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Shock Wave Therapy
What is Shock Wave Therapy?
Shock Wave Therapy (SWT) is a non-invasive treatment that uses low-intensity acoustic waves to stimulate tissue regeneration and improve blood flow. In urology, it is primarily used for treating erectile dysfunction (ED) and Peyronie’s disease, offering a non-surgical approach for patients seeking alternative treatment options.
The therapy works by delivering sound waves to targeted areas, triggering biological responses that promote vascular growth, break down scar tissue, and enhance natural healing processes. It is an outpatient procedure with no need for anaesthesia, making it a convenient and well-tolerated option for many patients.
What urological conditions can Shock Wave Therapy treat?
Erectile Dysfunction (ED)
- Low-intensity extracorporeal shock wave therapy (Li-ESWT) is used to improve penile blood flow, especially in men with vascular-related ED.
- It stimulates the formation of new blood vessels (angiogenesis) and enhances nitric oxide release, which plays a key role in erectile function.
- This therapy is particularly beneficial for men who do not respond well to oral medications (such as PDE5 inhibitors).
Peyronie’s Disease
- Shock Wave Therapy can help break down fibrous plaque in the penis, reducing curvature and improving pain.
- It is most effective in the early, acute phase of Peyronie’s disease when the plaques are still forming.
- While it does not completely reverse penile curvature, it can help manage symptoms and prevent further progression.
How does Shock Wave Therapy work?
The treatment involves applying a handheld device to the penis, delivering low-intensity sound waves to the affected tissue. This process:
- Stimulates new blood vessel growth (neovascularization).
- Promotes cellular repair and regeneration.
- Breaks down fibrotic plaques associated with Peyronie’s disease.
A typical treatment course consists of 6 to 12 sessions, depending on the severity of the condition. Each session lasts about 15 to 30 minutes, and there is no downtime, allowing patients to return to daily activities immediately.
FAQ
Is Shock Wave Therapy safe for treating ED and Peyronie’s disease?
Yes, numerous studies support the safety and effectiveness of Li-ESWT for ED and Peyronie’s disease. Side effects are rare but may include mild redness or temporary sensitivity in the treated area.
How many sessions are required for optimal results?
Most patients undergo 6 to 12 sessions, typically spaced over several weeks. Results continue to improve for up to 3 months post-treatment.
Who is a good candidate for Shock Wave Therapy?
- Men with vascular-related erectile dysfunction who have not responded well to oral medications.
- Patients with early-stage Peyronie’s disease experiencing pain and plaque formation.
- Those looking for a non-invasive alternative before considering surgery or more aggressive treatments.