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Fig. 1: Conventional ESWT technologies only allow a small area of energy delivery into the corpora cavernosa.
Fig. 2: By placing the therapy source at right angles to the course of the corpus cavernosum, the linearly focusing shockwave of the PiezoWave² makes it possible to treat the entire course of the corpus cavernosum quickly and comprehensively, thus guaranteeing maximum and homogeneous energy application into the target tissue.
Fig. 3: Line-focused shockwave therapy using the LSTC-ED technique along the corpora cavernosa.
Fig. 4: Line-focused shockwave therapy in LSTC-ED technique along the crura penis.
“Linear Shockwave Tissue Coverage” – A unique therapy concept for the treatment of Erectile Dysfunction Supported scientifically, low-energy, focused shockwave therapy is defined as one of the “first-line” therapies by the European Association of Urology (EAU) Guidelines.
1 Session 7,000.-
3 Sessions 18,000.-
6 Sessions 30,000.-
Testosterone is a key hormone that plays a pivotal role in male sexual function. In cases where ED is linked to low testosterone levels, this therapy can be a game-changer.
Our experienced medical team can provide you with prescription medications specifically designed to address ED. These medications work by enhancing blood flow to the penis, facilitating the achievement and maintenance of strong and reliable erections.
MECHANISMS OF ACTION AND EFFECTS OF ESWT DESCRIBED IN THE LITERATURE WHICH ARE EFFECTIVE TO TREAT ED:
A prospective, multicenter placebo-controlled study (*) with 75 patients showed a significant improvement in IIEF-5 scores, with successful outcomes reported for 81% of patients after one month of treatment. An improvement in function was found even at 6 months after treatment, proving the long-term beneficial effect of LSTC-ED treatment.
LI-SWT uses acoustic waves to stimulate the growth of new blood vessels and improve blood flow in the penile region. The therapy involves the following steps:
Erectile dysfunction (ED) is characterized by the inability to achieve or maintain an erection firm enough for sexual intercourse. While it was once commonly referred to as impotence, this term is now less frequently used.
Erections occur due to a sophisticated interplay of blood vessels, nerves, hormones, and muscles. When an erection happens, there’s an uptick in blood flow within the penis, leading to enhanced venous compression. This makes the erectile tissue and its blood supply crucial for proper erectile function.
A decrease in arterial blood flow results in less venous compression, which can cause inadequate erections.
Arteriosclerosis is a frequent cause of ED. Risk factors for ED encompass long-term nicotine use, diabetes mellitus, high blood pressure, high cholesterol levels, chronic kidney diseases, among others.
Symptoms of Erectile Dysfunction (ED) can include:
Additionally, other sexual disorders that can be related to ED encompass:
If you experience any of these symptoms, particularly if they persist for three months or longer, it is advisable to consult with a healthcare professional.
The mechanical energy of the shockwaves is generated extracorporeally (=outside the body) and transferred in a focused manner into the diseased target tissue. There, the mechanical stimulus is converted into positive, therapeutic acting biochemical signals that help the body to repair altered tissue and initiate tissue regeneration.
In principle, ESWT has few contraindications.
The instructions for use of the ESWT systems contain the stated contraindications. The contraindication for use included in the instructions for Richard Wolf’s therapy sources are as follows:
The decision to utilize shockwave therapy despite any contraindications that may be present is at the sole discretion of the attending physician.
The treatment is based on the “bio-feedback” provided by the patient to the clinician applying the therapy. The intensity of a treatment is individually adjusted according to the patient. Particularly in the treatment of CPPS, patients report a “feeling of well-being” because they feel that the cause of their pain is being addressed.
As with all other treatment options, the treating physician must decide whether ESWT is suitable, based on the severity of disease, the patient’s history, comorbidities, etc.
In principle, shockwave therapy can be used to treat ED in cases where erectile dysfunction has a vascular origin. Shockwave therapy can also be a very good option if drug-based therapy is not possible because of the potential side effects.
Initiating a visit to a family doctor serves as a prudent step when grappling with erectile difficulties. Seek medical guidance if:
Depending on the disease and the patient, the number of pulses can vary and usually lasts only a few minutes.
Questions about erectile dysfunction treatment:
As with all other treatment options, shock wave therapy is not an option for everyone. There is a simple reason for this: the causes of erectile dysfunction are varied – and a careful diagnosis is important to achieving the goal of the therapy. In principle, shockwave therapy is indicated for vascular erectile dysfunction (see also contraindications). Shockwave therapy can also be a good option if drug therapy is not an option because of possible side effects.
Current treatments for erectile dysfunction (e.g. PDE-5 inhibitors, injections (SKAT), vacuum pumps…) have the following problems and disadvantages compared to ESWT:
Of course, every patient and his or her course of disease is different. Number of treatments depends on previous illnesses, concomitant diseases, duration and severity and are therefore difficult to make. On average, patients need 4-8 treatments.
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