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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
Each session lasts approximately 15–20 minutes and requires no anesthesia or hospitalization. Recommended course A typical course includes 2 sessions per week for 3–6 weeks (total 6–12 sessions), adjusted to individual response.
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
Li-ESWT is generally considered safe and non-invasive. However, potential side effects include:

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
I acknowledge that other available treatments include:

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
The patient lies in a supine or lateral position. Shockwaves are applied to the perineal/pelvic region for approximately 15–20 minutes per session. Recommended course A standard course involves 1–2 sessions per week for 4–8 sessions, depending on clinical response.
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
Shockwave therapy is non-invasive with very low risk, but rare side effects may include:

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
I acknowledge that other available treatments include:

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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