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Master Thesis

Intérêt de la << extracorporeal shockwave therapy >> dans la prise en charge de la dysfonction érectile d'origine vasculaire

Abstract : Introduction: the sexual health is an important part of the global health in general. The physiotherapist took an essential part in the perineal rehabilitation, especially on women. For men, perineal rehabilitation is more about bladder continence after radical prostatectomy. The research around the “Low-intensity Extracorporeal ShockWave Therapy” is constantly increasing and it could become a new tool in the therapeutic arsenal of physiotherapist in the management of erectile dysfunction (ED). Aim: to asses the efficiency and the security of “Li-ESWT” in the management of ED. Methods: systematic search was conducted of the following data bases, PubMed, PEDro, Cochrane Library and SciencesDirect. 8 randomized clinicals trials have been included in the review based on specific inclusion and exclusion criteria. Those RCT had to present data on the evolution of IIEF score and EHS score. Results: the meta-analysis of our main outcomes gives us, for the Erection Hardness Score, a relative risk (EHS<3) equal to 0.65 with a confidence interval at 95% [0.57 ; 0.74] and for the IIEF, a difference in mean of 3.77 with a confidence interval at 95% [2.58 ; 4.95] in favour of the therapy. Discussion: the results seems to point out the efficiency of the “Li-ESWT” in the management of erectile dysfunction through the assessment of IIEF score and EHS. Furthermore, more studies are expected, like the comparison between “Li-ESWT” and phosphodiesterase 5 inhibitors to bring strong evidence on the efficiency of this emerging therapy.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03356493
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Submitted on : Tuesday, September 28, 2021 - 10:23:52 AM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM

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Romain Fabiao. Intérêt de la << extracorporeal shockwave therapy >> dans la prise en charge de la dysfonction érectile d'origine vasculaire. Médecine humaine et pathologie. 2021. ⟨dumas-03356493⟩

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