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Acupuncture in the treatment of psychogenic erectile dysfunction: first results of a prospective randomized placebo-controlled study


In a prospective study, we investigated the potentially curative effect of acupuncture in patients with psychogenic erectile dysfunction (pED). A total of 22 patients with pED were randomized into two groups. They were either treated with acupunture specific against ED (treatment group) or acupuncture specific against headache (placebo group). Nonresponders of the placebo group were crossed over to the treatment group. Prior to acupuncture, serum sexual hormone levels, IIEF score, nocturnal penile tumescence testing for three nights (Rigiscan) and the erectile response to 50 mg sildenafil were evaluated. Out of 21 patients, 20 completed the study, including 10 patients after crossover. A satisfactory response was achieved in 68.4% of the treatment group and in 9% of the placebo group (P=0.0017). Another 21.05% of the pateints had improved errections, that is, sufficient rigidity under simultaneous treatment with 50 gm sildenafil. The results of our pilot study indicate that acupuncture can be an effective treatment option in more than two-thirds of patients with psychogenic erectile dysfunction.

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  1. NIH Consensus Development Panel on Impotence. JAMA 1993; 269: 83–90.

  2. Feldmann HA et al. Impotence and its medical and psychological correlates: results of the Massachusetts Male Aging Study. J Urol 1994; 151: 54–59.

    Article  Google Scholar 

  3. Aboseif SR, Lue TF . Hemodynamics of penile erections. Urol Clin North Am 1998; 15: 1–7.

    Google Scholar 

  4. Lin SN et al. Acupuncture and urethral function: experimental study. J Urol 1984; 131: 382A.

    Article  Google Scholar 

  5. Mc Gurire EJ, Shi-Chun Z, Horwinsky ER . Treatment of motor sensory detrusor instability by electrical stimulation. J Urol 1983; 129: 78–81.

    Article  Google Scholar 

  6. Meiquan Z . Percussopunctator treatment of enuresis on the basis of differential typing of the symptoms. J Trad Chin Med 1986; 6: 171–173.

    Google Scholar 

  7. Crimmel AS, Conner CS, Monga M . Withered Yang: a review of traditional Chinese medical treatment of male infertility and erectile dysfunction. J Androl 2001; 22: 173–182.

    CAS  PubMed  Google Scholar 

  8. Yaman LS et al. The place of acupuncture in the management of psychogenic impotence. Eur Urol 1994; 26: 52–55.

    Article  CAS  Google Scholar 

  9. Kho HG, Sweep CGJ, Rabsztyn PRI, Meulemann EJH . The use of acupuncture in the treatment of erectile dysfunction. Int J Impo Res 1999; 11: 41–46.

    Article  CAS  Google Scholar 

  10. Aydin S et al. Acupuncture and hypnotic suggestions in the treatment of non-organic male sexual dysfunction. Scand J Urol Nephrol 1997; 31: 271–274.

    Article  CAS  Google Scholar 

  11. Rosen RC et al. The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 1997; 49: 822–830.

    Article  CAS  Google Scholar 

  12. Kubiena G, Meng A, Petricek E, Petricek U . Handbuch der Akupunktur

  13. Li Z, Ye C . Treatment impotence with traditional Chinese medicine coordinated by acupuncture and moxibustion. J Trad Chin Med 1988; 8: 121–122.

    CAS  Google Scholar 

  14. Liao YY, Seto K, Saito H . Effect of acupuncture on adrenocortical hormone production: variation in the ability for adrenocortical hormone production in relation to the duration of acupuncture stimulation. Am J Chin Med 1979; 7: 362–371.

    Article  CAS  Google Scholar 

  15. Cheng R, Pomeranz B . Electroacupuncture elevates blood cortisol level of naive horses: sham treatment has no effect. Int J Neurosci 1980; 10: 95–97.

    Article  CAS  Google Scholar 

  16. ÓConnor J, Bensky D . Acupuncture: a Comprehensive Text. Eastland Press: Chicago, III, 1981; pp 527–529.

    Google Scholar 

  17. Clement JV et al. Increased beta endorphin but not metenkephalin levels in human cerebrospinal fluid after acupuncture for recurrent pain. Lancet 1980; 2: 946–947.

    Article  Google Scholar 

  18. Wang YQ, Cao XD, Wu GC . Role of dopamine receptors and the changes of tyrosine hydroxylase mRNA in acupuncture analgesia in rats. Acupunct Electrother Res 1999; 24: 81–88.

    Article  CAS  Google Scholar 

  19. Lee YH et al. Acupuncture in the treatment of renal colic. J Urol 1992; 147: 16–19.

    Article  CAS  Google Scholar 

  20. Olness K . The use of hypnosis in the treatment of childhood nocturnal enuresis. A report on forty patients. Clin Pediatr 1975; 14: 273–275.

    Article  CAS  Google Scholar 

  21. Philipp T, Shah PRS, Worth PHL . Acupuncture in the treatment of bladder instability. Br J Urol 1988; 61: 490–497.

    Article  Google Scholar 

  22. Zhiyuan Q . Clinical observation of 54 cases of male infertility treated by acupuncture and moxibustion. J Chin Med 1997; 52: 12–13.

    Google Scholar 

  23. Xinhun H . Acupuncture plus medication for male idiopathic oligospermatic sterility. Shanghai J Acupunct Moxib 1998; 2: 35–37.

    Google Scholar 

  24. Ji X . Impotence; teaching around. J Trad Chin Med 1987; 7: 307–310.

    Google Scholar 

  25. Wu J . 100 cases of impotence treated by acupuncture and moxibustion. J Trad Chin Med 1989; 9: 184–185.

    CAS  Google Scholar 

  26. Ahn SY . Saam-Ohang: acupuncture treatment methods of impotence in male sex clinic. J Orient Med 1991; 1: 200–202.

    Google Scholar 

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Correspondence to P F Engelhardt.

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Engelhardt, P., Daha, L., Zils, T. et al. Acupuncture in the treatment of psychogenic erectile dysfunction: first results of a prospective randomized placebo-controlled study. Int J Impot Res 15, 343–346 (2003).

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