ClinicalTrials.gg
CompletedNCT03596047Updated Mar 19, 2026Results posted

Radial Shockwave Therapy for Erectile Dysfunction

An interventional study of Radial wave therapy and Placebo therapy in Erectile Dysfunction, sponsored by Boston Medical Group. Completed at 1 site in Colombia. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-19.

Sponsored by Boston Medical Group · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

Objective: To evaluate the efficacy and safety of radial shock waves for the treatment of erectile dysfunction [ED].

Patients and methods: Randomized, double-blind clinical trial. The study will include patients of legal age with diagnosis of ED and score on the International Index of Erectile Function [IIEF-EF] scale between 11 and 21 points, who voluntarily decide to participate and sign the informed consent. Patients with bladder cancer, prostate cancer or active colon, ED of psychological origin, any psychiatric disorder, spinal cord injury, clinical suspicion of hypogonadism (score on the Aging Males' Symptoms scale greater than 36), infections or active lesions of the penis or pubic area, ED secondary to treatment with medications (antiandrogenic therapy, use of corticosteroids, anti-Parkinson's, antipsychotics), radical prostatectomy or other radical pelvic surgery, history of pelvic radiotherapy, penile implantation, or endocrine diseases that occur with ED (acromegaly, gigantism, Addison's disease, hyperprolactinemia, androgenic deficiency), sickle cell anemia, and anticoagulated patients will be excluded.

Patients will be randomly assigned to one of the following treatment arms:

  • Arm 1 (Standard treatment (oral sildenafil) + Radial wave therapy)
  • Arm 2 (Standard treatment (oral sildenafil) + Placebo therapy)

Measurements will be made of the Erection Hardness Score [EHS] and IIEF-EF scale scores, of the use of medication and of the possible adverse events of the therapy, at the beginning and end of the treatment, and one month after the therapies are finished.

Read the detailed description

Background: Radial shock waves are an effective therapy for the management of various problems at the muscular and joint level, thanks to the effect it has on the activation of microcirculation. The effect of these waves on patients with erectile dysfunction is currently unknown; however, it is considered possible to help recovery in patients with vascular origin dysfunction by increasing microcirculation blood flow in this area.

Objective: To evaluate the efficacy and safety of radial shock waves for the treatment of erectile dysfunction.

Patients and methods: Randomized, double-blind clinical trial. The study will include patients of legal age with diagnosis of ED and score on the IIEF-EF scale between 11 and 21 points, who voluntarily decide to participate and sign the informed consent. Patients with bladder cancer, prostate cancer or active colon, ED of psychological origin, any psychiatric disorder, spinal cord injury, clinical suspicion of hypogonadism (AMS greater than 36), infections or active lesions of the penis or pubic area, ED secondary to treatment with medications (antiandrogenic therapy, use of corticosteroids, anti-Parkinson's, antipsychotics), radical prostatectomy or other radical pelvic surgery, history of pelvic radiotherapy, penile implantation, or endocrine diseases that occur with ED (acromegaly, gigantism, Addison's disease, hyperprolactinemia, androgenic deficiency), sickle cell anemia, and anticoagulated patients will be excluded.

Patients will be randomly assigned to one of the following treatment arms:

  • Arm 1 (Standard treatment (oral sildenafil) + Radial wave therapy): Sildenafil according to the degree of patient involvement + 6 sessions of radial waves. A weekly session of radial waves will be applied with the following parameters: 6000 pulses at 1.5-2.6 bar (depending on patient tolerance), with a frequency of 17Hz, the frequency should increase to 22HZ the first 500 impulses to create mild anesthesia in the area; in all radial wave sessions, 4000 impulses will be distributed in the body of the penis in scanning technique and 2000 impulses in the perineal area.
  • Arm 2 (Standard treatment (oral sildenafil) + Placebo therapy): Sildenafil according to the patient's degree of affectation + 6 sessions of placebo therapy. There will be a weekly session of placebo wave therapy, using the respective device to prevent the patient from receiving the radial wave. The same parameters of the "real" therapy will be used: 6000 pulses at 2.6 bar, with a frequency of 17 Hz; in all radial wave sessions, 4000 impulses will be distributed in the body of the penis in scanning technique and 2000 impulses in the perineal area.

Measurements will be made of the EHS and IIEF-EF scale scores, of the use of medication and of the possible adverse events of the therapy, at the beginning and end of the treatment, and one month after the therapies are finished.

02

Conditions studied

  • Erectile Dysfunction

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Keywords

  • radial wave therapy
03

In context

Erectile Dysfunction

701 studies on the registry are indexed under Erectile Dysfunction; 125 are open to participants now.

This study's enrollment of 80 is above the median of 70 across 551 interventional studies indexed under Erectile Dysfunction.

Browse Erectile Dysfunction studies →

Lead sponsor

Boston Medical Group is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Men older than 18 years
  • Erectile dysfunction present more for more than 3 months in more than 50% of intercourse.
  • IIEF-EF score between 11 and 21.
  • Patient who agrees to enter the study through the signing of an .

Exclusion criteria

Exclusion Criteria:

  • EHS score of 4
  • Bladder, prostate or colon cancer.
  • ED of psychological origin.
  • Patients with spinal cord injury.
  • Patients with anticoagulant use.
  • Patients with sickle cell anemia.
  • Patients with clinical suspicion of hypogonadism (AMS greater than 36, Annex 1).
  • Patients with infections or active lesions of the penis or pubic area.
  • Patients with ED secondary to drug treatment (antiandrogenic therapy, antidepressants, use of , antiparkinsonians, antipsychotics).
  • Radical prostatectomy or other radical pelvic surgery.
  • Antecedents of pelvic radiotherapy.
  • Patients with penile implant.
  • Endocrine diseases that occur with ED: acromegaly, gigantism, Addison's disease, hyperprolactinemia, androgenic deficiency.
  • Patients with neurological diseases (Parkinson's, CVD, dementia of any origin)
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Standard treatment + Radial wave therapy

    Sildenafil according to the degree of patient involvement + 6 sessions of radial waves.

    Device: Radial wave therapy

  • Placebo comparator
    Standard treatment + Placebo therapy

    Sildenafil according to the patient's degree of affectation + 6 sessions of placebo therapy.

    Device: Placebo therapy

Interventions

  • DeviceRadial wave therapy

    6 radial waves' sessions. A weekly session of radio waves will be applied with the following parameters: 6000 pulses at 1.5-2.6 bar (depending on patient tolerance), with a frequency of 12Hz, the frequency should increase to 17HZ the first 500 impulses to create mild anesthesia in the area; in all the sessions of radial waves, 4000 impulses will be distributed in the body of the penis in scanning technique and 2000 impulses in the perineal area, specifically in the ischiocavernosus and bilateral bulbo-sponge muscles. During the period of therapy application, patients will receive oral treatment with sildenafil according to the patient's degree of affectation.

  • DevicePlacebo therapy

    There will be a weekly session of placebo wave therapy, using the respective device to prevent the patient from receiving the radial wave. The same parameters of the "real" therapy will be used: 6000 pulses at 2.6 bar, with a frequency of 17 Hz; in all the sessions of radial waves, 4000 impulses will be distributed in the body of the penis in scanning technique and 2000 impulses in the perineal area. During the period of therapy application, patients will receive oral treatment with sildenafil according to the patient's degree of affectation.

06

What researchers measure

Primary outcomes

  1. Change IIEF-EF Score

    The scale IIEF-EF score ranges from 0 to 30, a score less than 26 is considered to have erectile dysfunction. Using the IIEF-EF, erectile dysfunction severity categories are no ED (score ≥26 out of 30) mild (score 22-25), mild-to-moderate (score 17-21), moderate (score 11-16), and severe (score ≤10). The difference in the average score of the International Index Erectile Function-Erectile Function domain (IIEF-EF) scale in at least 5 points, between the score at the end of the treatment (6 weeks) and the basal score.

    Time frame: 6 weeks (The end of the treatment)

Secondary outcomes

  1. IIEF-EF Score After One Month of Follow-up

    The scale IIEF-EF score ranges from 0 to 30, a score less than 26 is considered to have erectile dysfunction. Using the IIEF-EF, erectile dysfunction severity categories are no ED (score ≥26 out of 30) mild (score 22-25), mild-to-moderate (score 17-21), moderate (score 11-16), and severe (score ≤10). The difference in the average score of the International Index Erectile Function-Erectile Function domain (IIEF-EF) scale in at least 5 points, between the score at the end of the treatment (6 weeks) and the basal score.

    Time frame: Month 1 of follow-up (Week 10)

  2. Erection Hardness Score (EHS)

    Erection Hardness Score (EHS), it is a unique Likert scale. EHS is a self-reported tool that scores erection hardness on a 4-point scale: 0, penis does not enlarge; 1, penis is larger but not hard; 2, penis is hard but not hard enough for penetration; 3, penis is hard enough for penetration but not completely hard; 4: penis is completely hard and fully rigid. This outcome is the number of patients that increased the EHS by at least 1 point at week 6 after randomization

    Time frame: 6 weeks (At the end of treatment)

07

Results

Posted Sep 23, 2024

Participant flow

Recruitment was carried out in two clinics over a period of 26 months.

Participant flow — Overall Study
MilestoneStandard Treatment + Radial Wave TherapyStandard Treatment + Placebo Therapy
Started4040
Completed3334
Not completed76
Withdrew: Withdrawal by subject74
Withdrew: Lost to follow-up02

Outcome measures

PrimaryChange IIEF-EF Score

The scale IIEF-EF score ranges from 0 to 30, a score less than 26 is considered to have erectile dysfunction. Using the IIEF-EF, erectile dysfunction severity categories are no ED (score ≥26 out of 30) mild (score 22-25), mild-to-moderate (score 17-21), moderate (score 11-16), and severe (score ≤10). The difference in the average score of the International Index Erectile Function-Erectile Function domain (IIEF-EF) scale in at least 5 points, between the score at the end of the treatment (6 weeks) and the basal score.

Time frame:
6 weeks (The end of the treatment)
Reported as:
Mean · units on a scale
Change IIEF-EF Score
units on a scaleStandard Treatment + Radial Wave TherapyStandard Treatment + Placebo Therapy
Change IIEF-EF Score3.4 (1.6 to 5.3)4.2 (2.5 to 5.9)
SecondaryIIEF-EF Score After One Month of Follow-up

The scale IIEF-EF score ranges from 0 to 30, a score less than 26 is considered to have erectile dysfunction. Using the IIEF-EF, erectile dysfunction severity categories are no ED (score ≥26 out of 30) mild (score 22-25), mild-to-moderate (score 17-21), moderate (score 11-16), and severe (score ≤10). The difference in the average score of the International Index Erectile Function-Erectile Function domain (IIEF-EF) scale in at least 5 points, between the score at the end of the treatment (6 weeks) and the basal score.

Time frame:
Month 1 of follow-up (Week 10)
Reported as:
Mean · units on a scale
IIEF-EF Score After One Month of Follow-up
units on a scaleStandard Treatment + Radial Wave TherapyStandard Treatment + Placebo Therapy
IIEF-EF Score After One Month of Follow-up0.72 (-1.4 to 2.8)2.3 (0.26 to 4.1)
SecondaryErection Hardness Score (EHS)

Erection Hardness Score (EHS), it is a unique Likert scale. EHS is a self-reported tool that scores erection hardness on a 4-point scale: 0, penis does not enlarge; 1, penis is larger but not hard; 2, penis is hard but not hard enough for penetration; 3, penis is hard enough for penetration but not completely hard; 4: penis is completely hard and fully rigid. This outcome is the number of patients that increased the EHS by at least 1 point at week 6 after randomization

Time frame:
6 weeks (At the end of treatment)
Reported as:
Count of participants · Participants
Erection Hardness Score (EHS)
ParticipantsStandard Treatment + Radial Wave TherapyStandard Treatment + Placebo Therapy
Erection Hardness Score (EHS)1514

Adverse events

Collected over 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Standard Treatment + Radial Wave Therapy0/37 (0%)0/37 (0%)2/37 (5.4%)
Standard Treatment + Placebo Therapy0/39 (0%)0/39 (0%)1/39 (2.6%)
Most frequent other events
Most frequent other events
EventStandard Treatment + Radial Wave TherapyStandard Treatment + Placebo Therapy
Not seriusSkin and subcutaneous tissue disorders1/371/39
Not seriusSkin and subcutaneous tissue disorders1/370/39

Baseline characteristics

All randomized patients

Age, Continuous
Age, Continuous(years)Standard Treatment + Radial Wave TherapyStandard Treatment + Placebo TherapyTotal
Mean47.7 ± 12.848.5 ± 11.248 ± 11.9
Sex: Female, Male
Sex: Female, Male(Participants)Standard Treatment + Radial Wave TherapyStandard Treatment + Placebo TherapyTotal
Female000
Male404080
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Standard Treatment + Radial Wave TherapyStandard Treatment + Placebo TherapyTotal
Count of participants——0
Body Mass Index
Body Mass Index(kg/m2)Standard Treatment + Radial Wave TherapyStandard Treatment + Placebo TherapyTotal
Mean26.7 ± 3.726.8 ± 3.326.75 ± 3.5
International Index of Erectile Function-Erectile Function domain
International Index of Erectile Function-Erectile Function domain(units on a scale)Standard Treatment + Radial Wave TherapyStandard Treatment + Placebo TherapyTotal
Mean16.3 ± 3.216.4 ± 3.216.3 ± 3.2
Erection Hardness Score
Erection Hardness Score(units on a scale)Standard Treatment + Radial Wave TherapyStandard Treatment + Placebo TherapyTotal
Median3 (1 to 3)3 (2 to 3)3 (1 to 3)
08

Study locations

1 site
  • Boston Medical Group Colombia
    Bogotá, Cundinamarca 11022, Colombia
09

References and documents

Publications

  • Sandoval-Salinas C, Saffon JP, Martinez JM, Corredor HA, Gallego A. Are Radial Pressure Waves Effective for the Treatment of Moderate or Mild to Moderate Erectile Dysfunction? A Randomized Sham Therapy Controlled Clinical Trial. J Sex Med. 2022 May;19(5):738-744. doi: 10.1016/j.jsxm.2022.02.010. Epub 2022 Mar 24. PubMed 35341724 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Mar 2021, 34 months.

Results were first posted in Sep 2024, 3 years 6 months after primary completion.

Of 137 interventional studies with no phase under Erectile Dysfunction, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 52. This study's 34 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 13, 2018
First posted
Jul 23, 2018
StartActual
Apr 19, 2018
Primary completionActual
Mar 9, 2021
CompletionActual
Mar 9, 2021
Results first posted
Sep 23, 2024
Last update
Mar 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03596047
Lead sponsor
Boston Medical Group
Responsible party
Sponsor
First posted
Jul 23, 2018
Start date
Apr 19, 2018
Primary completion
Mar 9, 2021
Completion
Mar 9, 2021
Results posted
Sep 23, 2024
Last update
Mar 19, 2026

Study contacts

Jose Saffon, Doctor
principal investigator · Boston Medicval Group

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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