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TREATMENT | Low-Intensity Extracorporeal Shockwave Therapy (Li-ESWT)

Low-Intensity Extracorporeal Shockwave Therapy (Li-ESWT) for Erectile Dysfunction
Li-ESWT uses mechanical shockwaves targeted at penile tissue to stimulate angiogenesis and improve blood flow, enhancing spontaneous erectile function.
Indications
Men with mild to moderate vasculogenic erectile dysfunction.
Individuals who are unresponsive to or wish to reduce dependence on oral PDE5 inhibitors.
Not intended for those with severe neurological or anatomical penile conditions.

01Treatment Procedure and Frequency

02Expected Outcomes and Limitations
Approximately 70–80% of patients may experience improvement in erectile function. Effectiveness may vary based on age, etiology, and comorbidities such as diabetes or hypertension. This is a regenerative therapy, and benefits may take several weeks to manifest.

03Risks and Side Effects
Temporary redness, numbness, or bruising at the treatment site. Rare instances of mild penile discomfort or transient erectile issues. Very rarely: hematuria or hematospermia (blood in urine/semen).

04Alternative Options
Oral medications (e.g., sildenafil, tadalafil). Penile injection therapy. Vacuum erection device. Penile prosthesis surgery.

Sexual Dysfunction Consultation and Questionnaires
This treatment delivers low-intensity shockwaves to the perineum, scrotal, and prostate-related areas. It aims to reduce chronic pain, enhance local circulation and tissue regeneration, and potentially improve urinary or sexual symptoms.
Treated Conditions
Diagnosed with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).
Chronic pain in the perineum, pelvis, testicles, anus, or urethra for more than 3 months.
Poor response to medication/physiotherapy or seeking adjunctive treatment.

01Procedure and Frequency

02Potential Benefits and Limitations
May relieve local chronic pain, muscular tension, or tenderness. Some studies suggest improvement in sexual or urinary symptoms. Results are not immediate and may require weeks to months to observe. Response varies based on individual condition, cause, and chronicity.

03Risks and Side Effects
Temporary redness, soreness, or bruising at the site (resolves within hours to 1–2 days). Temporary discomfort, increased urinary frequency, or urethral irritation. No known long-term adverse effects or complications in current literature.

04Alternative Options
Anti-inflammatory or neuromodulatory medications (e.g., α-blockers, gabapentin, TCAs). Pelvic floor physiotherapy. Behavioral or psychological therapy. Heat therapy, acupuncture, dietary adjustment.
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TREATMENT
Penile Shockwave Therapy
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TREATMENT
Low-Intensity Extracorporeal Shockwave Therapy (Li-ESWT)
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TREATMENT
PRP (Platelet-Rich Plasma) Regenerative Therapy
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TREATMENT
Vacuum Erection Device (VED)
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TREATMENT
Sexual Function Therapy
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TREATMENT
Pelvic Floor Muscle Training – Emsella Chair
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