{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:01:38Z","timestamp":1787846498179,"version":"build-2784847793"},"reference-count":96,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the efficacy and safety of low\u2010intensity shockwave therapy (LiSWT) for treating erectile dysfunction (ED) compared to sham therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This summary is based on the Cochrane systematic review published in the\n                      <jats:italic>Cochrane Database of Systematic Reviews<\/jats:italic>\n                      2025, Issue 7 (CD013166). We included randomised controlled trials (RCTs) comparing LiSWT to sham therapy. We excluded psychogenic or iatrogenic ED, kidney transplants, or radical prostatectomy. Critical outcomes were erectile function, discontinuation, and adverse events; important outcomes included rigidity, satisfaction, and quality of life. Certainty was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 21 RCTs (1357 men, aged 39\u201365\u2009years) were analysed. LiSWT may slightly improve short\u2010term erectile function (mean difference [MD] 3.89, 95% confidence interval [CI] 2.89\u20134.89;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200962%; 15 studies; low\u2010certainty), though clinical importance is uncertain. Long\u2010term function may improve (MD 5.25, 95% CI 2.47\u20138.04;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200987%; five studies; low\u2010certainty). LiSWT likely has little effect on discontinuation (risk ratio 0.77, 95% CI 0.47\u20131.27;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%) or adverse events (risk difference 0.00, 95% CI \u22120.01 to 0.02;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%). It may improve short\u2010term penile rigidity (MD 1.06, 95% CI 0.83\u20131.28;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200953%; low\u2010certainty). Data for satisfaction or quality of life were unavailable.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Low\u2010intensity shockwave therapy may improve long\u2010term erectile function and short\u2010term rigidity, with little difference in discontinuation or adverse events. Evidence certainty is low due to methodological limitations and heterogeneity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70236","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T07:00:58Z","timestamp":1774854058000},"page":"949-957","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Low\u2010intensity shockwave therapy for erectile dysfunction: An abridged Cochrane review"],"prefix":"10.1111","volume":"137","author":[{"given":"Onuralp","family":"Ergun","sequence":"first","affiliation":[{"name":"Department of Urology University of Minnesota  Minneapolis MN USA"},{"name":"Urology Section Minneapolis VA Health Care System  Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwangmin","family":"Kim","sequence":"additional","affiliation":[{"name":"Surgery Yonsei University Wonju College of Medicine  Wonju South 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