The results were better among men with vasculogenic ED. The trial revealed that shockwave therapy worked well to restore erectile function in men with mild to moderate vasculogenic ED. It had no effect on men with severe erectile dysfunction as a result of diabetes or on those who had undergone prostatectomy, cystectomy, or radiation. It also had no effect on men with Peyronie's disease.
There were no sham arms in the trial to evaluate the placebo effect. Penile shockwave therapy remains experimental, as it is a relatively new therapy with no long-term data. However, research is underway into its effectiveness as a treatment for erectile dysfunction. Low-intensity shockwaves have also been shown to grow new blood vessels and improve blood flow in the penis, which is essential for erections.
Unlike radial shockwaves, focused shockwaves can also promote the release of nitric oxide (NO), a vasodilator, which means that it improves circulation by dilating blood vessels. Doctors may refer to shockwave therapy for ED as low-intensity extracorporeal shock wave treatment (LI-ESWT). Because shock wave therapy is a relatively new treatment for ED that is not covered by insurance plans, the urologist may first recommend other treatment options for ED. Most people can return to normal activity the day after shockwave therapy, but the urologist will discuss whether you need to restrict your activity longer to recover.
For ED, shock wave therapy involves the use of an electronic device in the form of a rod that is placed against the penis. While shockwave therapy caused significant improvement overall, the greatest improvement was seen in men with mild to moderate ED. If you have erectile dysfunction due to a physical problem, such as poor blood flow, shockwave therapy may be a good treatment option for you. Since then, extensive research has been conducted into the dose-dependent effects of shock wave therapy on various tissues, from skin and muscles to tendons and bones.
Shockwave therapy is generally recommended for patients who do not respond well to medications or who do not want more invasive treatments. Here's how shockwave therapy works, as well as the effects it could have on erectile health and sexual performance. Focused shockwave devices are most commonly used to treat ED, as their dense, higher-energy waves can be precisely delivered to an exact area up to 12 cm under the skin. It also concluded that shockwave therapy produced a significant improvement in erectile function compared to non-therapeutic treatment.
Injections, pills or implants do not really address the reversal of the pathology, but they do address low-intensity shockwaves.