Evidence map›Paper›PMID 39344119›Full record

ArticleThe world journal of men's health2025

Factors Influencing Continued Usage of Intracavernosal injections for Erectile Dysfunction: A Retrospective Analysis.

Braian Rene Ledesma, Jason Codrington, David Velasquez, Alexandra Aponte Varnum, Joshua White, Greeshma Venigalla, Farah Rahman, Katherine Campbell, Alexander Weber, Max Sandler and 1 more

Abstract read
In one paragraph

Article in The world journal of men's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

11 authors.

Braian Rene LedesmaDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID https://orcid.org/0000-0003-1091-5493
Jason CodringtonDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
David VelasquezDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Alexandra Aponte VarnumDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID https://orcid.org/0009-0005-6212-3158
Joshua WhiteDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Greeshma VenigallaDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Farah RahmanDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Katherine CampbellDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Alexander WeberDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Max SandlerDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Ranjith RamasamyDesai Sethi Urology Institute, University of Miami Miller School of Medicine, Miami, FL, USA. ranjithrama@gmail.com.ORCID https://orcid.org/0000-0003-1387-7904

Funding

Disease Modifying Treatment Using Combined Shockwave Therapy and Platelet Rich Plasma In Microvascular Erectile DysfunctionR01DK130991 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI IBRAHIM, EMAD · 2021 to 2023
$921k
NIDDK NIH HHS R01 DK130991NIH HHS R01 DK130991
6 · The paper itself

Abstract

purposeIntracavernosal injections are used to treat erectile dysfunction. Patient compliance with intracavernosal injections is required for success, though factors influencing compliance are unknown. This study aimed to identify factors that influence compliance with intracavernosal injections among men with erectile dysfunction. MATERIALS AND

methodsA retrospective analysis was conducted using men who were prescribed intracavernosal injections between 2017 and 2022 at an academic medical center in a cosmopolitan area. Custom Python code was used to capture the first and last prescription refill events, and the duration of intracavernosal injection use was calculated. Additional patient-related data, including demographics and comorbidities, were gathered through chart reviews. Cox Proportional Hazards Regression models were used to evaluate the effects of predictor variables on the duration of intracavernosal injection use.

resultsA total of 4,072 patients were included in the analysis. The study revealed that age significantly predicted discontinuation of intracavernosal injection therapy, showing an elevated hazard ratio of 1.007 for each additional year of age (p<0.001). Men who preferred to speak Spanish as their primary language was a significant predictor of discontinuation of injection therapy, showing a hazard ratio of 1.163 compared to those who preferred English (p=0.004). Men with a history of prostate cancer treatment stayed on treatment for 80 days fewer on average than those without (p=0.002).

conclusionsOlder age, prior history of prostate cancer treatment, and men who preferred to speak Spanish were all identified as factors potentially associated with reduced continuation of intracavernosal injection therapy for erectile dysfunction. Understanding these factors can help healthcare providers in both patient selection and counseling when discussing treatment options for erectile dysfunction.

Indexed as

AndrologyComplianceErectile dysfunctionMedication adherenceTrimix

Identifiers

PMID39344119
PMCPMC11937362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.