Conservative Non-surgical Options for Erectile Dysfunction.
Manuel Alonso-IsaBorja García GómezIgnacio González-GinelClara García-Rayo-EncinaMaría Del Prado Caro-GonzálezJose Medina-PoloEsther García RojoJavier Romero OteroPublished in: Current urology reports (2022)
We found a multitude of different treatment modalities for ED. We must take into account the type of patient, their comorbidities, the origin of their ED, and its severity in order to reproduce effective results using these therapies. Some of the treatments show good results with a good level of evidence (new IPDE5 formulations, intracavernous injections, shock wave therapy, hormonal theraphy, psycho-sexual theraphy). However, others (some new molecules, stem cell theraphy, platelet-rich plasma injections, oxygenation-based therapy, nutraceuticals), although some of them present promising results, require randomized studies with a larger number of patients and a longer follow-up time to be able to establish firm recommendations. Regarding the conservative treatment of erectile dysfunction, in recent years, some therapies have been consolidated as effective and safe for certain types of patients. On the other hand, other treatment modalities, although promising, still lack the evidence and the necessary follow-up to be recommended in daily practice.
Keyphrases
- platelet rich plasma
- end stage renal disease
- stem cells
- ejection fraction
- newly diagnosed
- emergency department
- chronic kidney disease
- healthcare
- prognostic factors
- primary care
- peritoneal dialysis
- type diabetes
- physical activity
- randomized controlled trial
- mental health
- case report
- adipose tissue
- bone marrow
- patient reported outcomes
- clinical practice
- phase ii
- placebo controlled