About this trial
The purpose of this study to perform a randomized, sham controlled analysis of the effectiveness of both fSWT and rWT in the relief of erectile dysfunction and chronic pelvic pain syndrome.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Cis-gendered heterosexual adult males18 years old
Stable relationship of more than 3 months duration with currently willing sexual partner and desire for penetration.
Mild to moderate organic erectile dysfunction (IIEF-EF score 11-25) in the last 3 months
If ED responsive or partially responsive to current use of PDE5I, participant must be willing to discontinue PDE5I for 4 weeks prior to trial and remain off PDE5I for the duration of the study. Partially responsive ED is defined as inadequate response for desired sexual activity, or poorly maintained erection despite initially good response.
Disqualifiers
Nerve-injury related ED (/spinal cord injury, severe lumbosacral disorder (radiculopathy, spinal stenosis) or other neurological disease affecting erectile functions (e.g, multiple sclerosis, alzheimer's disease, parkinsons disease, amyotrophic lateral sclerosis)
Untreated hypogonadism (morning total testosterone <300 ng/dL) or on androgen deprivation therapy in the last 12 months
Predominately psychogenic ED based upon expert clinician opinion
Peyronie's disease, palpable plaque or curvature/penile anatomic abnormality that affects penetrative intercourse to any degree
Trial design
Parallel
Treatments tested in this trial
Focused shockwave
DeviceStorz Duolith SD-1 (Storz Medical, Tagerwilen, Switzerland)
Radial wave
DeviceZimmer enPuls Pro (Zimmer MedizinSysteme GmbH, Neu-Ulm, Germany)
Sham treatment
DeviceHandheld sham probe
Treatment groups
Trial outcomes
Primary outcomes
Erectile Dysfunction
To evaluate change/minimum clinically important difference (MCID) of International Index of Erectile Function score. Score varies according to baseline ED severity, generally requiring higher value for more severe symptoms.
Chronic Prostatitis/Chronic Pelvic Pain Syndrome:
To evaluate change/MCID in Chronic Prostatitis Symptom Index (CPSI) score. Score varies according to baseline ED severity, generally requiring higher value for more severe symptoms.
Secondary outcomes
Erectile Dysfunction
SEP- Sexual Encounter Profile Questionnaire (log diary 5-item questionnaire with yes/no questions after sexual attempt)
Erectile Dysfunction
GAQ- Global Assessment Questionnaire. Two yes/no questions assessing for improvement in sexual function.
Erectile Dysfunction
EHS- Erection Hardness Score measuring erection hardness with a higher score indicating more rigidity.
Sponsors and contacts
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