This study evaluated the impact of low-intensity extracorporeal shock wave therapy (LIESWT) as a penile rehabilitation strategy on sexual function (SF) recovery post-robot-assisted laparoscopic prostatectomy (RALP). Conducted at Hiroshima University, the study involved 16 patients receiving LIESWT (5 early intervention, 11 delayed) and 178 control patients without LIESWT. SF was