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02031312933

Erectile Dysfunction

 

Shockwave Therapy for Erectile Dysfunction and Penis Rejuvenation

Shockwave therapy is the latest treatment option for patients suffering from erectile dysfunction. It is one of the few treatments options that improves natural erections as well as rejuvenating the erection mechanism. In addition, shockwave therapy has the following advantages:

• Non-invasive treatment lasting 20 minutes in a treatment room – walk in and walk out within 30 minutes

• No medication required

• Fewer complications than other treatments

• Significant clinical benefits often seen 6-8 weeks after treatment

The results for our patients to date are very encouraging and in our opinion, this completely changes the landscape of erectile dysfunction management.

To get a better idea of the treatment for Erectile Dysfunction with Shockwave, watch this video

To find out more about this advanced treatment option please book an appointment 02031312933 or read our Frequently Asked Questions below.

Shock Wave Therapy FAQs

Extracorporeal Shock Wave Therapy (EWST) works by passing shock waves, intense but short energy wave that travels faster than the speed of sound into the tissues and was developed to treat kidney stones in the 1970’s. Clinicians soon discovered that whilst patients were being treated for kidney stones, they reported that other non-related medical conditions either improved or had disappeared entirely. This is turn lead to the discovery that shockwaves had a healing impact on pain and chronic conditions in the musculoskeletal system. Devices were then developed to treat a range of tissue injuries on all different parts of the body. Today Shockwave therapy is widely used to treat many kinds of symptoms, from soft tissue injuries (Tendinopathies) to diabetic foot ulcers and even cellulite.

Shockwave treatment initiates a pro-flamatory response in the tissue where the shockwaves has been applied. The body responds by increasing the blood circulation and metabolism in the impact area which in turn accelerates the body’s own healing processes.

Promotes angio-genesis (development of new blood vessels) in the penis which means that the blood flow to the penis increases and hence stronger erections are achieved


  • Rejuvenation of penis smooth muscle – the majority of patients suffering from ED do so because the smooth muscle in their penile arteries have been damaged thus inhibiting the functioning of the veno-occlusive mechanism. Shockwave therapy has been shown to induce the body to repair the smooth muscle in the penis and thus improve the function of the veno-occlusive mechanism.



Theoretically, shockwave therapy can help all patients suffering from ED and even improve erections in men with no ED issues or as preventative measure against erectile dysfunction. However, given that it is a relatively new treatment, scientific evidence is still being researched and we only recommend the treatment to patients that actually suffer from erectile dysfunction. As explained in our Treatment Protocols section, we apply shockwave therapy in combination with first stage medication and second stage treatments. Patients who do not respond to an intra-cavernosal injection test are NOT good candidates for shockwave therapy since this will generally mean that their erection mechanism is significantly damaged and it is unlikely that they will benefit from this treatment. A full pre-treatment diagnostic evaluation is always advised before a patient proceeds with this option in order to establish if it is appropriate and also determine the optimum treatment protocol.

There is a growing body of scientific evidence that shockwave therapy for ED can help in the following ways:

  • Patients with mild to moderate ED that respond well to PDE-5 inhibitors might be able to regain their natural erections and no longer need or reduce their dependence on medication.

  • Patients with moderate to severe ED that do not respond to PDE-5 medication and rely on injections or other topical treatments may become respondent to PDE-5 medication after shockwave therapy.

  • Shockwave therapy will in most cases support and improve the outcomes of other treatments.

Each treatment session lasts around 20 minutes. When you arrive at the clinic a nurse will take you to the shockwave treatment room where you will get undressed and lie on the treatment bed. The medical practitioner will then apply the treatment using a special probe on different parts of your penis and perineum. Most patients experience very little discomfort or pain during the session. It is important that if you do not feel comfortable you let your medical practitioner know and the shockwave intensity will be adjusted accordingly.
This is an area of current active research. A number of treatment protocols have been suggested, some lasting only 4 sessions and some as long as 12 sessions. Unfortunately, the clinical trials investigating these protocols are quite different in a number of ways (energy levels of the shockwaves applied, number of shockwaves, number of sessions, duration of treatment and time between sessions and the technology of the shockwave machines). These trials have proven that the treatment benefits provide no clear guideline that apply to all patients. Our own experience and the studies so far indicate that the there is no one size fits all protocol and the number of sessions will depend on the severity of ED, the presence of comorbidities and the response to treatment. At our clinic as a minimum we recommend is 6 twenty-minute sessions over a three-week period. Regarding the number of pulses administered, the range will be between 3000 and 5000 shock waves per session and there is evidence that administering more shock waves leads to greater improvements. It is beneficial to deliver treatment to multiple sites to reach the vascular bed of the erection mechanism.
As the method has a physiological effect on the erection mechanism, repeating the treatment after a certain period of time is possible; however, the question regarding a possible saturation effect remains unanswered and requires further research.
The biological effects of Shockwave therapy are permanent and have been scientifically established. However, erectile dysfunction depends on your lifestyle and is can be a symptom of serious underlying health issues. Because erectile dysfunction is more severe in patients with comorbidities, this means that the improvements after the treatment may reverse over time if the underlying conditions has not been addressed. Given that this treatment is new, the longest period that patients have monitored after treatment in a clinical trial was 12 months. The results from this study indicate that treatment benefits continued one year after the treatment. We do advise that further studies are required to investigate the efficacy over a longer period of time, however the initial results are exciting for sufferers of erectile dysfunction.
At intense levels, the treatment may cause some sensitivity but a majority of patients have been able to manage this sensation without medication. If you do feel any discomfort during the treatment please notify our medical practitioner as there are adjustments that can be made.
Mild and diffused pain may be experienced for the few hours after treatment. This sensation can last a day or so.
Shockwave therapy treatment initiates a pro-flammatory response in the tissue that is being treated. If required, patients may use ordinary prescription-free pain killers. Do not use anti- inflammatory medication or ice on the treated area as both may interfere with the body’s self-healing abilities.
In our experience, Shockwave therapy treatment has extremely positive effects but results may take several months before the desired maximum effect is reached. If after 3-4 months you have not experienced the pronounced improvement we expect and you are looking for, other treatment options will need to be considered.

Fojecki GL, Tiessen S, Osther PJ. Extracorporeal shock wave therapy (ESWT) in urology: a systematic review of outcome in Peyronie’s disease, erectile dysfunction and chronic pelvic pain. World J Urol. In press. http://dx.doi.org/10.1007/s00345-016-1834-2.

Y. Vardi, B. Appel, G. Jacob, O. Massarwi, I. Gruenwald, Can low-intensity extracorporeal shockwave therapy improve erectile function? A 6-month follow-up pilot study in patients with organic erectile dysfunction, Eur Urol, Volume 58, 2010, pp. 243–248

Y. Abu-Ghanem, N.D. Kitrey, I. Gruenwald, B. Appel, Y. Vardi, Penile low-intensity shock wave therapy: a promising novel modality for erectile dysfunction, Korean J Urol, Volume 55, 2014, pp. 295–299

N.D. Kitrey, I. Gruenwald, B. Appel, A. Shechter, O. Massarwa, Y. Vardi, Penile low intensity shock wave treatment is able to shift PDE5i nonresponders to responders: a double-blind, sham controlled study, J Urol, Volume 195, 2016, pp. 1550–1555

Lu Z, Lin G, Reed-Maldonado A, Wang C, Lue TF. Low-intensity extracorporeal shock wave treatment improves erectile function: a systematic review and meta-analysis. Eur Urol. In press. http://dx.doi.org/10.1016/j.eururo.2016.05.050.

R.O. Cleveland, J.A. McAteer, The physics of shockwave lithotripsy, Smith’s Textbook of Endourology, A.D. Smith, 2007, Blackwell Publishing Ltd, Hoboken, NJ, pp. 317–332

I am suffering from erectile dysfunction, what should I do next?

We advise you to book a consultation with one of our highly experienced doctors. The first step towards successful treatment is an accurate diagnosis of potential causes by our specialists.

After this, our doctors will seek to do two things:

  • design a treatment plan that will allow you immediately to achieve a strong erection to continue normal sexual activities
  • design a treatment plan to address the underlying causes of your erectile dysfunction. This means that each treatment we offer in our clinic is highly personalised.


While our doctor’s experience from over 30,000 erectile dysfunction patients allows us to create detailed treatment plans, a majority of doctors limit treatment options to medication, often leaving the underlying causes untreated. This can lead to a life-long dependence on drugs and in many cases, long term, unsuccessful treatment and your dissatisfaction.

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LEARN MORE ABOUT ERECTILE DYSFUNCTION

Erectile dysfunction, often referred to as ED, is the inability to achieve and sustain an erection suitable for sexual intercourse. The prevalence of erectile dysfunction increases with age and whilst around 20% of adult men suffer from erectile dysfunction that increases to 50% for men aged 40 and above. Continue Reading....
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The first successful pharmacological treatment of erectile dysfunction was through penile injections of papaverine and phenoxybenzamine. Continue Reading....
Shockwave therapy is the latest treatment option for patients suffering from erectile dysfunction. It is one of the few treatments options that improves natural erections as well as rejuvenating the erection mechanism. Continue Reading....
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Unfortunately, most insurance companies do not cover sexual dysfunction or male fertility consultations and most of our patients are self-financing. Continue Reading....

LEARN MORE ABOUT ERECTILE DYSFUNCTION

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