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Low Frequency Shock Wave Therapy for Improving Post-prostatectomy Erectile Dysfunction: a Prospective Pilot Study
ProstaChoc 1
1 other identifier
interventional
N/A
1 country
1
Brief Summary
The primary objective of this study is to evaluate changes in erectile function (EF) before versus after 8 bi-weekly treatments of Low-Intensity Extracorporeal Shock Wave Therapy (LIESWT) via IIEF-EF (the Erectile Function domain of the International Index of Erectile Function) scores.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Apr 2017
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 13, 2016
CompletedFirst Posted
Study publicly available on registry
April 21, 2016
CompletedStudy Start
First participant enrolled
April 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2019
CompletedJune 20, 2017
June 1, 2017
2 years
April 13, 2016
June 16, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
The difference in the rate of change for the IIEF-EF score before and after treatment sessions (change per two-month period).
IIEF-EF = the erectile function domain of the International Index of Erectile Function
rate of change between -8 and 0 weeks versus rate of change between 0 and 8 weeks
Secondary Outcomes (35)
The change in the number of patients with improvement in erectile function (EF) over a period of observation before the treatment sessions versus a period of observation after the start of treatment sessions.
-8 to 0 weeks versus 0 to 8 weeks
The change in the number of patients with improvement in erectile function (EF) over a period of observation before the treatment sessions versus a period of observation after the start of treatment sessions.
-8 to 0 weeks versus 0 to 16 weeks
The change in the number of patients with improvement in erectile function (EF) over a period of observation before the treatment sessions versus a period of observation after the start of treatment sessions.
0 to 8 weeks versus 8 to 16 weeks
The change in the number of patients responding yes to question 2 of the Sexual Encounter Profile over a period of observation before the treatment sessions versus a period of observation after the start of treatment sessions.
-8 to 0 weeks versus 0 to 8 weeks
The change in the number of patients responding yes to question 2 of the Sexual Encounter Profile over a period of observation before the treatment sessions versus a period of observation after the start of treatment sessions.
-8 to 0 weeks versus 0 to 16 weeks
- +30 more secondary outcomes
Study Arms (1)
The study population
EXPERIMENTALThe study population is comprised of adult men less than 80 years of age who are consulting for ED lasting for over 6 months following a prostatectomy that took place 18 to 60 months ago. The patients are currently in a stable relationship that has been going on for at least 3 months, have an IIEF-EF score between 6 and 25, and have at least a natural tumescence during sexual stimulation (EHS score ≥ 1). Intervention: 8 bi-weekly LIESWT sessions
Interventions
LIESWT = Low-Intensity Extracorporeal Shock Wave Therapy The treatment protocol consists of eight bi-weekly treatment sessions (weeks 0 ot 4). During each session 3600 shocks at 0.09 mJ/mm are applied. Shocks are applied to the penis shaft at the right corpus cavernosum and the left corpus cavernosum, and at the crura at the right crus and the left crus. 900 shocks are administered to each area. The treatment areas are the same for each session, so that at the end of the full treatment (8 sessions) each area will have received 7200 shocks at 0.09 mJ/mm. In general, the patient is placed on an examination table. A series of focused shockwaves produced by the electromagnetic transducer are coupled to a patient's penile shaft and crura and are made to converge along the penis/crura volume. The operator controls treatment parameters including shockwave intensity and shockwave rate. mJ = millijoule.
Eligibility Criteria
You may qualify if:
- The patient has given his informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is a man at least 18 years old and less than 80 years old
- The patient has been in a stable, sexual relationship with only one other person for at least the past three months
- The patient is consulting for erectile dysfunction lasting for over 6 months
- The patient had a prostatectomy 18 to 60 months ago
- The patient has an erectile function domain score on the International Index of Erectile Function questionnaire between 6 and 25
- The patient has at least a natural tumescence during sexual stimulation (erection hardness score ≥ 1)
- The patient is available for 8 months of follow-up and agrees to participate in all study visits
You may not qualify if:
- The patient is participating in another interventional study, or has participated in another interventional study within the past 3 months
- The patient is under judicial protection, or is an adult under guardianship
- It is impossible to correctly inform the patient, or the patient refuses to sign the consent
- Complete anerection
- Untreated testosterone deficiency
- Neurological disease
- Psychiatric disease
- Anatomical malformation of the penis
- Chronic haematological pathology with significant clinical impact
- Oral or injectable antiandrogen treatment
- The patient is taking blood thinners and has an international normalized ratio \> 3
- History of erectile dysfunction before the prostatectomy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Centre Hospitalier Universitaire de Nīmeslead
- Direx Systems GmbHcollaborator
Study Sites (1)
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, 30029, France
Related Publications (1)
Rosen RC, Allen KR, Ni X, Araujo AB. Minimal clinically important differences in the erectile function domain of the International Index of Erectile Function scale. Eur Urol. 2011 Nov;60(5):1010-6. doi: 10.1016/j.eururo.2011.07.053. Epub 2011 Jul 30.
PMID: 21855209BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Stéphane Droupy, MD, PhD
Centre Hospitalier Universitaire de Nîmes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 13, 2016
First Posted
April 21, 2016
Study Start
April 1, 2017
Primary Completion
April 1, 2019
Study Completion
April 1, 2019
Last Updated
June 20, 2017
Record last verified: 2017-06