- Low-intensity extracorporeal shock wave therapy (LI-ESWT) is a novel modality that has recently been developed for treating erectile dysfunction (ED). Unlike other current treatment options for ED, all of which are palliative in nature, LI-ESWT is unique in that it aims to restore the erectile mechanism in order to enable natural or spontaneous erections.
- Results from basic science experiments have provided evidence that LI-ESWT induces cellular microtrauma, which in turn stimulates the release of angiogenic factors and the subsequent neovascularization of the treated tissue.
- Extracorporeal shock wave therapy (ESWT) has been clinically investigated and applied in several medical fields with various degrees of success.
- High-intensity shock wave therapy is used for lithotripsy because of its focused mechanical nature, and medium-intensity shock waves have been shown to have anti-inflammatory properties and are used for treating a wide array of orthopedic conditions, such as non-union fractures, tendonitis, and bursitis.
- In contrast, LI-ESWT has properties which cause neovascularization and is therefore used in the management of chronic wounds, peripheral neuropathy, and erectile dysfunction.
- As a result of these characteristics we initiated a series of experiments evaluating the effect of LI-ESWT on the cavernous tissue of patients with vasculogenic ED.
- The results of several studies, which also included a double-blind randomized control trial, confirm that LI-ESWT generates a significant clinical improvement of erectile function and a significant improvement in penile hemodynamics without any adverse effects.
- Although further extensive research is needed, LI-ESWT may create a new standard of care for men with vasculogenic ED.
Current Ineffective ED Treatments:
- The current nonsurgical treatment modalities in the management of erectile dysfunction (ED) mainly consist of oral phosphodiesterase type 5 inhibitors (PDE5is) taken orally and/or intracavernosal injections of vasodilating agents.
- These treatments are very effective and are reasonably safe with rare unwanted or adverse effects. However, they all share the same major drawback: they do not alter the underlying pathophysiology of the erectile mechanism. These treatments are usually taken on demand, prior to the sexual act, and their effect is essentially time limited.
- Although daily administration of a PDE5i instead of on-demand treatment does address some of these problems, it still does not modify the pathophysiology of the erectile process. Moreover, the evidence that its effect on the erectile tissue is long-lasting is very limited. Presently, only a small number of men with ED can be offered treatment that would restore their spontaneous erectile function. This group includes those who would benefit from various lifestyle or drug regimen modifications, those who can be treated for relevant endocrine disorders, or those with vasculogenic ED who would benefit from microvascular surgery.
Effective ED Treatment:
- Most patients with ED rely on their treatment in order to maintain their sexual function. Providing a treatment for men with ED that is rehabilitative or even curative and enabling them to regain spontaneous sexual activity with normal intimacy and without adverse effects is presently an unmet medical goal.
- Recently, data from several studies suggests that this goal could probably be met by low-intensity extracorporeal shockwave therapy (LI-ESWT) of the corpora cavernosa.
- This review intends to summarize the scientific background underlying the effect of this energy as well as the recent clinical evidence of its effect in patients with vasculogenic ED.
- Shockwaves (SWs) are acoustic sound waves that carry energy and when passing through a medium, can be targeted and focused noninvasively to affect a distant selected anatomical region, similar to those of Lithotripsy.
- When LI-ESWT is applied to an organ, the relatively weak yet focused Shockwaves interact with the targeted deep tissues where they cause mechanical stress and microtrauma. This stress and microtrauma (also known as shear stress) induce a cascade of biological reactions that result in the release of angiogenic factors which in turn trigger neovascularization of the tissue with subsequent improvement of the blood supply.
Prior to LI-ESWT the Remedies Available were:
An estimated 70% of all men do not respond to popular pills like Viagra, Cialis, and Levitra. Many men can’t take the popular prescription pills at all because of miserable side effects or medical conditions that make doing so dangerous or the fact that these medications lose their effectiveness over time. This leaves only two other viable medical options, both of which are highly undesirable for obvious reasons:
- An injection: sticking a long needle into the penis each time prior to sexual activity. This requires much skill and nerve and can produce a prolonged erection (priapism) which can cause an extremely dangerous medical emergency.
- Surgical implantation of a penile prosthesis and pump in the scrotum to raise and lower the penis. This major surgery can result in serious complications and frequent failure.
Our clinically-proven PowerWaveMD treatment proudly offers patients an alternative. We offer: “The Secret Drug Companies Don’t Want Anyone to Know About.”
- As you will see in our website and advertisements, the PowerWaveMD treatment uses the newest, state-of-the-art technology for the treatment of erectile dysfunction without the use of drugs, surgery or injections.
- FDA registered for soft tissue repair which increases blood flow to the penis, the non-invasive PowerWaveMD treatment uses painless pulsed energy waves done in 6 or 12 short in-office sessions, given either by you or someone on your staff which would receive our specialized training program.