Evidence map›Paper›PMID 39037510›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2024

An overview of the Canadian landscape on the use of restorative therapies for erectile dysfunction and Peyronie's disease.

Jainik Shah, Maximilian G Fidel, Dhiraj S Bal, Armin Kharazi, Connor F Roque, Yool Ko, Karim Sidhom, David Bouhadana, Francis Petrella, Premal Patel

Abstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jainik ShahMax Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Maximilian G FidelMax Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Dhiraj S BalMax Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Armin KharaziMen's Health Clinic Manitoba, Winnipeg, MB, Canada.
Connor F RoqueMax Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Yool KoMax Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Karim SidhomSection of Urology, Department of Surgery, University of Manitoba, Winnipeg, MB, Canada.
David BouhadanaDivision of Urology, McGill University Health Center, Montreal, QC, Canada.
Francis PetrellaDivision of Urology, McGill University Health Center, Montreal, QC, Canada.
Premal PatelSection of Urology, Department of Surgery, University of Manitoba, Winnipeg, MB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRestorative therapies (RTs), including low-intensity shockwave therapy (Li-SWT) and platelet-rich plasma (PRP), aim to restore natural erectile function. Many clinics offer these therapies for erectile dysfunction (ED) and Peyronie's disease (PD) with direct-to-consumer (DTC) marketing. This study sought to investigate the landscape of RTs within Canadian clinics.

methodsOnline searches were made to identify clinics offering Li-SWT and/or PRP as an RT for treating ED and PD in Canada. Public websites were analyzed, followed by calling clinics for data on cost, treatment protocols, clinic ownership, success rates, and adjunctive therapies.

resultsA total of 107 clinics were identified online, with a 68.2% call response rate (n=73). Of the respondents, 56 and 40 clinics provided Li-SWT and PRP therapies, respectively, with 23 clinics offering both. All clinics reported using RTs for ED, with 21 clinics offering Li-SWT and 22 clinics providing PRP for PD. Forty-three clinics provided costs and protocols for Li-SWT, while 33 clinics did so for PRP. The average cost ± standard deviation (CAD) of six sessions of Li-SWT was $2167.24±936.11 and one shot of PRP was $1478.68±591.98. Most (60.3%, n=44) clinics reported physician ownership, with a majority (n=28) being family medicine-trained. Seven clinics did not provide data and 22 were non-physician-owned. Ten clinics provided success rates, with an average of 87.3%.

conclusionsDespite limited data supporting their routine clinical use, many clinics across Canada offer RTs for ED and PD with varying treatment protocols and increased costs. Further research is required to evaluate the efficacy of RT for ED and PD.

Identifiers

PMID39037510
PMCPMC11623333

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.