Low-Energy Shockwave Therapy for Erectile Dysfunction: Options in Taiwan - Urology

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Low-energy shockwave therapy for erectile dysfunction?


Hello Doctor, I am 28 years old, 170 cm tall, and weigh 70 kg.
I have been smoking for 7 years and have experienced erectile dysfunction for the past 3-4 years.
My penile rigidity has also been declining, indicating poor blood circulation.
I have sought treatment at a urology clinic and have been prescribed medications to improve peripheral circulation, as well as Mirtazapine, while also attempting to quit smoking and drinking and engaging in aerobic exercise for several months, but with no significant improvement.
The only time I can successfully engage in sexual activity is when I take Viagra; however, I have recently noticed that its effectiveness has been diminishing.
Additionally, I have been experiencing shortness of breath, and after examination, I was diagnosed with mild mitral valve prolapse.
I am hesitant to rely on medications like Viagra that may increase the burden on my heart.
Therefore, I am considering low-intensity shockwave therapy for erectile dysfunction.
I would like to ask which hospitals in the Zhuliu-Miaoli area offer diagnosis and treatment for this therapy.

Niming, 20~29 year old female. Ask Date: 2017/02/06

Dr. Du Shixi reply Urology


Hello: I haven't heard of it in Zhukiao.
You might want to check with National Taiwan University in Hsinchu.
Thank you for your inquiry.

Reply Date: 2017/02/06

More Info


Low-energy shockwave therapy (LEST) for erectile dysfunction (ED) is an emerging treatment option that has gained attention for its potential to improve erectile function by enhancing blood flow to the penis. This therapy involves the application of low-intensity shockwaves to the penile area, which is believed to stimulate the growth of new blood vessels and improve overall vascular health. Given your situation, it’s understandable that you are seeking alternatives to medications like Viagra (sildenafil), especially considering your recent diagnosis of mild mitral valve prolapse and concerns about the cardiovascular implications of long-term medication use.

In Taiwan, several medical facilities and clinics are beginning to offer low-energy shockwave therapy for erectile dysfunction. While specific availability may vary by region, you can typically find this treatment in larger hospitals or specialized urology clinics. It is advisable to consult with a urologist who is experienced in sexual medicine to discuss your symptoms and explore the suitability of LEST for your condition. They can provide a thorough evaluation and determine if you are a good candidate for this therapy.

Before proceeding with LEST, it is essential to consider a few factors:
1. Underlying Causes: Erectile dysfunction can stem from various causes, including psychological factors, hormonal imbalances, and vascular issues. Since you mentioned poor blood circulation, it’s crucial to address any underlying vascular health concerns. A comprehensive evaluation by a urologist can help identify these factors.

2. Effectiveness of LEST: While some studies suggest that low-energy shockwave therapy can lead to improvements in erectile function, results can vary. It may not be effective for everyone, and the degree of improvement can depend on the severity of the erectile dysfunction and the underlying causes. Discussing the expected outcomes with your doctor can help set realistic expectations.

3. Safety and Side Effects: LEST is generally considered safe, with minimal side effects reported. However, it is essential to discuss any potential risks, especially given your heart condition. Your healthcare provider can help assess whether the benefits of LEST outweigh any potential risks in your specific case.

4. Lifestyle Modifications: In addition to exploring LEST, continue to focus on lifestyle changes that can improve your overall vascular health. Quitting smoking, maintaining a healthy diet, and engaging in regular physical activity are crucial steps that can enhance blood flow and potentially improve erectile function.

5. Alternative Treatments: If LEST is not available or suitable for you, there are other treatment options for erectile dysfunction, including vacuum erection devices, penile injections, and other medications. Discussing these alternatives with your urologist can provide you with a comprehensive view of your options.

In summary, low-energy shockwave therapy for erectile dysfunction is a promising treatment that may be available in your area. It is essential to consult with a qualified urologist who can provide personalized recommendations based on your medical history and current health status. They can guide you through the process, ensuring that you make informed decisions about your treatment options while considering your overall cardiovascular health.

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