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LiESWT in Treating Erectile Dysfunction

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One of the several treatments for erectile dysfunction (ED) is low-intensity shockwave therapy (LiSWT), often known as shockwave therapy.

Medically reviewed by

Dr. Raveendran S R

Published At March 15, 2024
Reviewed AtMarch 15, 2024

Introduction

Low-intensity shockwave therapy (LiSWT) is the technical term for this procedure used by urologists. The technology uses targeted sound waves activated by a tiny tool, which can help speed the healing process. It has also been shown that low-intensity shockwaves can improve blood flow and promote the development of new blood vessels in the penis, both essential for erections. Shockwave therapy has been a well-known medical practice for many years. It is a non-invasive treatment for kidney stones and orthopedic problems. Recently, urologists have started treating erectile dysfunction (ED) using this technique. Patients who are not responding well to medicine or dislike more invasive treatments are frequently advised to try shockwave therapy.

Erectile Dysfunction: What Is It?

When men experience sex-related problems, they most typically reveal erectile dysfunction, or ED, to their doctor. ED refers to issues getting or keeping an erection firm enough for sexual activity. ED is usually a symptom of a more serious ailment, such as high blood pressure, atherosclerosis (hardening or clogged arteries), heart disease, or high blood sugar.

It can also occur when emotional or stressful situations block the penis's blood supply or when nerves are destroyed. Finding the source of the ED will help treat it and improve overall health. Inevitably, thinking about therapies for erectile dysfunction (ED), prescription ED medications, penile implants, and invasive surgery may be the first solutions that come to mind. However, what is good for the heart is generally good for overall health. Although they are top-rated options, there is one additional ED treatment that many people inadvertently dismiss: a non-surgical procedure known as low-intensity shockwave therapy (LiSWT).

What Is the Procedure for Low-Intensity Shockwave Therapy?

  1. This technique is carried out in an examination room without anesthesia. For the visit, there is nothing that has to be prepared in advance.

  2. The urologist will run a tool that resembles a wand around various parts of the penis throughout the operation; the instrument emits moderate pulses that cause enhanced blood flow. It takes around 15 minutes to complete the process.

  3. Patients will be able to go home once the treatment is over.

  4. The doctor will advise over-the-counter (OTC) pain relievers such as acetaminophen or ibuprofen if patients experience pain.

  5. After shockwave therapy, most patients can resume their regular activities the following day. However, the urologist will discuss limiting activities for longer to recover.

How Is LiESWT Used in Treating Erectile Dysfunction?

The condition of having ED is not life-threatening, and it may even be transient. However, occasionally, it might be a sign of a more serious medical issue. It has also been shown that low-intensity shockwaves can improve blood flow by stimulating the development of new blood vessels in the penis, which is a prerequisite for erections. According to data, it can increase blood flow and possibly aid in developing new blood vessels. A qualified medical professional with a license is necessary to deliver this treatment. The urologist could first suggest other ED treatment choices since shockwave therapy is a relatively new ED treatment not covered by insurance policies.

This method works best for men who have mild erectile dysfunction if they are:

  • Not taking medications as directed, not being motivated to do so, or

  • interested in attempting regenerative medicine to treat some ED-related reasons.

Usually, a shockwave therapy program consists of six distinct treatments. However, as additional research becomes available, treatment methods may alter. Erectile dysfunction (ED) can be treated in several different ways.

The underlying physical reasons for ED may be long-term treated by shockwave therapy. Other than penile implants and lifestyle modifications, on-demand treatment methods include medication and injections. A different option would be shockwave therapy. Insufficient blood flow to the penis, also known as vasculogenic ED, is a frequent underlying cause of ED. People with this illness may respond best to shockwave therapy since, according to specialists, it boosts blood supply.

Where to Find Low-Intensity Shockwave Therapy?

  • There is no established course of treatment for shockwave therapy for ED because the procedure has not yet received FDA approval.

  • Since it is only presently accessible as a component of clinical trials, only research settings from trusted sources should be used for treatments.

  • To find out if a provider offers experimental shockwave therapy for ED, people can research them.

  • Before deciding to receive shockwave therapy, consumers should consider the following actions as part of their research.

  • Before selecting a course of treatment, seek advice from a primary care physician.

  • Get additional details by speaking with a urologist. Urologists are medical professionals who focus on female and male reproductive health.

  • Learning the practitioner's history, experience, and training is mandatory before receiving ED therapy.

  • Practitioners should use a recognized shockwave machine, as specific models may not generate sufficient energy.

  • Before starting therapy, research the overall cost and validity of expensive treatments.

  • Additionally, individuals should be aware that unless they are included in a research trial, they will be responsible for paying for their therapies because the method is not FDA-approved.

What Are the Side Effects of Low-Intensity Shockwave Therapy?

Side effects are possible. Even though clinical trials have generally demonstrated that shockwave therapy is safe and effective, more investigation is needed to identify any potential risks and the best erectile dysfunction treatment strategies. However, they are uncommon and typically minor. These may consist of:

  1. During the procedure, there may be discomfort at the location.

  2. Bleeding or bruises around the penis.

  3. Urine containing blood and skin infection.

  4. Uncomfortable erections.

  5. Worsening penile curvature.

Conclusion

Low-intensity shockwave therapy (LiSWT) is often indicated for individuals who do not respond well to medication or do not want more invasive treatments. Nowadays, treating ED with shockwave therapy is thought to be an experimental process. Evidence supports its effectiveness, but more research is required to determine whether it is long-term beneficial and can replace or be used with other effective ED treatments. The condition of having ED is not life-threatening, and it may even be transient. However, occasionally, it might be a sign of a more serious medical issue. Additionally, people can concentrate on developing healthier lifestyle practices, including giving up smoking, exercising, and eating better.

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Dr. Raveendran S R
Dr. Raveendran S R

Sexology

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erectile dysfunctionlow-intensity shockwave therapy (lieswt)
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