Chinese expert consensus on low-intensity extracorporeal shock wave/low-intensity pulsed ultrasound in the treatment of erectile dysfunction
Erectile dysfunction(ED)is a common and frequently occurring disease in adult males.At present,oral medication,intracavernosal injection and penile prosthesis implantation recommended by domestic and foreign ED diagnosis and treatment guidelines do not target the etiology of ED,so they cannot completely cure ED from the perspective of correcting the pathogenesis.The use of low-intensity extracorporeal shock wave therapy(Li-ESWT)and low-intensity pulsed ultrasound(LIPUS)can not only improve the erectile function of patients due to their unique mechanisms of action and biological effects,but also promote penile rehabilitation by targeting the etiology.However,there are some problems in the present clinical practice in using Li-ESWT and LIPUS,such as unclear indications,inconsistent treatment protocols,and variations in efficacy,which limited the further applications of those therapies.Accordingly,the China Sexology Association(CSA)organized a panel of clinical experts in this field to reach a consensus through joint research and discussion,based on the existing domestic and foreign evidence-based medical evidence of Li-ESWT and LIPUS in the treatment of ED.The primary objective is to provide standardized treatment methods and references for clinicians and device developers engaged Li-ESWT and LIPUS technologies for ED treatment.