Patient Satisfaction after Low Intensity Extracorporeal Shockwave Therapy for the Treatment of Vasculogenic Erectile Dysfunction

Ahmed Abd El-Moneim Abd El-Hakim, Ahmed Ebrahim Elerian, Neveen Abdel Latif Abdel Raoof, Mohsen El-Sayyad, Mohamed Ahmed Abd El Salam

Ahmed Abd El-Moneim Abd El-Hakim, Ahmed Ebrahim Elerian, Neveen Abdel Latif Abdel Raoof, Mohsen El-Sayyad, Mohamed Ahmed Abd El Salam – Patient Satisfaction after Low Intensity Extracorporeal Shockwave Therapy for the Treatment of Vasculogenic Erectile Dysfunction. Fizjoterapia Polska 2021; 21(2); 94-99

Abstract
Background. One of the most frequent causes of vasculogenic erectile dysfunction (VED) is penile arterial insufficiency. Recently, low-intensity extracorporeal shock wave therapy (Li-ESWT) was reported to improve VED by enhancing perfusion of the penis. The current study was performed to evaluate the effect of Li-ESWT in VED patients with penile arterial insufficiency. Methods. Single-arm study of sixty patients with a diagnosis of VED (penile arterial insufficiency) confirmed by penile duplex ultrasonography and failed to respond to phosphodiesterase type 5 inhibitors (PDE5is) and intracavernosal injection with five item version of the international index of erectile function (IIEF-5) scores from 5 to 21 and erection hardness score (EHS) of ≤ 3. Li-ESWT treatment consisted of 3,000 shockwaves twice weekly for 6 weeks. All patients continued their regular PDE5is use. The IIEF-5 and EHS were used to evaluate the change in erectile function before the first session, at the end of the last session, and follow up after 3 months. Results. The results showed that there was marked improvement in scores of IIEF-5 and EHS post treatment compared with that of pre treatment. But, there was no remarkable difference between post treatment and follow up. Conclusion. Adding Li-ESWT to PDE5is can improve the quality of erection in VED patients with penile arterial insufficiency and failed to respond to medical treatment only.
Key words:
vasculogenic erectile dysfunction, penile arterial insufficiency, low intensity extracorporeal shock wave therapy, international index of erectile function, erection hardness score
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Effect of Different Lumbar Lordotic Angles on Dynamic Postural Stability in Young Adults

Mostafa Gomaa Mahmoud Ali, Neveen Abdel Latif Abdel Raoof, Magda Gaid Sedhom, Nesma Ahmed Helmy, Hossam Eddien Fawaz

Mostafa Gomaa Mahmoud Ali, Neveen Abdel Latif Abdel Raoof, Magda Gaid Sedhom, Nesma Ahmed Helmy, Hossam Eddien Fawaz – Effect of Different Lumbar Lordotic Angles on Dynamic Postural Stability in Young Adults. Fizjoterapia Polska 2020; 20(2); 142-147

DOI: https://doi.org/10.56984/8ZG0DC30E

Abstract
Objectives. Lumbar lordosis is a main element in maintaining the sagittal balance. Improper postural alignment and trunk stability and excessive spine curvatures such as lordosis, kyphosis and scoliosis can impact our balance system adversely. This study was conducted to investigate the effect of different lumbar lordotic angles on dynamic postural stability and limits of stability in young adults. Methods. 100 normal male subjects participated in this study; their ages were ranged from 20 to 35 years and their BMI were ranged from 18.5 to 24.9 kg/m2. They assigned to two equal groups according to the lumbar lordotic angle. Group (A) (n = 50 males) control group with normal lumbar lordotic angles ranged from 20 to 60 degrees. Group (B) (n = 50 males) hyper lordotic group with lumbar lordotic angles more than 60 degrees. X-ray was done to measure the lumbar lordotic angles using cobb’s angle method and the biodex balance system was used for assessment of dynamic postural stability and limits of stability. Results. The findings of current study using the MANOVA test revealed that there was a significant effect of different lumbar lordotic angles on dynamic postural stability and limits of stability in young adults (p = 0.0001). Conclusion. It was concluded that the difference in lumbar lordotic angles had an effect on dynamic postural stability and limits of stability in young adults. Moreover, subjects with increased lumbar lordotic angles reported poor dynamic postural stability and decreased limits of stability compared with normal ones using the biodex balance system.

Key words:
Lumbar lordotic angles, Dynamic postural stability, Biodex Balance System

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