Table 3 Treatment outcomes and follow-up.
Author, year | Medications | Li-SWT | Physical therapy | Other | Duration (months) | Outcomes |
|---|---|---|---|---|---|---|
Pang et al. [15] | 5 mg Tadalafil, Diclofenac as required, anti-depressants (mirtazapine 15–30 mg once daily, quetiapine 50 mg daily), zopiclone 7.5 mg once daily | Not performed | Not performed | Not performed | 1 | Improvement in symptoms |
|  | Wuling anxiolytics 330 mg 3× daily | Not performed | Not performed | Not performed | 2 | Improvement in symptoms. IPSS decreased to 0; NIH-CPSI decreased to 2; VAS, EHS, IIEF-5, HADS did not differ significantly compared to baseline |
Gul et al. [2] | 5 mg Tadalafil | NR | NR | NR | 2 | No improvement in symptoms |
|  | 5 mg Tadalafil | 6 sessions (3600 shocks, 3 Hz, 0.13mJ/mm2) | NR | NR | 6 | Initial improvement in penile hardness |
|  | 5 mg Tadalafil, 50 mg Sildenafil | NR | NR | NR | NR | Some benefit in erections |
|  | 50 mg Sildenafil | NR | NR | NR | NR | No improvement in erections |
Nico et al. [9] | NR | NR | Pelvic floor PT | NR | NR | Symptom free |
Sullivan et al. [17] | 91% had/using PDE5i, 45% using anxiolytics or anti-depressants | NR | NR | NR | NR | NR |
Goldstein and Komisaruk, [4] | NR | NR | Pelvic floor PT | Sex therapy, left transforaminal epidural spinal injection. Later, left L5-S1 lumbar endoscopic interlaminar discectomy | 12 | Transient response after epidural injection. Improved erections and penile/glans sensation and reduction in HFS symptoms after discectomy |
Billis et al. [8] | 5 mg Tadalafil | NR | 5 PT within 3-months | Psychological: pain management and coping strategies; Psychosocial: lifestyle and stress-release modifications | 3 | 85% improvement, absent perineal and penile pain/stiffness, IIEF-5: 22 (normal), HADS-A: 7, HADS-D: 6, improved pelvic floor muscle mobility on USS |
Yazar et al. [7] | 5 mg Tadalafil | 6 sessions | PT 1-2× weekly over 10-12w | NR | 24 | Symptom free |
Goldstein, [16] | NR | NR | NR | NR | NR | NR |
