High energy acoustic waves for the treatment of erectile dysfunction, chronic pelvic pain and kidney stones.
Shock waves have been used for years in urology, especially for the treatment of lithiasis. This same physical principle, but with low-energy, high-frequency shock waves, is now used in the treatment of impotence and chronic pelvic pain syndrome.
Shock waves are high energy acoustic waves that can be generated in different technological ways differentiated by their focal generator or radial generator.
These have positioned themselves as the treatment of choice for mild or moderate erectile dysfunction, especially of a vascular nature, constituting one of the few curative treatment alternatives for erectile problems. In addition, in recent years, evidence has been generated on the benefit of low intensity extracorporeal shock wave therapy on chronic pelvic pain syndrome and specifically that caused by chronic abacterial prostatitis.
Shock waves in erectile dysfunction
The main mechanism by which shock waves act is the formation of new blood vessels in the erectile tissue and the enhancement of the relaxation of the vascular endothelium. These are applied first to the upper part of the penis and then below the scrotum where the root of the corpora cavernosa is located to cover the entire length of the erectile tissue.
Shock wave treatment should be divided into several sessions:
The sessions have a duration of 30 minutes.
The frequency of each session is once a week.
The duration of treatment is 4 to 6 weeks.
When studies evaluate the benefits of shock waves in patients with erectile dysfunction, they show positive response rates to treatment of 75-80%. This response is maintained 6 months after treatment, i.e. most patients significantly improve their erections and do so in a sustained manner in the medium term.
Shock wave therapy for chronic prostatitis
Shock wave therapy has been used for chronic prostatitis for the last ten years. These are easily applied perineally without side effects, achieving a significant improvement of the symptoms related to chronic pelvic pain syndrome.
The shock treatment must be divided into several sessions:
The sessions have a duration of 30 minutes
Frequency of once a week for 4 weeks.
Shockwave therapy for pelvic pain
The waves are applied by positioning the focus from the perineum to the prostate and pelvic floor. The transducer position is changed after 500 pulses to treat the entire pelvic floor and prostate. This technology is highly effective in the treatment of chronic pelvic pain syndrome, and the improvement achieved is sustained over time. The improvement of urinary symptoms is between 25 - 40% after 12 weeks.
Advantages Shock Wave Urology
Improve blood circulation and stimulate the generation of blood vessels.
Significantly improve erectile function, penile erection hardness, and patient satisfaction
Painless and free of adverse effects
Disadvantages of Shock Wave Urology
Not recommended in cases of erectile dysfunction of neurological origin (caused by spinal cord injury), hormonal (due to testosterone deficiency), venous leakage and/or in cases of psychological origin.
It is not recommended in very severe cases, when the patient does not respond even to oral drugs.
It is the treatment of choice for mild to moderate erectile dysfunction, especially of vascular nature, constituting one of the few curative treatment alternatives for erectile problems.
News
of ROC Clinic in Shock Waves Urology
Research
Initial experience with thulium fiber laser for prostate enucleation: Analysis of the intraoperative and short-term outcomes in a prospective, multicenter cohort.
Shock wave treatment is painless and does not require any type of analgesia or sedation. No hospitalization or observation period is required after each session.
Are shock waves effective for erectile dysfunction?
Low intensity shock waves should be the treatment of first choice in men with vascular erectile dysfunction, as they significantly improve erectile function, penile erection hardness and patient satisfaction.
How many shock wave sessions are needed for erectile dysfunction?
Sessions are carried out between 4-5 sessions (one per week) and each session lasts approximately 15-20 minutes.
Are there any risks associated with shockwave treatment or side effects?
No, none. Low intensity shock wave therapy is a safe treatment, since it does not require the application of drugs or exposure of deep tissues, as occurs in surgery, so there is no risk of developing an infection or destroying any nervous or vascular element.
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