Extracorporeal shock wave therapy (ESWT) promotes tissue healing by increasing vascular regeneration, blood flow, and oxygenation in the area where it is applied, using various mediators.
This effect is used to treat various conditions in the penis and genitals, particularly erection problems (impotence). In this context, Low-Intensity Shock Wave Therapy (LI-SWT),specialized for urological conditions, is used.
ESWT therapy is most commonly used for urological conditions such as erectile dysfunction. Chronic prostatitis and Peyronie's disease are also among the conditions that benefit from shockwave therapy. It is particularly successful in treating mild to moderate erectile dysfunction.
Absolutely yes. Up to 80% success has been reported in the treatment of mild to moderate ED, with the exception of severe erectile dysfunction caused by vascular and nerve injuries following pelvic surgery.
The recommended treatment protocol for erectile dysfunction (ED) and other urological conditions (prostatitis, Peyronie's disease) is 6 shockwave sessions. This is usually applied over a period of 3 weeks. However, in some cases, it can be extended to 12-24 sessions. This is particularly true for Peyronie's plaque.
Shock wave therapy for erectile dysfunction, each session lasts approximately 20 minutes. For Peyronie's plaques, sessions last approximately 30 minutes.
For erectile dysfunction, ESWT is applied directly to the penis. A total of 1,500 pulses are applied to five specific points. The recommended energy density is 0.1-0.15 mJ/mm². Pain is not felt at this low intensity. For Peyronie's plaques, the application is made to the edges of the plaque, while for chronic prostatitis, it is applied to the skin above the anus, also known as the perineum.
Focus-enabled shockwave therapy devices are known to provide more successful results in erectile dysfunction by better penetrating tissues. They also do not cause pain like radial wave devices.
The effectiveness of shockwave therapy (ESWT) begins after 1-3 months. It reaches maximum levels after 3 months. This period can be used to evaluate the effectiveness of the treatment. Scientific publications have shown a success rate of 40-80%.
In cases where ESWT is used for erectile dysfunction and is successful, the effect can last for years. There are studies reporting good effects for up to 5 years. However, it is generally noted that effectiveness decreases after the first year, and additional sessions may be required.
No. ESWT is a painless procedure. No preparation is required. No anesthesia or sedation is required. Patients can return to their daily activities immediately after the procedure.
No side effects are expected for low-intensity shockwave therapy (LI-SWT),a type of ESWT used for urological conditions. Pain, swelling, bruising, or any other tissue damage have not been reported. Redness may occasionally occur.
ESWT (Extracorporeal Shock Wave Therapy) stands out as a promising, non-surgical method for the treatment of erectile dysfunction and some other urological conditions. This therapy stimulates vascular formation, accelerates tissue regeneration, and improves microcirculation by applying low-intensity shock waves to the genital area, aiming to improve erection quality.
It provides relief from chronic pelvic pain syndromes such as prostatitis by reducing inflammation, and can contribute to the softening of plaques and the reduction of curvatures in Peyronie's disease. Generally applied in painless and short sessions, ESWT is well-tolerated by patients thanks to its minimal side effects.
Under the supervision of Assoc. Prof. Dr. Arif Demirbaş, specialized focus-based Li-ESWT treatment for urological and andrological diseases is successfully applied.
Prices for low-intensity shockwave therapy for erectile dysfunction can vary between institutions. The equipment used also factors in cost. At Dr. Arif Demirbaş urology clinic, a six-session treatment package costs $800.
For ESWT treatment pricing WhatsApp: +905324850016
Assoc. Prof. Dr. Arif DemirbasUrology Specialist
Assoc. Prof. Dr. Arif Demirbaş
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