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Alternative Treatment for Erectile Dysfunction: a Growing Arsenal in Men’s Health

  • Men's Health (R Carrion, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

To highlight and review encouraging preliminary studies behind several alternative products and interventions for erectile dysfunction (ED).

Recent Findings

Alternative treatments for ED are becoming more prevalent with increased consumer interest. “Natural” products are sold online, and numerous clinics offer various off-label and investigational interventions. These alternative treatments have demonstrated varying degrees of efficacy in randomized trials and meta-analyses, but none of these interventions has robust enough evidence to be considered first-line therapy. These treatments may find a role in combination with guideline treatments or may be used in novel penile rehabilitation research protocols.

Summary

With growing interest in alternative treatment for men’s health, an awareness of the literature is imperative for patient counsel. Alternative treatments, like l-arginine, have a growing body of evidence for efficacy in combination with PDE5i, and low-intensity shock wave therapy and stem cell therapy continue to demonstrate encouraging outcomes in ED trials.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Selvin E, Burnett AL, Platz EA. Prevalence and risk factors for erectile dysfunction in the US. Am J Med. 2007;120:151–7.

    PubMed  Google Scholar 

  2. Montorsi F, Adaikan G, Becher E, Giuliano F, Khoury S, Lue TF, et al. Summary of the recommendations on sexual dysfunctions in men. J Sex Med. 2010;7:3572–88.

    PubMed  Google Scholar 

  3. Dunn KM, Croft PR, Hackett GI. Association of sexual problems with social, psychological, and physical problems in men and women: a cross sectional population survey. J Epidemiol Community Health. 1999;53:144–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  4. Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, et al. Erectile dysfunction: AUA guideline. J Urol. 2018;200:633–41.

    PubMed  Google Scholar 

  5. Vardi Y, Appel B, Jacob G, Massarwi O, Gruenwald I. Can low-intensity extracorporeal shockwave therapy improve erectile function? A 6-month follow-up pilot study in patients with organic erectile dysfunction. Eur Urol. 2010;58:243–8.

    PubMed  Google Scholar 

  6. Li H, Matheu MP, Sun F, Wang L, Sanford MT, Ning H, et al. Low-energy shock wave therapy ameliorates erectile dysfunction in a pelvic neurovascular injuries rat model. J Sex Med. 2016;13:22–32.

    PubMed  Google Scholar 

  7. Gotte G, Amelio E, Russo S, Marlinghaus E, Musci G, Suzuki H. Short-time non-enzymatic nitric oxide synthesis from L-arginine and hydrogen peroxide induced by shock waves treatment. FEBS Lett. 2002;520:153–5.

    CAS  PubMed  Google Scholar 

  8. Lu Z, Lin G, Reed-Maldonado A, Wang C, Lee YC, Lue TF. Low-intensity extracorporeal shock wave treatment improves erectile function: a systematic review and meta-analysis. Eur Urol. 2017;71:223–33.

    PubMed  Google Scholar 

  9. Angulo JC, Arance I, de Las Heras MM, Meilán E, Esquinas C, Andrés EM. Efficacy of low-intensity shock wave therapy for erectile dysfunction: a systematic review and meta-analysis. Actas Urol Esp. 2017;41:479–90.

    CAS  PubMed  Google Scholar 

  10. Clavijo RI, Kohn TP, Kohn JR, Ramasamy R. Effects of low-intensity extracorporeal shockwave therapy on erectile dysfunction: a systematic review and meta-analysis. J Sex Med. 2017;14:27–35.

    PubMed  Google Scholar 

  11. Zou Z-J, Tang L-Y, Liu Z-H, Liang J-Y, Zhang R-C, Wang Y-J, et al. Short-term efficacy and safety of low-intensity extracorporeal shock wave therapy in erectile dysfunction: a systematic review and meta-analysis. Int Braz J Urol. 2017;43:805–21.

    PubMed  PubMed Central  Google Scholar 

  12. Man L, Li G. Low-intensity extracorporeal shock wave therapy for erectile dysfunction: a systematic review and meta-analysis. Urology. 2018;119:97–103.

    PubMed  Google Scholar 

  13. • Campbell JD, Trock BJ, Oppenheim AR, Anusionwu I, Gor RA, Burnett AL. Meta-analysis of randomized controlled trials that assess the efficacy of low-intensity shockwave therapy for the treatment of erectile dysfunction. Ther Adv Urol. 2019;11:175628721983836 This recent meta-analysis rigorously investigated using LI-ESWT as a therapy for vasculogenic ED specifically. The meta-analysis showed statistically significant improvement in IIEF, along with an EHS ≥ 3.

    Google Scholar 

  14. Sokolakis I, Hatzichristodoulou G. Clinical studies on low intensity extracorporeal shockwave therapy for erectile dysfunction: a systematic review and meta-analysis of randomised controlled trials. Int J Impot Res. 2019;31:177–94.

    PubMed  Google Scholar 

  15. Kalyvianakis D, Memmos E, Mykoniatis I, Kapoteli P, Memmos D, Hatzichristou D. Low-intensity shockwave therapy for erectile dysfunction: a randomized clinical trial comparing 2 treatment protocols and the impact of repeating treatment. J Sex Med. 2018;15:334–45.

    PubMed  Google Scholar 

  16. Patel P, Katz J, Lokeshwar SD, Molina M, Reis IM, Clavijo R, et al. Phase II randomized, clinical trial evaluating 2 schedules of low-intensity shockwave therapy for the treatment of erectile dysfunction. Sex Med. 2020:1–9.

  17. Khattab AA, Brodersen B, Schuermann-Kuchenbrandt D, Beurich H, Tölg R, Geist V, et al. Extracorporeal cardiac shock wave therapy: first experience in the everyday practice for treatment of chronic refractory angina pectoris. Int J Cardiol. 2007;121:84–5.

    PubMed  Google Scholar 

  18. Ter Haar G. Therapeutic ultrasound. Eur J Ultrasound. 1999;9:3–9.

    PubMed  Google Scholar 

  19. Hanawa K, Ito K, Aizawa K, Shindo T, Nishimiya K, Hasebe Y, et al. Low-intensity pulsed ultrasound induces angiogenesis and ameliorates left ventricular dysfunction in a porcine model of chronic myocardial ischemia. PLoS One. 2014;9:e104863.

    PubMed  PubMed Central  Google Scholar 

  20. Lei H, Xin H, Guan R, et al. Low-intensity pulsed ultrasound improves erectile function in Streptozotocin-induced type i diabetic rats. Urology. 2015;86:1241.e11–8.

    Google Scholar 

  21. • Cui W, Li H, Guan R, et al. Efficacy and safety of novel low-intensity pulsed ultrasound (LIPUS) in treating mild to moderate erectile dysfunction: a multicenter, randomized, double-blind, sham-controlled clinical study. Transl Androl Urol. 2019;8:307–19 This recent clinical study was the first to evaluate the efficacy of LIPUS as a therapeutic device for mild to moderate ED. The study had promising results with significantly higher IIEF-EF scores with the intervention compared to control.

    PubMed  PubMed Central  Google Scholar 

  22. Kim WS, Park BS, Sung JH, Yang JM, Park SB, Kwak SJ, et al. Wound healing effect of adipose-derived stem cells: a critical role of secretory factors on human dermal fibroblasts. J Dermatol Sci. 2007;48:15–24.

    CAS  PubMed  Google Scholar 

  23. Park JS, Suryaprakash S, Lao YH, Leong KW. Engineering mesenchymal stem cells for regenerative medicine and drug delivery. Methods. 2015;84:3–16.

    CAS  PubMed  PubMed Central  Google Scholar 

  24. Yan H, Ding Y, Lu M. Current status and prospects in the treatment of erectile dysfunction by adipose-derived stem cells in the diabetic animal model. Sex Med Rev. 2020;8:486–91. https://doi.org/10.1016/j.sxmr.2019.09.006.

    Article  PubMed  Google Scholar 

  25. Bochinski D, Lin GT, Nunes L, Carrion R, Rahman N, Lin CS, et al. The effect of neural embryonic stem cell therapy in a rat model of cavernosal nerve injury. BJU Int. 2004;94:904–9.

    PubMed  Google Scholar 

  26. Kendirci M, Trost L, Bakondi B, Whitney MJ, Hellstrom WJG, Spees JL. Transplantation of nonhematopoietic adult bone marrow stem/progenitor cells isolated by p75 nerve growth factor receptor into the penis rescues erectile function in a rat model of cavernous nerve injury. J Urol. 2010;184:1560–6.

    PubMed  PubMed Central  Google Scholar 

  27. Bahk JY, Jung JH, Han H, Min SK, Lee YS. Treatment of diabetic impotence with umbilical cord blood stem cell intracavernosal transplant: preliminary report of 7 cases. Exp Clin Transplant. 2010;8.

  28. Yiou R, Hamidou L, Birebent B, Bitari D, Lecorvoisier P, Contremoulins I, et al. Safety of intracavernous bone marrow-mononuclear cells for postradical prostatectomy erectile dysfunction: an open dose-escalation pilot study. Eur Urol. 2016;69:988–91.

    PubMed  Google Scholar 

  29. Yiou R, Hamidou L, Birebent B, Bitari D, le Corvoisier P, Contremoulins I, et al. Intracavernous injections of bone marrow mononucleated cells for postradical prostatectomy erectile dysfunction: final results of the INSTIN clinical trial. Eur Urol Focus. 2017;3:643–5.

    PubMed  Google Scholar 

  30. Al Demour S, Jafar H, Adwan S, AlSharif A, Alhawari H, Alrabadi A, et al. Safety and potential therapeutic effect of two intracavernous autologous bone marrow derived Mesenchymal stem cells injections in diabetic patients with erectile dysfunction: an open label phase I clinical trial. Urol Int. 2018;101:358–65.

    PubMed  Google Scholar 

  31. Haahr MK, Jensen CH, Toyserkani NM, Andersen DC, Damkier P, Sørensen JA, et al. Safety and potential effect of a single intracavernous injection of autologous adipose-derived regenerative cells in patients with erectile dysfunction following radical prostatectomy: an open-label phase I clinical trial. EBioMedicine. 2016;5:204–10.

    PubMed  PubMed Central  Google Scholar 

  32. Haahr MK, Harken Jensen C, Toyserkani NM, Andersen DC, Damkier P, Sørensen JA, et al. A 12-month follow-up after a single intracavernous injection of autologous adipose-derived regenerative cells in patients with erectile dysfunction following radical prostatectomy: an open-label phase I clinical trial. Urology. 2018;121:203.e6–203.e13.

    Google Scholar 

  33. Protogerou V, Michalopoulos E, Mallis P, Gontika I, Dimou Z, Liakouras C, et al. Administration of adipose derived mesenchymal stem cells and platelet lysate in erectile dysfunction: a single center pilot study. Bioengineering. 2019;6. https://doi.org/10.3390/bioengineering6010021.

  34. Scott S, Roberts M, Chung E. Platelet-rich plasma and treatment of erectile dysfunction: critical review of literature and global trends in platelet-rich plasma clinics. Sex Med Rev. 2019;7:306–12.

    PubMed  Google Scholar 

  35. Lee Y, Kim DH, Je YJ, Kim CD, Lee YH, Seo YJ, et al. Can platelet-rich plasma be used for skin rejuvenation? Evaluation of Effects of Platelet-rich Plasma on Human Dermal Fibroblast. Ann Dermatol. 2011;23:424–31. https://doi.org/10.5021/ad.2011.23.4.424.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Hall MP, Band PA, Meislin RT, Jazrawi LM, Cardone DA. Platelet-rich plasma: current concepts and application in sports medicine. J Am Acad Orthop Surg. 2009;17:602–8.

    PubMed  Google Scholar 

  37. Lee JW, Hyun Kwon O, Kim TK, Cho YK, Choi KY, Chung HY, et al. Platelet-rich plasma: quantitative assessment of growth factor levels and comparative analysis of activated and inactivated groups. Arch Plast Surg. 2013;40:530–5.

    PubMed  PubMed Central  Google Scholar 

  38. Ding XG, Li SW, Zheng XM, Hu LQ, Hu WL, Luo Y. The effect of platelet-rich plasma on cavernous nerve regeneration in a rat model. Asian J Androl. 2009;11:215–21.

    PubMed  PubMed Central  Google Scholar 

  39. Wu CC, Wu YN, Ho HO, Chen KC, Sheu MT, Chiang HS. The neuroprotective effect of platelet-rich plasma on erectile function in bilateral cavernous nerve injury rat model. J Sex Med. 2012;9:2838–48.

    PubMed  Google Scholar 

  40. Wu Y-N, Wu C-C, Sheu M-T, Chen K-C, Ho H-O, Chiang H-S. Optimization of platelet-rich plasma and its effects on the recovery of erectile function after bilateral cavernous nerve injury in a rat model. J Tissue Eng Regen Med. 2016;10:E294–304.

    CAS  PubMed  Google Scholar 

  41. Matz EL, Pearlman AM, Terlecki RP. Safety and feasibility of platelet rich fibrin matrix injections for treatment of common urologic conditions. Investig Clin Urol. 2018;59:61–5.

    PubMed  Google Scholar 

  42. Epifanova MV, Chalyi ME, Krasnov AO. Investigation of mechanisms of action of growth factors of autologous platelet-rich plasma used to treat erectile dysfunction. Urologiia. 2017:46–8.

  43. Zorgniotti AW, Lizza EF. Effect of large doses of the nitric oxide precursor, L-arginine, on erectile dysfunction. Int J Impot Res. 1994;6:33–5 discussion 36.

    CAS  PubMed  Google Scholar 

  44. Chen J, Wollman Y, Chernichovsky T, Iaina A, Sofer M, Matzkin H. Effect of oral administration of high-dose nitric oxide donor L-arginine in men with organic erectile dysfunction: results of a double-blind, randomized, placebo-controlled study. BJU Int. 1999;83:269–73.

    CAS  PubMed  Google Scholar 

  45. Balasubramanian A, Thirumavalavan N, Srivatsav A, Yu J, Hotaling JM, Lipshultz LI, et al. An analysis of popular online erectile dysfunction supplements. J Sex Med. 2019;16:843–52.

    PubMed  Google Scholar 

  46. Srivatsav A, Balasubramanian A, Pathak UI, Rivera-Mirabal J, Thirumavalavan N, Hotaling JM, et al. Efficacy and safety of common ingredients in aphrodisiacs used for erectile dysfunction: a review. Sex Med Rev. 2020;8:431–42. https://doi.org/10.1016/j.sxmr.2020.01.001.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Cui T, Kovell RC, Brooks DC, Terlecki RP. A urologist’s guide to ingredients found in top-selling nutraceuticals for men’s sexual health. J Sex Med. 2015;12:2105–17.

    CAS  PubMed  Google Scholar 

  48. Klotz T, Mathers MJ, Braun M, Bloch W, Engelmann U. Effectiveness of oral L-arginine in first-line treatment of erectile dysfunction in a controlled crossover study. Urol Int. 1999;63:220–3.

    CAS  PubMed  Google Scholar 

  49. Chang Rhim H, Kim MS, Park YJ, Choi WS, Park HK, Kim HG, et al. The potential role of arginine supplements on erectile dysfunction: a systemic review and meta-analysis. J Sex Med. 2019;16:223–34.

    Google Scholar 

  50. • El Taieb M, Hegazy E, Ibrahim A. Daily oral L-arginine plus tadalafil in diabetic patients with erectile dysfunction: a double-blinded, randomized, controlled clinical trial. J Sex Med. 2019;16:1390–7 This recent study is among the first RCTs to evaluate a combination therapy of tadalafil and L-arginine for ED. The study found that the combination therapy increased IIEF-5 scores more than either tadalafil or L-arginine alone.

    PubMed  Google Scholar 

  51. Gallo L, Pecoraro S, Sarnacchiaro P, Silvani M, Antonini G. The daily therapy with L-arginine 2,500 mg and tadalafil 5 mg in combination and in monotherapy for the treatment of erectile dysfunction: a prospective, Randomized Multicentre Study. Sex Med. 2020. https://doi.org/10.1016/j.esxm.2020.02.003.

  52. Mantovani F, Patelli E, Colombo F, Pozzoni F, Confalonieri S, Pisani E. Erectile dysfunction after non-nerve sparing radical pelvic surgery. Therapeutical experience with sildenafil and L-arginine evaluated by buckling test. Minerva Med. 2001;92:285–7.

    CAS  PubMed  Google Scholar 

  53. El-Wakeel LM, Fouad FA, Saleem MD, Saber-Khalaf M. Efficacy and tolerability of sildenafil/l-arginine combination relative to sildenafil alone in patients with organic erectile dysfunction. Andrology. 2020;8:143–7.

    CAS  PubMed  Google Scholar 

  54. Morris SM. Enzymes of arginine metabolism. J Nutr. 2004;134:2743S–7S.

    CAS  PubMed  Google Scholar 

  55. Curis E, Nicolis I, Moinard C, Osowska S, Zerrouk N, Bénazeth S, et al. Almost all about citrulline in mammals. Amino Acids. 2005;29:177–205.

    CAS  PubMed  Google Scholar 

  56. Rimando AM, Perkins-Veazie PM. Determination of citrulline in watermelon rind. J Chromatogr A. 2005;1078:196–200.

    CAS  PubMed  Google Scholar 

  57. Schwedhelm E, Maas R, Freese R, Jung D, Lukacs Z, Jambrecina A, et al. Pharmacokinetic and pharmacodynamic properties of oral L-citrulline and L-arginine: impact on nitric oxide metabolism. Br J Clin Pharmacol. 2008;65:51–9.

    CAS  PubMed  Google Scholar 

  58. Wijnands KAP, Vink H, Briedé JJ, van Faassen EE, Lamers WH, Buurman WA, et al. Citrulline a more suitable substrate than arginine to restore no production and the microcirculation during endotoxemia. PLoS One. 2012;7:e37439.

    CAS  PubMed  PubMed Central  Google Scholar 

  59. • Barassi A, Corsi Romanelli MM, Pezzilli R, Damele CAL, Vaccalluzzo L, Goi G, et al. Levels of L-arginine and L-citrulline in patients with erectile dysfunction of different etiology. Andrology. 2017;5:256–61 This study showed decreases in L-citrulline and L-arginine among patients with ED, specifically with an arteriogenic etiology. The study suggests that oral supplementation may reduce ED in these patients.

    CAS  PubMed  Google Scholar 

  60. Cormio L, De Siati M, Lorusso F, Selvaggio O, Mirabella L, Sanguedolce F, et al. Oral L-citrulline supplementation improves erection hardness in men with mild erectile dysfunction. Urology. 2011;77:119–22.

    PubMed  Google Scholar 

  61. Hotta Y, Shiota A, Kataoka T, Motonari M, Maeda Y, Morita M, et al. Oral L-citrulline supplementation improves erectile function and penile structure in castrated rats. Int J Urol. 2014;21:608–12.

    CAS  PubMed  Google Scholar 

  62. Shiota A, Hotta Y, Kataoka T, Morita M, Maeda Y, Kimura K. Oral l-citrulline supplementation improves erectile function in rats with acute arteriogenic erectile dysfunction. J Sex Med. 2013;10:2423–9.

    CAS  PubMed  Google Scholar 

  63. Shirai M, Hiramatsu I, Aoki Y, Shimoyama H, Mizuno T, Nozaki T, et al. Oral L-citrulline and transresveratrol supplementation improves erectile function in men with phosphodiesterase 5 inhibitors: a randomized, double-blind, placebo-controlled crossover pilot study. Sex Med. 2018;6:291–6.

    PubMed  PubMed Central  Google Scholar 

  64. Osadchiy V, Eleswarapu SV, Mills SA, Pollard ME, Reiter RE, Mills JN. Efficacy of a preprostatectomy multi-modal penile rehabilitation regimen on recovery of postoperative erectile function. Int J Impot Res. 2019;32:323–8. https://doi.org/10.1038/s41443-019-0187-y.

    Article  CAS  PubMed  Google Scholar 

  65. Chen X, Lee TJ. Ginsenosides-induced nitric oxide-mediated relaxation of the rabbit corpus cavernosum. Br J Pharmacol. 1995;115:15–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  66. Kim HJ, Woo DS, Lee G, Kim JJ. The relaxation effects of ginseng saponin in rabbit corporal smooth muscle: is it a nitric oxide donor? Br J Urol. 1998;82:744–8.

    CAS  PubMed  Google Scholar 

  67. Jang DJ, Lee MS, Shin BC, Lee YC, Ernst E. Red ginseng for treating erectile dysfunction: a systematic review. Br J Clin Pharmacol. 2008;66:444–50.

    CAS  PubMed  PubMed Central  Google Scholar 

  68. Kim TH, Jeon SH, Hahn EJ, Paek KY, Park JK, Youn NY, et al. Effects of tissue-cultured mountain ginseng (Panax ginseng CA Meyer) extract on male patients with erectile dysfunction. Asian J Androl. 2009;11:356–61.

    CAS  PubMed  PubMed Central  Google Scholar 

  69. Choi YD, Park CW, Jang J, Kim SH, Jeon HY, Kim WG, et al. Effects of Korean ginseng berry extract on sexual function in men with erectile dysfunction: a multicenter, placebo-controlled, double-blind clinical study. Int J Impot Res. 2013;25:45–50.

    CAS  PubMed  Google Scholar 

  70. Borrelli F, Colalto C, Delfino DV, Iriti M, Izzo AA. Herbal dietary supplements for erectile dysfunction: a systematic review and meta-analysis. Drugs. 2018;78:643–73.

    PubMed  Google Scholar 

  71. Ernst E, Pittler MH. Yohimbine for erectile dysfunction: a systematic review and meta- analysis of randomized clinical trials. J Urol. 1998;159:433–6.

    CAS  PubMed  Google Scholar 

  72. Tam SW, Worcel M, Wyllie M. Yohimbine: a clinical review. Pharmacol Ther. 2001;91:215–43.

    CAS  PubMed  Google Scholar 

  73. Guay AT, Spark RF, Jacobson J, Murray FT, Geisser ME. Yohimbine treatment of organic erectile dysfunction in a dose-escalation trial. Int J Impot Res. 2002;14:25–31.

    CAS  PubMed  Google Scholar 

  74. Lebret T, Hervé JM, Gorny P, Worcel M, Botto H. Efficacy and safety of a novel combination of L-arginine glutamate and yohimbine hydrochloride: a new oral therapy for erectile dysfunction. Eur Urol. 2002;41:608–13.

    CAS  PubMed  Google Scholar 

  75. Akhondzadeh S, Amiri A, Bagheri AH. Efficacy and safety of Oral combination of Yohimbine and L-arginine (SX) for the treatment of erectile dysfunction: a multicenter, randomized, double blind, placebo-controlled clinical trial. Iran J Psychiatry. 2010;5:1–3.

    PubMed  PubMed Central  Google Scholar 

  76. Belew D, Klaassen Z, Lewis RW. Intracavernosal injection for the diagnosis, evaluation, and treatment of erectile dysfunction: a review. Sex Med Rev. 2015;3:11–23.

    PubMed  Google Scholar 

  77. Hanchanale V, Eardley I. Alprostadil for the treatment of impotence. Expert Opin Pharmacother. 2014;15:421–8.

    CAS  PubMed  Google Scholar 

  78. Padma-Nathan H, Yeager JL. An integrated analysis of alprostadil topical cream for the treatment of erectile dysfunction in 1732 patients. Urology. 2006;68:386–91.

    PubMed  Google Scholar 

  79. Key points from the evidence | Erectile dysfunction: Alprostadil cream | Advice | NICE. https://www.nice.org.uk/advice/esnm50/chapter/Key-points-from-the-evidence. Accessed 6 Apr 2020.

  80. Rooney M, Pfister W, Mahoney M, Nelson M, Yeager J, Steidle C. Long-term, multicenter study of the safety and efficacy of topical alprostadil cream in male patients with erectile dysfunction. J Sex Med. 2009;6:520–34.

    CAS  PubMed  Google Scholar 

  81. Apricus Biosciences Receives Complete Response Letter from FDA for Vitaros. https://www.drugs.com/nda/vitaros_180216.html. Accessed 6 Apr 2020.

  82. Lin K-C, Niu K-C, Tsai K-J, Kuo J-R, Wang L-C, Chio C-C, et al. Attenuating inflammation but stimulating both angiogenesis and neurogenesis using hyperbaric oxygen in rats with traumatic brain injury. J Trauma Acute Care Surg. 2012;72:650–9.

    CAS  PubMed  Google Scholar 

  83. Tanaka T, Minami A, Uchida J, Nakatani T. Potential of hyperbaric oxygen in urological diseases. Int J Urol. 2019;26:860–7.

    CAS  PubMed  Google Scholar 

  84. Müller A, Tal R, Donohue JF, Akin-Olugbade Y, Kobylarz K, Paduch D, et al. The effect of hyperbaric oxygen therapy on erectile function recovery in a rat cavernous nerve injury model. J Sex Med. 2008;5:562–70.

    PubMed  Google Scholar 

  85. Yuan JB, Yang LY, Wang YH, Ding T, Chen TD, Lu Q. Hyperbaric oxygen therapy for recovery of erectile function after posterior urethral reconstruction. Int Urol Nephrol. 2011;43:755–61.

    CAS  PubMed  Google Scholar 

  86. • Hadanny A, Lang E, Copel L, Meir O, Bechor Y, Fishlev G, et al. Hyperbaric oxygen can induce angiogenesis and recover erectile function. Int J Impot Res. 2018;30:292–9 This recent study was the first to investigate HBOT as a therapy for non-surgical ED. The study showed significant increases in IIEF scores, demonstrating improvement in erectile function. A subset of the experimental group also underwent dynamic contrast-enhanced MRI, demonstrating improvements in penile perfusion.

    PubMed  Google Scholar 

  87. Sahin MO, Sen V, Eser E, Koc E, Gumus U, Karakuzu C, et al. The effect of hyperbaric oxygen therapy on erectile functions: a prospective clinical study. Urol Int. 2018;101:206–11.

    CAS  PubMed  Google Scholar 

  88. Sen V, Sahin MO, Irer B, Koc E, Yildiz G. The impact of hyperbaric oxygen therapy on erectile functions and serum testosterone levels in patients with erectile dysfunction. Aging Male. 2020;23:66–70.

    CAS  PubMed  Google Scholar 

  89. Chiles KA, Staff I, Johnson-Arbor K, Champagne A, McLaughlin T, Graydon RJ. A double-blind, randomized trial on the efficacy and safety of hyperbaric oxygenation therapy in the preservation of erectile function after radical prostatectomy. J Urol. 2018;199:805–11.

    CAS  PubMed  Google Scholar 

  90. Stein MJ, Lin H, Wang R. New advances in erectile technology. Ther Adv Urol. 2014;6:15–24.

    PubMed  PubMed Central  Google Scholar 

  91. Segal RL, Tajkarimi K, Burnett AL, Rl S, Tajkarimi K, Viberect BAL (2013) Evaluation of its erectogenic efficacy. 5343–5346.

  92. Fode M, Borre M, Ohl DA, Lichtbach J, Sønksen J. Penile vibratory stimulation in the recovery of urinary continence and erectile function after nerve-sparing radical prostatectomy: a randomized, controlled trial. BJU Int. 2014;114:111–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  93. Clavell Hernandez J, Wu Q, Zhou X, Nguyen JN, Davis JW, Wang R. Penile vibratory stimulation in penile rehabilitation after radical prostatectomy: a randomized, controlled trial. J Sex Med. 2018;15:S253–4.

    Google Scholar 

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Muncey, W., Sellke, N., Kim, T. et al. Alternative Treatment for Erectile Dysfunction: a Growing Arsenal in Men’s Health. Curr Urol Rep 22, 11 (2021). https://doi.org/10.1007/s11934-020-01023-9

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