Review Article

Overview of Contemporary Penile Rehabilitation Therapies

Table 1

Summary table of penile rehabilitation trials.

AuthorsYear publishedTreatment regimentStudy design Significant findings

Schwartz et al.2004QOD PDEiProspective21No loss of smooth muscle in 50 mg group, gain of smooth muscle in 100 mg group

Bannowski et al.2008Daily PDEiProspective, randomized control41Treatment group had significantly higher IIEF and higher spontaneous erection rates

McCullough et al.2008Daily PDEiProspective, randomized, placebo control54Treatment groups had higher return of rigidity, higher rate of spontaneous erections

Raina et al.2006Daily VEDProspective, randomized control109Improved sexual satisfaction, higher rate of spontaneous erections

Köhler et al.2007Daily VED (10 mins), immediate versus delayedProspective, randomized28Delayed use of VED did not affect sexual satisfaction once use began. There is no statistical significance in penile shrinkage once VED started

Montorsi et al.1999ICI 3 times weeklyProspective, randomized control30Higher percentage of treatment group having spontaneous erections

Mulhall et al.2005ICI or PDEi to achieve erections 3 times weeklyProspective, control132Treatment groups had 2.7 times the rate of spontaneous erections, statistically higher IIEF scores

Nandipati et al.2006Daily PDEi and ICI 2-3 times weekProspective22Assisted early sexual activity and satisfaction. Addition of PDEi allows lower dose of ICI.