05/04/2021
When Is Low-intensity Shockwave Therapy a Good Option
Low-intensity shockwave therapy (LISWT) has been used for years to help with wound healing and improve healing of bone fractures and damaged or inflamed tendons and ligaments.
But this treatment is now being offered for men with (ED) caused by inadequate blood flow , called vasculogenic ED.
Urologist Daniel Shoskes, MD, says LISWT may be an option — particularly for men with mild to moderate ED who’ve had success with medications known as phosphodiesterase-5 (PDE5) inhibitors.
“It has a very long track record as a device in terms of efficacy and safety,” explains Dr. Shoskes. “If someone, for instance, takes a PDE5 inhibitor and has a great response but wants to not have to take it, those are patients who typically do very well.”
How low-intensity shockwave therapy boosts blood flow
require a sufficient blood supply, and anything that limits blood flow — such as cardiovascular disease and diabetes — can lead to ED.
With LISWT, a physician uses a wand-like device to deliver mild shockwaves . Studies have found that the treatment is associated with a growth of new blood vessels and (in animal studies) recruitment of stem cells to the p***s.
In a recent meta-analysis of 10 randomized controlled trials involving a total of nearly 900 men with vasculogenic ED, researchers reported that, compared with sham treatment, LISWT resulted in significant improvements .
“It has been shown in studies that pretty much everyone gets an improvement in blood flow,” Dr. Shoskes says. “Over the years there have been a number of studies showing overall improvement in the ability to get er****ons, either alone or with a PDE5 inhibitor.”
What type of results can you expect from LISWT?
For men with vasculogenic ED, Dr. Shoskes and colleagues at Cleveland Clinic administer LISWT once a week for six weeks, although the ideal treatment protocol has yet to be determined. Each treatment session lasts about 15 minutes. No anesthesia is necessary, and for upwards of 95% of patients, the procedure is painless, Dr. Shoskes says.
“Our own experience has been very similar to the published literature. We find success about 62% of the time. having PDE5 inhibitors no longer work and now they work great,” he explains, noting that the benefits of treatment tend to remain durable for at least a year.
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