Shockwave Therapy Treatment for Erectile Dysfunction in Rockville
What is Sexual Dysfunction?
How do erections work?
During sexual arousal, nerves release chemicals that increase blood flow into the penis. Blood flows into two erection chambers in the penis, made of spongy muscle tissue (the corpus cavernosum). During an erection, the spongy tissues relax and trap blood. The blood pressure in the chambers makes the penis firm, causing an erection. When a man has an orgasm, the second set of nerve signals reach the penis and cause the muscular tissues in the penis to contract and blood is released back into a man’s circulation and the erection comes down (Cleveland Clinic)
When you are not sexually aroused, the penis is soft and limp. Men may notice that the size of the penis varies with warmth, cold, or worry; this is normal and reflects the balance of blood coming into and leaving the penis (Urology Health).
What is ED?
Erectile dysfunction is a sexual disfunction that, is defined as a man’s inability to get or keep an erection firm enough for sexual intercourse. It is estimated that around 50% of males between the age of 40-70 experience ED. From extensive research we know, that If a male experiencing ED for a long period of time, it could be a cause for concern, presenting serious underlying health concerns, tissue damage, high levels of stress, serious illnesses and high-risk factors. Below is some more information on what a doctor might ask and test for in order to diagnose and treat ED.
When should someone get treatments for ED?
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FDA Approved therapies and treatments
Vacuum erection device
Intraurethral suppository (MUSE):
Shockwave has been a common treatment the past 30 years for kidney stones, using sound waves strong enough to break up a stone. Some doctors have adapted a milder form of the technology — it’s known formally as low-intensity extracorporeal shockwave therapy — for patients with erectile dysfunction. The therapy increases blood flow to the penis (during a normal erection, blood fills the penis) and promotes new blood-vessel growth (Hartford Healthcare Medical Group). Some of the name brands that provide FDA approved Shockwave Therapy are: Eclipse, Storz and Zimmer.
More information on Shockwave Therapy
One of the treatments that Dr.Jennifer Miller recommends for ED is Shockwave Therapy. This is Extracorporeal shock wave therapy (ESWT); a non-invasive treatment that involves the delivery of shock waves to injured soft tissue to reduce pain and promote healing (Mayo Clinic). Specifically for ED, Shockwave Therapy applies low-intensity extracorporeal shock wave treatment to the penis (LI-ESWT). This FDA-approved therapy increases blood flow to the penis (during a normal erection, blood fills the penis) and promotes new blood vessel growth. Studies have found that the treatment is associated with the growth of new blood vessels and (in animal studies) recruitment of stem cells to the penis. This type of therapy should be administered by a trained medical professional. Some of the FDA approved
The Shockwave Therapy process
During treatment ultrasound gel is applied to the treatment area. Most patients say it feels like a light tapping or tingling sensation, and 99% report they do not experience pain or discomfort. Should any pain or discomfort be felt a numbing gel can be used so that treatment can still be experienced. Most sessions are 10-15 minutes long, and treatment plans are determined during the initial consultation visit after a painless blood flow test.
Who is a candidate for Shockwave Therapy?
How much does wave therapy cost for ED?
Shockwave Therapy Research
International Journal of Impotence Research (2020)
Reviewing the evidence for shockwave- and cell-based regenerative therapies in the treatment of erectile dysfunction (2021)
The Impact of Extracorporeal Shock Wave Therapy (ESWT) for the Treatment of Young Patients with Vasculogenic Mild‐Erectile Dysfunction (ED): A Prospective Randomized Single‐Blind, Sham Controlled Study (2021)
Efficacy of penile low-intensity shockwave treatment for erectile dysfunction: correlation with the severity of cavernous artery disease (2021)
Combination Therapies for Erectile Dysfunction—A Synergy of Modalities Holds the Key (2021)
Shockwave Therapy (fSWT) vs. or Radial Wave Therapy (rWT) for ED
- Radial wave therapy (rWT) is an alternative method of creating acoustic waves that is commonly utilized in orthopedics, physical therapy, and dermatology, but have not been evaluated for use in men with ED (NCBI)
- LI-ESWT for ED works by applying low-intensity shock waves to the penis.
Shockwave Devices and technology
A certain amount of energy is required to effectively treat ED by Shockwave devices so the device matters. Dr. Jennifer Miller recommends using energy-focused products used by medical professionals and not at-home devices. Patients might have heard of some of the technologies below but these devices might not have the “energy”, FDA approvals or the guaranteed results.
GAINSwave Shockwave Devices
GAINSwave vs Shockwave vs Acoustic Wave vs Sound Wave vs Swiss Wave
What’s the difference between all these brands?
What can patients expect once they get Shockwave Therapy?
What can someone expect after receiving Shockwave Therapy?
In the trial that “DR. Georgios Hatzichristodoulou, MD (and team), have completed, 60% of men appear to respond to shock wave therapy by achieving the minimal clinically important difference in International Index of Erectile Function scores at the end of 6 months without taking any kind of PDE-5 inhibitors. Some of the trials have demonstrated a benefit up to 12 months, but that’s probably the longest time that we know that shock wave therapy can provide a benefit for.” (Urology Times, 2019)
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