Linear Shockwave Therapy for Erectile Dysfunction - Urology

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Linear Shockwave Therapy


Hello, doctor.
I have been experiencing erectile dysfunction for the past few years.
I finally gathered the courage to seek medical help at a clinic.
The doctor prescribed erectile dysfunction medication but did not perform any tests.
My testosterone levels are normal.
However, the doctor suggested that I consider linear shockwave therapy as an out-of-pocket treatment.
I would like to ask if any tests are necessary before undergoing linear shockwave therapy? Based on your clinical experience, what is the effectiveness of this treatment? Can it lead to improvement? Thank you.

Joee, 30~39 year old female. Ask Date: 2020/07/08

Dr. Du Shixi reply Urology


Hello: The individual has no treatment experience, and this is an out-of-pocket expense.
However, the literature suggests it is effective, depending on individual capability.
Wishing you good health.

Reply Date: 2020/07/08

More Info


Linear Shockwave Therapy (LSWT) for erectile dysfunction (ED) is an innovative treatment that has gained attention in recent years. This non-invasive procedure utilizes acoustic waves to stimulate blood flow and promote tissue regeneration in the penis, potentially improving erectile function.
Before diving into the specifics of LSWT, it is essential to understand the underlying causes of erectile dysfunction. ED can stem from various factors, including psychological issues (such as anxiety or depression), hormonal imbalances (like low testosterone), vascular problems (such as atherosclerosis), and neurological conditions. Therefore, a thorough evaluation is crucial to determine the root cause of the dysfunction.
In your case, since your testosterone levels are normal, it is possible that the ED could be related to vascular or psychological factors. While your doctor may have suggested LSWT without additional tests, it is generally advisable to undergo a comprehensive assessment. This may include a physical examination, blood tests to check for diabetes or cholesterol levels, and possibly a penile Doppler ultrasound to evaluate blood flow. These tests can help rule out any underlying conditions that may require different treatment approaches.

Regarding the effectiveness of LSWT, clinical studies have shown promising results. Many patients report improvements in erectile function after undergoing a series of LSWT sessions. The therapy works by enhancing blood flow to the penis, which can lead to improved erections. The procedure is typically painless and does not require anesthesia, making it a convenient option for many men. However, results can vary from person to person, and it may not be effective for everyone.
The treatment usually consists of multiple sessions, often spaced a week apart, and the total number of sessions can range from six to twelve, depending on the protocol used by the clinic. Some patients may notice improvements after just a few sessions, while others may require the full course of treatment to experience significant benefits.
It is also important to note that LSWT is considered a relatively new treatment modality, and while many studies support its efficacy, more research is needed to establish long-term outcomes and the best patient selection criteria. Therefore, discussing your specific situation with your healthcare provider is crucial. They can provide insights based on their clinical experience and the latest research findings.

In summary, while linear shockwave therapy can be a promising option for treating erectile dysfunction, it is essential to have a thorough evaluation to identify any underlying causes. This ensures that you receive the most appropriate treatment for your condition. If you decide to proceed with LSWT, be sure to discuss the expected outcomes, potential side effects, and any other concerns you may have with your healthcare provider. They can guide you through the process and help you make an informed decision about your treatment options.

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