Low-Intensity Shockwave for Treatment of Vestibulodynia: A Randomized Controlled Therapy Trial

Gruenwald, Ilan; Gutzeit, Ola; Petruseva, Anna; Gartman, Irena; Löwenstein, Lior

doi:10.1016/j.jsxm.2020.11.006

Cited by 8 publications

(16 citation statements)

References 17 publications

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“…Fifty-eight articles were further reviewed to determine eligibility. Only 7 studies met the eligibility criteria and were included in this review, [11][12][13][14][15][16][17] which included a total of 477 patients (see Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…The interventions included were electromyography biofeedback 11,16 (n = 2), transcranial direct current stimulation (TDSC) 12 (n = 1), transcutaneous electrical nerve stimulation (TENS) 13 (n = 1), low-intensity shockwave (LISWT) 15 (n = 1), multimodal physiotherapy treatment 14 (n = 1), and pelvic floor exercise and behavioral modifications (n = 1). 17 The articles are described in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 7 studies included in the review, all evaluated pain reduction, [11][12][13][14][15][16][17] 5 evaluated sexual function, 11,[13][14][15][16] and 1 evaluated quality of life. 11 All interventions were effective for the main outcomes; only the TDSC intervention had no significant difference when compared with the placebo group (sham).…”

Section: Resultsmentioning

confidence: 99%

“…Concerning the risk of bias evaluation, 4 studies presented a low risk of bias. [12][13][14]16 Three studies presented a high risk of bias due to the lack of study blinding and bias of measurement of outcomes 11,15,17 (see Figure 2).…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Efficacy of Physiotherapy for Treating Vulvodynia: A Systematic Review

Nascimento,

Falsetta,

Maurer

et al. 2023

J Low Genit Tract Dis

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Objectives We set out to assess the efficacy of physiotherapy for vulvodynia. Materials and Methods PubMed, Embase, Scopus, Web of Science, SciELO, PEDro, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov were searched in February 2023. Two authors selected and extracted the data independently. The risk of bias was assessed using the Cochrane Risk of Bias tool (Rob 2). Because of the high heterogeneity presented between the studies, it was not possible to carry out qualitative analysis. The results were presented narratively. This systematic review was registered with the PROSPERO database. Results A total of 2,274 articles were retrieved. Seven studies met the criteria and were included in a systematic review, which included a total of 477 patients. The interventions included were electromyography biofeedback (n = 2), transcutaneous electrical nerve stimulation (n = 1), transcranial direct current stimulation (n = 1), low-intensity shockwave (n = 1), physiotherapy treatment (n = 1), and pelvic floor exercise with behavioral modification (n = 1). All studies evaluated pain reduction, 5 evaluated sexual function, and 2 evaluated quality of life. All interventions were effective for the main outcomes; only the transcranial direct current stimulation intervention showed no significant difference when compared with the placebo or sham group. Three studies presented a high risk of bias due to the lack of blinding. Conclusions The studied interventions (electromyography biofeedback, transcutaneous electrical nerve stimulation, shockwave, physiotherapy, and pelvic floor exercise) seem to improve pain, sexual function, and quality of life. However, the heterogeneity of the studies prevented meta-analysis. In addition, well-designed trials are needed to improve the certainty of this evidence.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Efficacy of Physiotherapy for Treating Vulvodynia: A Systematic Review

Nascimento,

Falsetta,

Maurer

et al. 2023

J Low Genit Tract Dis

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“…Low intensity shock-wave treatment via a vaginal probe was evaluated in a small double-blinded RCT over 6 weeks. 54 The control group received simulated treatment with the same device. Significant less pain during intercourse was reported in the active treatment group 1 and 3 months' posttreatment, but no effect on sexual function was obtained (Table 6).…”

Section: Other Treatmentsmentioning

confidence: 99%

Treatment of Provoked Vulvodynia: A Systematic Review

Bohm‐Starke

Ramsay

Lytsy

et al. 2022

The Journal of Sexual Medicine

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Background Treatment recommendations for provoked vulvodynia (PVD) are based on clinical experiences and there is a need for systematically summarizing the controlled trials in this field. Aim To provide an overview of randomized controlled trials and non-randomized studies of intervention for PVD, and to assess the certainty of the scientific evidence, in order to advance treatment guidelines. Data Sources The search was conducted in CINAHL (EBSCO), Cochrane Library, Embase (Embase.com), Ovid MEDLINE, PsycINFO (EBSCO) and Scopus. Databases were searched from January 1, 1990 to January 29, 2021. Study Eligibility Criteria Population: Premenopausal women with PVD. Interventions: Pharmacological, surgical, psychosocial and physiotherapy, either alone or as combined/team-based interventions. Control: No treatment, waiting-list, placebo or other defined treatment. Outcomes: Pain during intercourse, pain upon pressure or touch of the vaginal opening, sexual function/satisfaction, quality of life, psychological distress, adverse events and complications. Study design: Randomized controlled trials and non-randomized studies of interventions with a control group. Study Appraisal and Synthesis Methods 2 reviewers independently screened citations for eligibility and assessed relevant studies for risk of bias using established tools. The results from each intervention were summarized. Studies were synthesized using a narrative approach, as meta-analyses were not considered appropriate. For each outcome, we assessed the certainty of evidence using grading of recommendations assessment, development, and evaluation (GRADE). Results Most results of the evaluated studies in this systematic review were found to have very low certainty of evidence, which means that we are unable to draw any conclusions about effects of the interventions. Multimodal physiotherapy compared with lidocaine treatment was the only intervention with some evidential support (low certainty of evidence for significant treatment effects favoring physiotherapy). It was not possible to perform meta-analyses due to a heterogeneity in interventions and comparisons. In addition, there was a heterogeneity in outcome measures, which underlines the need to establish joint core outcome sets. Clinical Implications Our result underscores the need of stringent trials and defined core outcome sets for PVD. Strength and Limitations Standard procedures for systematic reviews and the Population Intervention Comparison Outcome model for clinical questions were used. The strict eligibility criteria resulted in limited number of studies which might have resulted in a loss of important information. Conclusion This systematic review underlines the need for more methodologically stringent trials on interventions for PVD, particularly for multimodal treatments approaches. For future research, there is a demand for joint core outcome sets.

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Hard flaccid syndrome symptoms, comorbidities, and self-reported efficacy and satisfaction of treatments: a cross-sectional survey

Niedenfuehr,

Stevens

2024

Int J Impot Res

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Hard accid syndrome (HFS) is a poorly understood condition with no formal consensus on its de nition, symptom presentation, etiology, or treatment plan. We aimed to advance the understanding of HFS by evaluating symptom prevalence, cause of symptom onset, comorbidities, and self-reported e cacy and satisfaction with current treatments. An online cross-sectional survey on Qualtrics with purposive and convenience sampling methods were conducted on participants self-identifying as having HFS. Participants were recruited through social media platforms. Only 58% of participants reported their HFS symptoms began following a speci c incident/trauma. Changes in penis shape/size and rigid penis when not erect were the most common complaints. Activities such as laying down and stretching improved symptoms while masturbation, weight lifting, and standing worsened symptoms for most patients. Comorbid conditions reported in our sample affect multiple body parts including pudendal nerve, spine, hips, and pelvic region. Self-reported e cacy and satisfaction of current therapies were poor.Innovative, multimodal, and personalized treatment strategies are greatly needed for HFS patients.

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Low-Intensity Shockwave for Treatment of Vestibulodynia: A Randomized Controlled Therapy Trial

Cited by 8 publications

References 17 publications

Efficacy of Physiotherapy for Treating Vulvodynia: A Systematic Review

Efficacy of Physiotherapy for Treating Vulvodynia: A Systematic Review

Treatment of Provoked Vulvodynia: A Systematic Review

Hard flaccid syndrome symptoms, comorbidities, and self-reported efficacy and satisfaction of treatments: a cross-sectional survey

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