In 2010 the first study was published on the effectiveness of low-intensity extracorporeal shock waves in the treatment of ED. These shock waves interact with the cavernous tissue causing a microtrauma that promotes the release of nitric oxide and endothelial growth factors, producing a regeneration of the erectile tissue. The treatment is effective in patients who respond to the IPDE-5’s and may result in patients who have not responded to IPDE-5’s doing so.
The treatment, which is not painful and has no side effects, consists in weekly sessions of 1,000 impulses in five areas of the penis for ten weeks (fig. J) At this time a double-blind clinical study is being conducted at the U.S. National Institutes of Health and the final results will be available in late 2016.
Is phytotherapy effective in the treatment of ED?
No, it is not. Despite the existence of a multitude of phytotherapeutic treatments, it is important to know that there have been no scientific studies that describe their action mechanism, their safety or their effectiveness. On the other hand, it has been shown that many of these plant products are adulterated with drugs usually used for the treatment of ED and are put on the market without having undergone any type of medical or pharmacological verification, which can be extremely dangerous. At present the American Urology Association (AUA) does not recommend the use of phytotherapy in the treatment of ED.