Li-ESWT for ED

Erectile dysfunction (ED, impotence, impotence, erectile dysfunction, erectile dysfunction) is a common urological problem. Although the causes and treatment modalities of ED in young and older men differ, the treatment principles are generally similar. ESWT has been used since 2005 in the treatment of erectile dysfunction. We have been using this treatment method successfully for a long time for our patients with erectile dysfunction. In this article, I will give general information about the Li-ESWT application used in the treatment of ED, taking into account our own experiences.

What is penile ESWT?

ESWL (Extracorporeal Shock Wave Lithotripsy) was first used in the 1980s to break up kidney stones by giving ultrasonic shock waves from outside the body. In the following years, this technology was developed and started to be used in the treatment of other diseases.

In the last 10 years, similar shock waves have been used in the treatment of patients with erectile dysfunction (erectile dysfunction, ED). The treatment used for this purpose is ESWT (Extracorporeal Shock Wave Therapy), that is, a treatment method by giving shock waves from outside the body. Low-intensity ESWT (Li-ESWT, Low-intensity ESWT, Low-Intensity Extracorporeal Shock Wave Therapy) is applied to the penis of patients with erectile dysfunction, that is, erectile dysfunction.

Shock Waves have been applied in many centers around the world since 2005 for the treatment of ischemic tissues in the heart, resulting in neovascularization (new vessel formation) and new collateral vessel formation. Thanks to the formation of new vessels, blood flow to the tissue is accelerated. Based on a similar logic, Li-ESWT has been used in the treatment of patients with vascular erection problems since 2010.

What are the features of Li-ESWT used in the treatment of ED?

Li-ESWT, which we use in the treatment of ED, has some features. Some of the physical characteristics of the low-intensity shock wave, which contributes positively to the recovery of the erection, are as follows;

• It is the effect of acoustic energy that spreads supersonic rapidly in liquid or gaseous environments.
• A very short and rapid rise in positive peak pressure is typical characteristic.
• Speed ​​(in water) =1500m/sec

How does Li-ESWT work?

ESWT increases the blood supply of the tissues and ensures tissue regeneration without causing serious damage to the tissues to which it is applied. We can summarize these effects as follows:

• Neo-angiogenesis (new vessel formation)
• Improvement of penile blood flow
• Tissue repair
• Stem cell transfer to tissues
• Reduction of pain and inflammation

What are the complications or side effects of ESWT treatment?

ESWT has no known serious complications or side effects. Some of the negative effects that can be considered very insignificant are:

• There may be little pain during the application.
• There may be a slight stinging or itching sensation in the application area during the treatment.
• After the procedure, slight redness may be seen on the skin.