Low-Intensity Extracorporeal Shockwave Therapy on Penile Rehabilitation After Robot-assisted Surgical Treatment of Genitourinary Cancers

This study is testing whether low-intensity shockwave therapy — a non-invasive treatment using sound waves — can help restore erectile function in men who have had nerve-sparing robotic prostate cancer surgery. Erectile dysfunction is a common side effect of prostate surgery, and this study explores a possible rehabilitation approach. **You may be eligible if...** - You are 75 years old or younger - You had low-to-intermediate risk prostate cancer (PSA under 10, Gleason grade ≤2, clinical stage ≤T2) treated with nerve-sparing robotic surgery - Your erectile function was good before surgery (IIEF-5 score ≥17) - Your PSA after surgery is below 0.1 (indicating no cancer recurrence) - You have no cancer found beyond the prostate in the surgical specimen **You may NOT be eligible if...** - You have health conditions preventing surgery or anesthesia - You received pelvic radiotherapy or hormone therapy (androgen deprivation) - You had major complications from surgery - You have cardiovascular conditions that prevent using PDE5 inhibitors (like sildenafil) Talk to your doctor to see if this trial is right for you.