Erectile dysfunction (ED) is defined as the inability to attain and maintain erection of the penis sufficient to permit satisfactory sexual activity. ED most commonly affects men from 40 years of age with a clear age-associated increase in prevalence. The condition may have significant negative impact on quality of life for both the patients and their partners. Over recent years, low-intensity shockwave therapy (LIST) has gained popularity in the treatment of ED, based on the assumption that LIST application may result in neoangiogenesis and thus increased blood flow to the corpora cavernosa. The increasing usage of LIST is contrasting with current guidelines, with the EAU guideline on ED stating that LIST can be used in mild organic ED patients or poor responders to PDE5I's, but with a weak strength of recommendation. In the AUA guideline on ED, the panel makes a conditional recommendation of grade C that LIST should be considered investigational. In this review, we will briefly review practice patterns, and critically discuss the evidence based on which these guideline statements have been made.

中文翻译：

---

低密度冲击波治疗勃起功能障碍的当前指南建议和证据质量分析。

勃起功能障碍（ED）定义为无法获得和维持足以使性活动令人满意的阴茎勃起。ED最常见于40岁以上的男性，其患病率明显与年龄相关。该疾病可能对患者及其伴侣的生活质量产生重大不利影响。近年来，基于以下假设，低强度冲击波疗法（LIST）在ED的治疗中得到了普及：LIST的应用可能导致新血管生成，从而增加了海绵体的血流量。LIST的使用不断增加与当前指南形成对比，EED的ED指南指出LIST可用于轻度有机性ED患者或对PDE5I应答较差的患者，但推荐强度较弱。在ED的AUA指南中，专家组提出了C级的有条件建议，即LIST应该被视为具有研究性。在这篇综述中，我们将简要回顾实践模式，并严格讨论根据这些准则所作的证据。