Evidence map›Paper›PMID 41057588›Full record

SynthesisInternational journal of impotence research2026

Electrical stimulation for erectile dysfunction: a systematic review and meta-analysis of RCTs.

Álvaro Navas Mosqueda, Giuseppe Maiolino, Gracia María Gallego Sendarrubias, Víctor Jiménez Díaz-Benito, Eduardo Cimadevilla Fernández-Pola, Cristina Ojedo Martín, Marina Gómez De Quero Córdoba, Eldiberto Manuel Fernández Fernández, Enrique Lledó García, Juan Ignacio Martínez-Salamanca and 1 more

Abstract readSystematic ReviewMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in International journal of impotence research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Álvaro Navas MosquedaPhysiotherapy and Health Research Group (FYSA), Faculty of Health Sciences - HM Hospitals, University Camilo José Cela, Madrid, Spain.
Giuseppe MaiolinoDepartment of Andrology and Sexual Medicine, Lyx Institute of Urology, Universidad Francisco de Vitoria, Universidad Francisco de Vitoria, Madrid, Spain. giu.maiolino@lyxurologia.com.ORCID http://orcid.org/0000-0002-3269-7434
Gracia María Gallego SendarrubiasPhysiotherapy and Health Research Group (FYSA), Faculty of Health Sciences - HM Hospitals, University Camilo José Cela, Madrid, Spain.
Víctor Jiménez Díaz-BenitoDepartment of Sport Sciences, Faculty of Physical Activity and Sport Sciences, Universidad Europea de Madrid, Madrid, Spain.
Eduardo Cimadevilla Fernández-PolaInstituto de Investigación Sanitaria HM Hospitales, Madrid, Spain.ORCID http://orcid.org/0000-0002-8168-2845
Cristina Ojedo MartínPhysiotherapy and Health Research Group (FYSA), Faculty of Health Sciences - HM Hospitals, University Camilo José Cela, Madrid, Spain.ORCID http://orcid.org/0000-0003-3697-7051
Marina Gómez De Quero CórdobaDepartment of Nursing, Universitat Rovira i Virgili, Tarragona, Spain.
Eldiberto Manuel Fernández FernándezDepartment of Urology, Hospital Viamed Santa Elena, Madrid, Spain.
Enrique Lledó GarcíaDepartment of Andrology and Sexual Medicine, Lyx Institute of Urology, Universidad Francisco de Vitoria, Universidad Francisco de Vitoria, Madrid, Spain.
Juan Ignacio Martínez-SalamancaDepartment of Andrology and Sexual Medicine, Lyx Institute of Urology, Universidad Francisco de Vitoria, Universidad Francisco de Vitoria, Madrid, Spain.
Esaú Fernández-PascualDepartment of Andrology and Sexual Medicine, Lyx Institute of Urology, Universidad Francisco de Vitoria, Universidad Francisco de Vitoria, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies have explored peripheral electrical stimulation (pES) as a potential treatment for erectile dysfunction (ED). This systematic review and meta-analysis evaluate the efficacy of pES in ED patients. A systematic search was conducted across PubMed, Scopus, ScienceDirect, and Web of Science to identify randomized controlled trials (RCTs) published between 2015 and 2025. Studies comparing pES to sham procedures, standard therapies, or no treatment were included. Eligible studies assessed objective or subjective erectile function outcomes, primarily using the International Index of Erectile Function (IIEF-5). A meta-analysis was performed using a random-effects model. Only three RCTs (n = 82) met inclusion criteria. pES was associated with a significant mean increase in IIEF-5 scores versus controls, with a pooled mean difference of 5.04 points (95% CI, 4.04-6.04). However, heterogeneity was high (I² = 86%, p < 0.001) and a significant difference in terms of pES protocols was noted. No adverse effects were reported. Hypothetical mechanisms of pES in ED have been discussed. pES shows potential as a novel, non-invasive ED treatment targeting multiple physiological pathways. The low certainty of evidence, limited number of RCTs, and study heterogeneity highlight the need for further research.

Indexed as

Electric Stimulation TherapyErectile DysfunctionHumansMaleRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
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.