Evidence map›Paper›PMID 40587060›Full record

SynthesisInternational urology and nephrology2026

Efficacy of low-intensity pulsed ultrasound (LIPUS) in the treatment of erectile dysfunction: a systematic review.

Mehmet Yilmaz, Mustafa Karaaslan, Mehmet Emin Şirin, Halil Çağrı Aybal, Muhammed Emin Polat, Selim Soyturk, Tuncay Toprak, Senol Tonyali, Selcuk Guven

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urology and nephrology, 2026. 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

9 authors.

Mehmet YilmazUrology, MediClin Kraichgau-Klinik, Fritz-Hagner-Promenade 15, 74906, Bad Rappenau, Germany. yilmazmehmet88@hotmail.com.
Mustafa KaraaslanDepartment of Urology, Bayindir Healthcare Group Kavaklidere Hospital, Ankara, Turkey.
Mehmet Emin ŞirinClinic of Urology, Private Inova Hospital, Aksaray, Turkey.
Halil Çağrı AybalClinic of Urology, Polatlı Duatepe State Hospital, Ankara, Turkey.
Muhammed Emin PolatDepartment of Urology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey.
Selim SoyturkDepartment of Urology, Necmettin Erbakan University, Medical Faculty, Konya, Turkey.
Tuncay ToprakDepartment of Urology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Senol TonyaliDepartment of Urology, Istanbul University Istanbul School of Medicine, Istanbul, Turkey.
Selcuk GuvenDepartment of Urology, Necmettin Erbakan University, Medical Faculty, Konya, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLow-intensity pulsed ultrasound (LIPUS) is a form of mid-frequency ultrasound (0.7-3 MHz) delivered in pulse wave mode (100 and 1000 Hz). LIPUS delivers high-frequency sound waves with low-intensity mechanical energy that can be transmitted to cells and thus tissues, thereby producing biological effects. The regenerative activity of LIPUS in tissues, including the cavernous nerve, has been demonstrated in numerous studies. In this systematic review, we aimed to evaluate the efficacy of LIPUS on erectile dysfunction (ED).

methodsA systematic search was conducted using PubMed-MEDLINE and Web of Science databases with the following search terms as of March 2, 2025: ''low-intensity pulsed ultrasound AND erectile dysfunction'',''LIPUS AND erectile dysfunction'', ''low-intensity pulsed ultrasound AND erectile function'', ''low-intensity pulsed ultrasound AND penile erection '' by combining PICO (population, intervention, comparison, outcome) terms.

resultsA total of six studies involving 615 patients undergoing LIPUS were identified. Three of these were randomized controlled trials (RCT), and three were non-RCT. Two studies have analysed ED associated with Peyronie's disease and chronic prostatitis/chronic pelvic pain syndrome. One study compared LIPUS with LIPUS + tadalafil and one study compared LIPUS with LIPUS + biofeedback electric stimulation in patients with ED. One study compared LIPUS with a sham-treated control group, and another study compared the efficacy of LIPUS treatment 2-3 times per week. The studies reported a significant increase in IIEF scores after LIPUS treatment compared to baseline levels.

conclusionIn spite of limited reports in the literature, LIPUS may be a promising non-invasive treatment for the management of ED.

Indexed as

Erectile DysfunctionUltrasonic TherapyUltrasonic WavesHumansMaleTreatment OutcomeErectile dysfunctionIIEFLow-intensity pulsed ultrasoundPenile erection

Identifiers

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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.