Rebuilding Penile Erectile Tissue- Wake Forrest Study

I know I’m getting the cart a bit ahead of the horse here, but is anyone familiar with the current state of this research? Is it ongoing and still showing promise? Since my overnight shrinkage two years ago I havn’t had much improvement. If we are lucky enough to develop some sort of treatment down the road I have my doubts everything will return to its same shape and size on its own.

webmd.com/erectile-dysfunction/news/20091109/progress-in-rebuilding-penile-erectile-tissue

Also, if anyone has a link for the missing paper for the proposed treatment of gene therapy injected directly into the penis could they post it please?

This is the paper.

ncbi.nlm.nih.gov/pmc/articles/PMC3253692/?tool=pubmed

They seem to be talking here about re-growing parts of the penis rather than just ‘injecting’ stem cells - which would seem easier. The only place in the world that I know offers any sort of stem cell therapy ‘here and now’ is in China. (Is it banned elsewhere?!?).

Thanks for that, Oscar.

There was a paper posted a few years ago on gene therapy via injections directly into the penis. I can’t seem to find any further info on that right now.

Perhaps these?

viewtopic.php?f=31&t=29

journals.elsevierhealth.com/periodicals/eururo/article/PIIS0302283806009122/abstract

Another study published just last month. Good to see research like this still going ahead.

onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02753.x/abstract

ABSTRACT

Introduction. Radiation therapy (RT) for prostate cancer is frequently associated with posttreatment erectile dysfunction (ED).

Aim. To investigate whether injection of adipose-derived stem cells (ADSCs) can ameliorate RT-associated ED.

Methods. Thirty male rats were divided into three groups. The control + phosphate-buffered saline (PBS) group received tail-vein injection of PBS. The radiation + PBS group received radiation over the prostate and tail-vein injection of PBS. The radiation + ADSC group received radiation over the prostate and tail-vein injection of ADSCs, which were labeled with 5-ethynyl-2-deoxyuridine (EdU). Seventeen weeks later, erectile function was evaluated by intracavernous pressure (ICP) in response to electrostimulation of cavernous nerves (CNs). Penile tissue and major pelvic ganglia (MPG) were examined by immunofluorescence (IF) and EdU staining.

Main Outcome Measures. Erectile function was measured by ICP. Protein expression was examined by IF, followed by image analysis and quantification.

Results. Radiation over the prostate caused a significant decrease in erectile function and in the expression of neuronal nitric oxide synthase (nNOS) in penis and MPG. Cavernous smooth muscle (CSM) but not endothelial content was also reduced. Injection of ADSCs significantly restored erectile function, nNOS expression, and CSM content in the irradiated rats. EdU-positive cells were visible in MPG.

Conclusions. Radiation appears to cause ED via CN injury. ADSC injection can restore erectile function via CN regeneration.