Tuncay Taş1, Basri Çakıroğlu2, Ersan Arda3, Özkan Onuk4, Barış Nuhoğlu4. 1. Department of Urology, Istanbul Cerrahi Hospital, Nisantasi University College of Health Sciences, Istanbul, Turkey. Electronic address: drtastuncay@gmail.com. 2. Department of Urology, Hisar Intercontinental Hospital, Istanbul, Turkey. 3. Department of Urology, Trakya University School of Medicine, Edirne, Turkey. 4. Department of Urology, Yeni Yüzyıl University, Istanbul, Turkey.
Abstract
INTRODUCTION: Platelet-rich plasma (PRP) is useful in the treatment of different conditions and diseases as it contains concentrated levels of many growth factors. AIM: The aim of this study was to investigate the effectiveness of autologous PRP application in the treatment of erectile dysfunction (ED) in patients with metabolic syndrome. METHODS: In this prospective study conducted in June 2019, 31 patients with ED were included. The International Index of Erectile Function-Erectile Function domain (IIEF-EF) questionnaires were used to evaluate erectile function (EF). After administering the intracavernous autologous PRP 3 times with an interval of 15 days, IIEF-EFs were evaluated 1, 3, and 6 months later. MAIN OUTCOME MEASURE: IIEF in the 1st, 3rd, and 6th months and adverse events. RESULTS: While the mean IIEF-EF was 18 before the application, the mean IIEF-EF was 20 in the first, third, and sixth months after the procedure (P < .001). However, even though IIEF-EF values increased numerically, median value remained within the mild-moderate classification (scores between 17 and 21). Postprocedure sexual satisfaction scores were significantly higher than preprocedure values (8 vs 6, respectively; P = .002). In the first follow-up of a patient after the 3rd injection, a 4-mm diameter fibrotic plaque was observed on the ventral side in the middle of the penis shaft. CONCLUSION: In conclusion, our findings suggest that larger studies as well as placebo-controlled studies are needed to add PRP to the treatment protocol in ED. T Taş,Çakıroğlu, E Arda, et al. Early Clinical Results of the Tolerability, Safety, and Efficacy of Autologous Platelet-Rich Plasma Administration in Erectile Dysfunction. Sex Med 2021;9:100313.
INTRODUCTION: Platelet-rich plasma (PRP) is useful in the treatment of different conditions and diseases as it contains concentrated levels of many growth factors. AIM: The aim of this study was to investigate the effectiveness of autologous PRP application in the treatment oferectile dysfunction (ED) in patients with metabolic syndrome. METHODS: In this prospective study conducted in June 2019, 31 patients with ED were included. The International Index of Erectile Function-Erectile Function domain (IIEF-EF) questionnaires were used to evaluate erectile function (EF). After administering the intracavernous autologous PRP 3 times with an interval of 15 days, IIEF-EFs were evaluated 1, 3, and 6 months later. MAIN OUTCOME MEASURE: IIEF in the 1st, 3rd, and 6th months and adverse events. RESULTS: While the mean IIEF-EF was 18 before the application, the mean IIEF-EF was 20 in the first, third, and sixth months after the procedure (P < .001). However, even though IIEF-EF values increased numerically, median value remained within the mild-moderate classification (scores between 17 and 21). Postprocedure sexual satisfaction scores were significantly higher than preprocedure values (8 vs 6, respectively; P = .002). In the first follow-up of a patient after the 3rd injection, a 4-mm diameter fibrotic plaque was observed on the ventral side in the middle ofthe penis shaft. CONCLUSION: In conclusion, our findings suggest that larger studies as well as placebo-controlled studies are needed to add PRP tothe treatment protocol in ED. T Taş,Çakıroğlu, E Arda, et al. Early Clinical Results ofthe Tolerability, Safety, and Efficacy of Autologous Platelet-Rich Plasma Administration in Erectile Dysfunction. Sex Med 2021;9:100313.
Authors: Celeste Manfredi; Fabio Castiglione; Mikkel Fode; Michal Lew-Starowicz; Javier Romero-Otero; Carlo Bettocchi; Giovanni Corona Journal: Int J Impot Res Date: 2022-07-27 Impact factor: 2.408
Authors: Joseph M Israeli; Soum D Lokeshwar; Iakov V Efimenko; Thomas A Masterson; Ranjith Ramasamy Journal: Int J Impot Res Date: 2021-11-06 Impact factor: 2.408