simulate a cell proliferation and differentiation, so the repair and all that can be done faster, so the mainly three mechanisms- there’s anti-inflammatory and a microbial and suppression or noise reception are considered fda. This is an fda approved treatment for chronic outpatient therapy for chronic plantar fasciitis. So when you talk about the extra corporeal shock weight therapy, you have two types: one is the low energy and the high energy remember that they are kind of measured in the energy flux density. If it is low, energy is less than zero point one two and then high energy is zero greater than zero point one two. So it’s very important to use the low energy in this. That’s what the study looked at. So we did some literature science. They found those great studies, so we’re going to talk about it today. So the objective of the study to investigate the benefit of low intensity, extra corporeal shockwave therapy in treating erectile dysfunction. Okay, this is a systematic review and the meta-analysis. We know that when you have meta-analysis you’re pulling a lot of studies together, the strength is really high on the scientific hierarchy. Okay and now so they use them in the low intensity, extra corporate chocolate therapy and then compared to like a sham or like a placebo therapy. Okay, then, now, if you can see this metanalysis, you look at the diamond at the bottom, it’s far away from the line right, so it’s clearly sure it is superior right compared to placebo, based on our study. This conclusion is that, based on this methane analysis, low intensity, extracorporeal shockwave therapy is effective in treating erectile dysfunction. Okay, thank you. So much for watching we’ll be back with another presentation soon. Thank you.

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