Acoustic Wave therapy and erectile dysfunction:
Acoustic wave therapy uses energy from acoustic waves to trigger a process called neovascularization in certain parts of the body. When neovascularization occurs, new blood vessels are formed. This helps improve blood flow to the region.
This type of therapy has been used to help heart patients, people with kidney stones, and those with fractures and joint/tendon inflammation. Recently, scientists have investigated low-intensity shockwave therapy to help men with erectile dysfunction (ED).
Blood flow is critical to a man’s erections. When a man is sexually stimulated, arteries widen so that his penis can fill with blood. The blood is what gives the penis the firmness needed for vaginal penetration. A man who has problems with blood flow to the penis may have weaker erections or may be unable to have erections at all.
There are several types of treatments available to men with ED, including pills, vacuum erection devices, and penile injections. However, these therapies are typically conducted on an “as-needed” basis and may work for only one sexual encounter at a time. They can be cumbersome and also have varying side effects. Acoustic wave therapy is different, as it targets the erectile mechanism so that men are more likely to have erections on their own.
To administer shockwave therapy, a doctor applies a probe to the penis which is coated in a special gel. Specific areas of the penis are targeted. Treatment sessions may last for fifteen to twenty minutes. Men usually don’t need anesthesia or experience discomfort, although they might have a tingling sensation in the treated area.
Clinical trials of Acoustic wave therapy for ED have had encouraging results. One study showed a 76% improvement in ED symptoms. The process has been well tolerated by patients. Many men have found that their erections have improved and they are able to once again engage in intercourse without pills, injections, or vacuums. Men with more severe ED may still need to take ED medication in addition to having Acoustic wave therapy but experienced much better results and often take less medication after the treatment sessions.
What to expect during your Acoustic wave program.
After a thorough consultation and physical examination, the provider will determine if you are an appropriate candidate for the procedure.
Acoustic wave therapy normally consists of 6 treatment sessions that are scheduled either twice a week for 3 weeks or once a week for 6 weeks. Therapy can be customized to each specific patient’s desire or need.
Each session will consist of the option of a topical numbing medicine that is applied directly onto the penis. Most men do not opt for numbing medicine because there really is no discomfort.
Once you are comfortably positioned, the machine handle will be set to 2.5-3.0 BAR intensity, a frequency of 10 acoustic waves/second and each of the 5 separate locations on the penis and perineal area will receive 3,000 pulses.
In all, 5 locations are treated which will essentially involve the entire shaft of the penis and the perineal area.
Once the treatment is concluded, the patient has zero downtime from any activities. Even engaging in sexual intercourse is encouraged any time the patient desires.
Yes, even the same day
For both men and women, changes in sexual function can have a very significant impact on one’s own self-esteem and that of their partner’s as well. Difficulty achieving or maintaining an erection and/or concerns about penile size, shape and curvature, with or without pain commonly happen to men as they age. Decreased sexual pleasure for a woman can stem from poor lubrication, pain with intercourse, the vaginal canal being too loose (less sensation) or too tight (discomfort), and difficulty or inability in achieving an orgasm. With increasing age, the blood vessels to, and within the sexual organs (penis and vagina), can collapse or breakdown resulting in dysfunction.
Our bodies have a remarkable capacity to heal themselves. Regeneration of new tissue is accomplished by the natural production of stem cells. Low Intensity Shockwave Therapy (LiST) delivers pulse waves to the penis or vagina and stimulates activation of the body’s cellular repair mechanisms, similar to that with Platelet Rich Plasma (PRP) injections. This results in the opening of existing blood vessels and growth of new ones as well. It additionally stimulates cellular tissue repair resulting in better improved, or even normalized, sexual function. LiST was originally used to treat sports injuries and plantar fasciitis, but now has evolved to address issues of sexual wellness and dysfunction. LiST is one of the most advanced, effective natural treatments for cellular repair AND rejuvenation throughout the body. Trademarked names for Shockwave Therapy include GainswaveTM, CorewaveTM, RejuvawaveTM and SwisswaveTM. All of these use the same type of pressure wave technology.
Shockwave therapy (LiST) falls under the field of regenerative medicine, which deals with the process of replacing, engineering or regenerating human cells, tissues or organs to restore or establish normal function. It is a non-invasive treatment which stimulates tissue repair and cellular regeneration. LiST results in recruitment of platelets and the subsequent release of growth factors & proteins which in turn activate stems cells and stimulate cellular repair and regeneration wherever they are applied in the body. In addition, collagen production and the formation of new blood vessels occurs and further aids in tissue repair.
Platelet Rich Plasma (PRP) is a therapy that involves the injection of a person’s own growth factors to stimulate tissue healing.Both PRP and LiST work by similar means, but LiST takes the process back one step and stimulates platelet activation as opposed to extracting platelets from one’s blood and injecting them directly where the cellular repair is needed
Broward Urology Center physicians have devised an extensive treatment plan that is customized for specifically for each individual that walks through our doors. No one treatment type is optimal for every patient, thus, PRP is also often used in conjuction with LiST in patients who may benefit from both as they have a known additive effect. Ask us if you are a candidate for PRP as well as LiST.
LiST is an in-office procedure that usually takes under 30 minutes. There is no recovery period or major restrictions and all patients may resume their usual activities soon after on the same day.
Though the treatment does not require any special after care, for men looking to achieve optimal results, we strongly encourage the use of a Vacuum Erection Device (VED) in the weeks following LiST. This is usually done twice daily. It requires only a few minutes of your time and without it, success rates are usually lower. We will walk you through it the first time.
For women after LiST, using an Apex M or Intensity pelvic floor muscle stimulation device, is vital for achieving optimal success from the procedure. This is also done twice daily.
You may resume sexual activity about 4 hours after procedure on the same day.
Only minor potential side effects may occur. These include minor bleeding or bruising, swelling, and very rarely infection. You MUST notify your doctor if you are taking aspirin, Coumadin, Xarelto, Plavix or any other blood thinners as these must be held prior to treatment.