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Shockwave Therapy for Erectile Dysfunction: Everything You Need to Know

If you're struggling with erectile dysfunction, you may be wondering if shockwave therapy can help. This article covers everything you need to know about using shockwave therapy to treat ED, including how it works and what to expect.

Everything you need to know about Shockwave Therapy for Erectile Dysfunction

Erectile dysfunction (ED) is a medical condition where a man struggles to get or maintain an erection. While this can be an embarrassing topic for many men to discuss, it’s important to remember that ED is a common problem. In fact, it is estimated that one in ten men will suffer from ED at some point in their lives.

There are many potential causes of ED, including psychological issues such as anxiety or depression. However, in most cases, the root cause is physical. This can include conditions such as diabetes, high blood pressure, or a spinal injury.

Fortunately, there are a number of effective treatments available for ED. One of the most promising is a treatment known as shockwave therapy.

How does shockwave therapy work?

Shockwave therapy is a non-invasive treatment that uses soundwaves to stimulate blood flow to the penis. The soundwaves pass through the skin and target the erectile tissue. This helps to improve blood flow and, as a result, erections.

Shockwave therapy is a relatively new treatment, but it is already proving to be an effective option for many men with ED. In one study, shockwave therapy was found to be effective in 75% of men who used it.

Is shockwave therapy safe?

Shockwave therapy is a safe and well-tolerated treatment. The most common side effect is mild pain or discomfort during the treatment. This is usually temporary and goes away quickly.

How long does shockwave therapy take?

Shockwave therapy is a quick and easy treatment. Each session lasts for around 20 minutes, and you will usually need around three sessions before you start to see results.

How much does shockwave therapy cost?

The cost of shockwave therapy will vary depending on the clinic you visit. In general, you can expect to pay between $200 and $400 per session.

Is shockwave therapy covered by insurance?

Shockwave therapy is not currently covered by insurance. However, this may change in the future as the treatment becomes more widely available.

What are the risks of shockwave therapy?

Shockwave therapy is a safe and effective treatment for ED. However, as with any medical treatment, there are some risks involved. These include:

  • Pain or discomfort during the treatment
  • Bruising or swelling at the treatment site
  • Temporary erections that are not as strong as usual

These side effects are usually mild and go away quickly. Serious side effects are rare.

How do I know if shockwave therapy is right for me?

If you are struggling to get or maintain an erection, shockwave therapy may be a good option for you. The best way to find out is to talk to your doctor or a qualified healthcare provider.

They will be able to assess your individual situation and advise you on the best treatment for you.

Have you heard of Low-Intensity Shockwave Therapy? It’s one of the newest technologies being studied right now in the quest for the cure of erectile dysfunction! Be sure to watch until the end to learn about the current data of this practice, who is it best for, and how to know if you’re getting the right treatment for you!

Thanks for watching!!

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Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more.


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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.

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Video transcription:

Have you guys heard of shock
waves for erectile dysfunction? Well,. Finally, I am making the video
you have all been asking me for about shock waves for erectile, dysfunction., I’m,
Dr., Rena, Malik,, urologist and pelvic surgeon,, and if you’re new here we talk all about
urology here,, sexual health,, bladder health and much much more make sure you subscribe. So
you can see my new videos each and every week!. So what exactly is shock waves for erectile
dysfunction and how does it work? Well, shockwave, therapy’s long form is actually low intensity,
extracorporeal, shockwave therapy and in this video we’re going to go through a few things, we’re
going to go through one, exactly how this works to improve erections. What is the data about shockwave,
therapy and who does it work best for and number three? What do? The american and european guidelines
say about shockwave therapy and, lastly, how to know if you’re getting the right treatment? So how does
it actually work well shock wave therapy actually produces these acoustic waves, two parts of the
penis that create mechanical stress and then that area heals and it’s during that healing process.
Where you’re. Actually going to see the improvement in erectile function and the theory of this
is that it actually creates more blood vessels and even potentially some nerve regrowth in the
penis, so it can actually potentially reverse some of the damage to the penis. So what happens? Is the
cells that get traumatized through the shock waves release things called vascular, endothelial, growth,
factor and fibroblast growth factor, and these factors are really important in the formation,
of blood vessels and clinically, if you’re, making more blood vessels, you should be getting more
blood flow and you’re getting more blood flow. Well, then, you’re getting better erections, there’s
actually some data that suggests in animal models that healing from shockwave therapy releases
neutrophilic growth factors, which means that it can potentially cause some nerve regeneration and
may be useful for patients who have nerve injury. However, we don’t have enough data on this yet
so. What data do we know about shockwave therapy? Well, we have what’s called meta-analyses and
meta-analyses are studies that look at all the data. That’s been done and looked at for shockwave,
therapy and it combines all the data together to see. Does shockwave therapy actually work so
let’s get into it? There’s two meta-analyses that I’m going to go over the first one looked at
only randomized controlled trials, and what does that mean? That means that you have patients who
either get the shockwave therapy or patients who don’t get the shockwave therapy but think they’re,
getting it or a placebo and then they’re compared, and this is kind of the best or gold standard of
investigations for trials in patients, because we can really see the difference. Is it placebo effect
do, you think you’re going to get better erections, so maybe that helps with some of your function.
Versus. Is it because of the actual treatment itself? These specific studies looked at
people who had organic erectile dysfunction, specifically due to most often vascular causes
and, that’s for the large majority of people due to high blood pressure, diabetes and other
sort of medical problems that can affect blood flow to the penis. It did not include people,
who got radiation that caused erectile dysfunction or people who had chronic pelvic pain that was
associated with their erectile function. So in this meta-analysis they included seven studies.
Over five different countries and they didn’t have a uniform protocol, so they vary the type of
shock wave generator. They vary the number of shock waves that were given and how many locations they
included on the penis itself to target during the shock wave. So shockwave generators come in three
different flavors. They can come in electromagnetic electro, hydraulic or piezoelectric, and so they
all create these focused shock waves, which can get into a certain depth of penetration that is
deep enough to penetrate the deep tissues of the penis that can create new vessels and potentially
new nerves in the penis. The most common protocol was getting six weeks of treatments with
12 treatments. Usually it was three weeks where you got six treatments, then a three week
break and then another three weeks of treatments. However, that wasn’t consistent across all studies,
and, basically how they evaluated erectile function, was by using specific questionnaires that
are given to patients that are used as a validated questionnaire to identify the degree of
erectile dysfunction and what they found was that there was a statistically significant improvement.
In erectile function at one month after getting treatment with shockwave therapy, so one month is
not a really long time. What have other studies shown us? Well, another meta-analysis looked at
a wider number of trials, so they included both the randomized controlled trials, as well as cohort
studies, where they took a bunch of people and they gave them shockwave therapy and they followed
them over time and the difference between this meta-analysis and the other one was not just that
but. They also included patients who had peyronie’s disease or curvature of the penis. If you want to
learn more about that, make sure you check out my last video on peyronie’s disease and they also
included patients with pain disorders that can also impact erectile function so based on this
data, what are the urologic associations that kind of govern our clinical care saying so the american
urological association updates guidelines in 2018 and what they say is that shockwave therapy should
be considered investigation and not be given as a routine treatment for erectile function, based on
the limitations that we see in the data and some of which I’ve discussed previously. Interestingly,
the european association guidelines were just updated in september of 2021 and what they
recommend is that it may be offered to men who have vasculogenic erectile dysfunction, but these
men should be fully counseled before treatment. Where does this counseling come in so who is
shockwave therapy best for well? Shockwave therapy is best for men who have mild erectile dysfunction,
and, mild, erectile dysfunction is men who either don’t require oral medications yet or are
doing well with oral medications, or maybe they’ve been on oral medications they’ve just recently
stopped responding to those medications, so those people are really a great candidate for shockwave
lithotripsy, based on the data that we have there’s some possibility that perhaps people who have more
severe erectile dysfunction may have benefit when you’re. Combining this with other therapies. However,
the data doesn’t tell us yet exactly what that might be, and I think again to know that this may
be limited it’s only a 50 to 60 success rate at one year. However, the data shows that it’s pretty
safe there’s very few adverse events with it. So the things to consider are really how much
time it takes to get the treatments and the cost. So when we’re talking about cost, how do you
know that you’re getting the right treatment? Well so, as I mentioned earlier, the things that you want
to look for the shock waves that actually help are focused shock waves and when you’re thinking
about shock waves, there are different types of shock waves, there’s the focus shock waves which
have the right depth of penetration and the right waveform that will create this neogenesis of blood
vessels compared to the other type of shock wave that we see, often, which is a radial shock, wave and
radial shock waves are actually more superficial and don’t result in any of those changes that we
see with focus shockwaves but, interestingly rad ial shock. Wave generators are much cheaper to purchase
and. So a lot of the men’s health clinics that suggest they’re giving shockwave may be giving
you radial shockwave therapy rather than focus shock waves, and that radial therapy will not help
so. The best way is to find out what exact machine they’re using and does it produce focused shock,
waves or not also because it’s still considered investigational in the united states. You can
find investigators who are doing clinical trials on shockwave therapy and that’s the best way get
involved in a clinical trial. One you can see if it’s gonna work for you and two you can be part
of. The solution, let’s find out if this is a great therapy for many many men coming down the pipeline
in, the future I think there’s still a lot more, that we need to find out about shockwaves. We need
to find out exactly what is the best treatment protocol. What about people who have erectile
dysfunction from other problems like prostate surgery or nerve problems? What about those
patients and how about the long-term outcome? Is there any benefit to getting repeated treatments,
later down the line? And, lastly, what about having individualized treatment protocol? So if someone
has mild ed, maybe a less rigorous protocol would work best for them, but some if someone has
really severe erectile dysfunction, maybe a more aggressive or more frequent protocol may be best,
for them and I. Think all of that is being studied and we will know much much more in the next years.
To come and hopefully this will become a great treatment option for men with erectile function
but. For now, if you’re thinking about shockwave therapy, one make sure that you’re getting
focused shockwave therapy and two that you realize your success rate may be variable depending on
how bad. Your erectile dysfunction is to start, and while you may see some improvement, we don’t
know the long-term data at this time, thanks so much for watching. As always, we’re gonna take
care of yourself because you’re worth it.

What users commented:

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I was under th impression that It broke up the plaque in the blood vessels…

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How does one find a treatment program in South Africa ?

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Seems like a lot of confusion on this subject one patient will say had great results another patient will say didn’t do squat seems like a Gamble.

It should be noted that shockwave and acoustic wave therapies are two separate therapies. Acoustic wave does not generate enough hz to cause sufficient trauma to the penis to force the formation of new blood cells. With that said, all studies of worth used actual shockwave therapy and not acoustic wave. Shockwave devices are medical grade, require a medical license and run about $30,000.00. Acoustic wave devices have not been shown to support their claims and are essentially the overpriced, ineffective home editions such as the
” to name just one.

Is there a shockwave device for home use that gives focused treatments

Can someone make an appt.with you to get shockwave therapy

I just received 6 treatments of focused shockwave therapy followed up by the PRP injections. Days afterword I have experienced firmer and more frequent and random erections. So far, I’m very pleased with it.

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This is a really helpful video. We’ve been working with urologists to create the most effective individualized protocols. In fact, we’re supporting Dr. Judson Brandeis on the world’s largest shockwave study ever performed (SWEET Study), which includes 164 patients! There’s a lot of information out there that men should read prior to trying shockwave therapy. We have a lot of information on our website and a directory of physicians that have been properly trained on administering the treatment in the US that you can reach out.