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Effect of low intenisity extracoporeal shock waves therapy on erectile dysfunction in patients with diabetic polyneuropathy / Abdelrzak Abdelnaeim Ahmed Mahmoud ; Supervised Wael Salah Twfik Shendy , Moataz Mohamed Elsemary , Omar Mohamed Elsoghier

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Abdelrzak Abdelnaeim Ahmed Mahmoud , 2020Description: 112 P . : charts ; 25cmOther title:
  • تأثير العلاج بانموجات التصادمية منخفضة الشدة على ضعف الإنتصاب فى مرضى إعتلال الأعصاب انسكرى [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Neuromuscular and Neurosurgery Summary: Background: Erectile dysfunction (ED) is a common disorder among men with diabetes mellitus (DM). New therapies are warranted to treat this complex disorder. Objective: to assess the effectiveness of low-intensity extracorporeal shockwave therapy (Li-ESWT) in the management of ED in diabetic patients with polyneuropathy. Subjects: This randomized controlled trial included 40 patients 35-60 years of age with a confirmed diagnosis of ED due to diabetic polyneuropathy (DP). They were randomly allocated to one of two groups; Shock Wave Group (n=20) treated with Li-ESWT plus pelvic floor muscle exercises for six weeks and Pelvic Floor Exercise Group (n=20) treated with pelvic floor muscle exercises and sham therapy of shock wave. Methods: The erectile function was assessed and scored according to the five-item version of the International Index of Erectile Function (IIEF-5). Color-coded duplex sonography was used for the evaluation of penile perfusion to measure peak systolic velocity (PSV), end-diastolic velocity (EDV), and resistance index (RI) of the two cavernous arteries. The assessment was done before and three months after treatment. Results: International Index of Erectile Function increased significantly in the SW group (p < 0.001), but not in the PFE group (p = 0.194). IIEF was positively correlated with PSV before treatment. PSV of the right and left cavernous arteries were low at baseline, indicating arterial insufficiency. After treatment, PSV significantly in the two groups; however, the post-treatment PSV was significantly higher in the SW group ( study) compared to the PFE group (control) (p < 0.001, for both arteries)
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Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.21.08.Ph.D.2020.Ab.E (Browse shelf(Opens below)) Not for loan 01010110082339000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.21.08.Ph.D.2020.Ab.E (Browse shelf(Opens below)) 82339.CD Not for loan 01020110082339000

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Neuromuscular and Neurosurgery

Background: Erectile dysfunction (ED) is a common disorder among men with diabetes mellitus (DM). New therapies are warranted to treat this complex disorder. Objective: to assess the effectiveness of low-intensity extracorporeal shockwave therapy (Li-ESWT) in the management of ED in diabetic patients with polyneuropathy. Subjects: This randomized controlled trial included 40 patients 35-60 years of age with a confirmed diagnosis of ED due to diabetic polyneuropathy (DP). They were randomly allocated to one of two groups; Shock Wave Group (n=20) treated with Li-ESWT plus pelvic floor muscle exercises for six weeks and Pelvic Floor Exercise Group (n=20) treated with pelvic floor muscle exercises and sham therapy of shock wave. Methods: The erectile function was assessed and scored according to the five-item version of the International Index of Erectile Function (IIEF-5). Color-coded duplex sonography was used for the evaluation of penile perfusion to measure peak systolic velocity (PSV), end-diastolic velocity (EDV), and resistance index (RI) of the two cavernous arteries. The assessment was done before and three months after treatment. Results: International Index of Erectile Function increased significantly in the SW group (p < 0.001), but not in the PFE group (p = 0.194). IIEF was positively correlated with PSV before treatment. PSV of the right and left cavernous arteries were low at baseline, indicating arterial insufficiency. After treatment, PSV significantly in the two groups; however, the post-treatment PSV was significantly higher in the SW group ( study) compared to the PFE group (control) (p < 0.001, for both arteries)

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