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Stem cells restore erection capability in men with erectile dysfunction



New clinical trial results show that stem cells can restore sufficient erectile function to allow previously impotent men to have spontaneous intercourse. This is the first time that stem cell therapy has produced patients who recovered sufficient erectile function to enable intercourse.

The researchers caution that this is an early trial, which was primarily addressing safety and dosage, so the results need to be interpreted accordingly.

In recent years, several groups have worked to develop stem cell therapy as a cure for erectile dysfunction. But until now the improvements have not been sufficient to allow affected men to achieve full sexual intercourse. Results presented at the European Association of Urology conference in London last week show that eight out of 21 successfully regained sexual function.

Lead researcher Martha Haahr, M.D., of Odense University Hospital, said, “What we have done establishes that this technique can lead to men recovering a spontaneous erection – in other words, without the use of other medicines, injections or implants. We are now beginning a larger Phase 2 trial to better evaluate its effectiveness and confirm its safety.”

Erectile dysfunction affects nearly half of men between the ages of 40 and 70 to some degree. There are several possible causes, including surgery, high blood pressure, diabetes, cardiovascular disease and psychological problems. Current remedies, which include medications such as PDE5 inhibitors (including Viagra and Cialis), injections or penile implants all have some disadvantages, so scientists have been searching for a way to restore natural sexual function.

The present work focuses on patients with physical damage, caused by surgery for prostate cancer.

The research group, from Odense in Denmark, used stem cells taken from abdominal fat cells via liposuction. None of the 21 men reported significant side effects over the trial period or in the following year. After isolating the stem cells, they were injected into the corpus cavernosum area of the penis. The patients were able to be discharged the same day.

Within six months of treatment, eight of the patients reported that they had recovered sufficient erectile function to achieve penetrative sexual activity. This improvement has been maintained for a year, indicating that this treatment may confer long-term benefits. Only those who were continent were reported to have recovered sexual function (incontinence is also one of the risks of radical prostatectomy prostate surgery).

Using the generally accepted IIEF questionnaire to measure erectile function, the whole group of 21 patients reported that their score had increased from 6 before the stem cell transplantation surgery to 12 after six months. However, in the group of men who recovered sexual function, the IIEF score increased from 7 to 14 (the average in men with “normal” sexual function is around 25). This is enough to enable some of the continent men to have a spontaneous erection sufficient for penetrative sex; others achieved this with the help of medication.

Dr. Haahr said, “The technique has been trialed in animal work, but this is the first time stem cell therapy has allowed patients to recover sufficient erectile function to enable intercourse. We are pleased with the preliminary outcomes, especially as these men had previously seen no effect from traditional medical treatment and continue to have good erectile function after 12 months’ follow-up, indicating that this might be a long-term solution.

“This suggests the possibility of therapeutic options for patients suffering from erectile dysfunction from other causes. But,” she cautioned, “we need to remember that this is a small trial, with no control group. We’re still some time away from a clinically available solution.”

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