Comparison of different shock wave therapies in the treatment of erectile dysfunction

ISRCTN ISRCTN14000407
DOI https://doi.org/10.1186/ISRCTN14000407
Secondary identifying numbers 20131113
Submission date
10/10/2025
Registration date
10/10/2025
Last edited
10/10/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Erectile dysfunction (ED) is the inability to get or keep an erection firm enough for sexual activity. It is a common condition, affecting up to half of men aged between 40 and 70 years. One of the newer treatments for ED uses shock waves called shockwave therapy to improve blood flow in the penis. There are two main types of this treatment: focused shockwave therapy (fSWT) and radial wave therapy (rWT). Both are believed to stimulate the growth of new blood vessels and improve tissue health. The aim of this study is to compare the long-term effectiveness of these two methods in improving erectile function in men with blood vessel related ED.

Who can participate?
Men aged 40 to 70 years who have had erectile dysfunction for at least 3 months and have a moderate to severe reduction in erectile function

What does the study involve?
This was a two-centre prospective cohort study, meaning men were treated and followed over time in two different hospitals. One group received focused shockwave therapy (fSWT) using a device called ED1000, and the other group received radial wave therapy (rWT) using a Zimmer enPuls Pro device. Both treatments involved a series of short, painless sessions over several weeks. No anaesthesia or medication was required. Participants completed questionnaires on erectile function before treatment, after 3 months, and again after 1 year.

What are the possible benefits and risks of participating?
The possible benefit is improved erectile function and better sexual performance without the need for medication or surgery.
The treatment is considered safe and non-invasive, with no reported serious side effects. Some men might experience mild temporary discomfort during treatment, but no long-term risks are expected.

Where is the study run from?
1. Göksel Bayar Special Healthcare Company (Turkiye)
2. Ismail Basmaci Special Healthcare Company (Turkiye)

When is the study starting and how long is it expected to run for?
June 2021 to July 2024

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Assoc. Prof. Göksel Bayar, goxelle@gmail.com, goksel.bayar@medicalpark.com.tr

Contact information

Dr Göksel Bayar
Public, Scientific, Principal investigator

Guzelller Mah Kavak Cad Medical Park Hastanesi
Gebze
41400
Türkiye

Phone +90 (0)5315849749
Email goksel.bayar@medicalpark.com.tr

Study information

Study designNon-randomized study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleComparative effectiveness of focused shockwave therapy and radial wave therapy for erectile dysfunction: a two-centre prospective cohort study
Study objectivesTo evaluate the efficacy of focused and non-focused shock wave treatment of erectile dysfunction for at least 1 year.
Ethics approval(s)

Approved 01/06/2023, Samsun University Local Ethics Committee (İstiklal Mahallesi Tekel Cad, Ballıca Kampüsü No:2, 19 Mayıs, Samsun, 55000, Türkiye; +90 (0)3623130055; samsununu.kaek@gmail.com), ref: 20231224

Health condition(s) or problem(s) studiedErectile dysfunction
InterventionThis was a two-centre prospective cohort study, meaning men were treated and followed over time in two different hospitals. One group received focused shockwave therapy (fSWT) using a device called ED1000, and the other group received radial wave therapy (rWT) using a Zimmer enPuls Pro device. Both treatments involved a series of short, painless sessions over several weeks. No anaesthesia or medication was required. Participants completed questionnaires on erectile function before treatment, after 3 months, and again after 1 year. Chi-square and Student's t-tests will be used for statistical comparison. The Wilson test will be used to assess the effectiveness of the treatments themselves.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhasePhase IV
Drug / device / biological / vaccine name(s)Shock wave treatment
Primary outcome measureErectile function measured using the International Index of Erectile Function (IIEF) score before treatment, after 3 months, and after 1 year
Secondary outcome measuresSexual function assessed using the Sexual Encounter Profile (SEP) before treatment, after 3 months, and after 1 year
Overall study start date01/06/2021
Completion date01/07/2024

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit30 Years
Upper age limit70 Years
SexMale
Target number of participants200
Total final enrolment200
Key inclusion criteriaErectile dysfunction patients with vascular insuffiency
Key exclusion criteria1. Pelvic surgery, e.g. radical prostatectomy
2. Radiotherapy
3. Neuropathic illness
Date of first enrolment01/07/2023
Date of final enrolment01/07/2024

Locations

Countries of recruitment

  • Türkiye

Study participating centres

Göksel Bayar Special Healthcare Company
Guzelller Mah Kavak Cad Medical Park Hastanesi
Gebze
41400
Türkiye
Ismail Basmaci Special Healthcare Company
Artuklu Mah
Mardin
47060
Türkiye

Sponsor information

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in andrology journal
IPD sharing planThe data-sharing plans for the current study are unknown and will be made available at a later date

Editorial Notes

10/10/2025: Study's existence confirmed by the Samsun University Local Ethics Committee.