Purpose: We investigated the clinical and physiological effect of low intensity extracorporeal shock wave therapy on men with organic erectile dysfunction who are phosphodiesterase type 5 inhibitor responders. Materials and Methods: After a 1-month phosphodiesterase type 5 inhibitor washout period, 67 men were randomized in a 2:1 ratio to receive 12 sessions of low intensity extracorporeal shock wave therapy or sham therapy. Erectile function and penile hemodynamics were assessed before the first treatment (visit 1) and 1 month after the final treatment (followup 1) using validated sexual function questionnaires and venoocclusive strain gauge plethysmography. Results: Clinically we found a significantly greater increase in the International Index of Erectile Function-Erectile Function domain score from visit 1 to follow up 1 in the treated group than in the sham treated group (mean SEM 6.7 0.9 vs 3.0 1.4, p 0.0322). There were 19 men in the treated group who were initially unable to achieve erections hard enough for penetration (Erection Hardness Score 2 or less) who were able to achieve erections sufficiently firm for penetration (Erection Hardness Score 3 or greater) after low intensity extracorporeal shock wave therapy, compared to none in the sham group. Physiologically penile hemodynamics significantly improved in the treated group but not in the sham group (maximal post-ischemic penile blood flow 8.2 vs 0.1 ml per minute per dl,p 0.0001). None of the men experienced discomfort or reported any adverse effects from the treatment. Conclusions: This is the first randomized, double-blind, sham controlled study to our knowledge that shows that low intensity extracorporeal shock wave therapy has a positive short-term clinical and physiological effect on the erectile function of men who respond to oral phosphodiesterase type 5 inhibitor therapy. The feasibility and tolerability of this treatment, coupled with its potential rehabilitative characteristics, make it an attractive new therapeutic option for men with erectile dysfunction
The commonest male ejaculation disorder is Premature Ejaculation (PE). Inhibited or Delayed Ejaculation can be a more challenging condition to assess and treat. This discussion will focus on the diagnosis, investigations and management of ejaculation problems including an overview of the first medication specifically approved for the treatment of PE, dapoxetine, released under the trade name of Priligy™.
Unmarried women have not been a target group for cervical cancer prevention in Korea. This study was performed to identify the awareness of Pap testing in unmarried university students in Korea, and to investigate the factors associated with the intention to undergo Pap testing.
Spinal Cord Injury (SCI) is a traumatic event that results in a sudden life change that is difficult to conceptualise. No one can truly be prepared for such a huge shock. It impacts a person not just physically and neurologically, but also socially, emotionally and psychologically. Recovering from SCI has been likened to a “rebirth”. A person needs to reconstruct even the most basic activities of daily living. Sexuality, being an integral part of every person’s life, is also part of this reconstruction process.
According to previous studies, lesbian, gay, and bisexual (LGB) people report lower levels of mental health relative to heterosexuals. Young LGB people especially suffer from poorer psychological adjustment. However, it remains unclear whether different developmental identity patterns have implications for the psychological adjustment of LGB youths. There is a possibility that the development of sexual orientation identity is related to the better mental health among young LGB people. This study examines whether different patterns of LGB identity formation and integration are associated with psychological adjustment.
In this presentation, Dr Redelman reviews some strategies to improving therapeutic outcomes by considering partner characteristics, such as personality and coping style, and relationship dynamics.
Dr Anita Elias will present a practical assessment and management tool that helps patients understand the connection between their thoughts, emotions and physical sexual responses. This model considers
This presentation aims to discuss two well-known sexuality phenomena in Japan from the clinical and cultural perspective. The celibacy syndrome in young people and sexless marriages are becoming widely discussed issues, raising more and more concerns over the future of Japanese society.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent