Electro Shock Wave Treatment (ESWT) for ED
Electro Shcokwave Treatment for ESWT for short has had a long history of use in medical treatment.
It was first used to break up kidney stones. Then it found its way into Sports Medicine where it was used to treat various sports injuries like tendinitis and ligament strains.
Most recently, ESWT has been used for the treatment of Erectile Dysfunction.
How does ESWT work for ED?
One of the causes of Erectile Dysfunction is the poor flow of blood into the penis caused by unhealthy blood vessels.
By shooting multiple low-intensity shockwaves into the penis, new and healthy blood vessels develop. This is known as neo-vascularization.
Who will benefit from ESWT?
Since this treatment is specific for blood vessel problems, only people with ED due to unhealthy blood vessels will benefit. These are usually old patients (40 to 70 years old) and may have chronic diseases such as Diabetes, High Blood Pressure or High Cholesterol.
If your ED is due to other factors such as stress or side effects of medicines, then you will not benefit from this treatment.
ESWT can potentially cure patients with mild to moderate ED. For patients with severe ED, it will make them respond better to ED medicines.
What is the success rate?
Studies have shown that 76% of patients will have an improvement in their IIEF score by more than 5 points. Another study showed that 21 out of 29 patients treated had an improvement of their Erection Hardness Score from 2 to > 3.
In very severe cases of ED where the patient could not get an erection even with medicines for their ED (i.e. PDE5 inhibitors), after the ESWT treatment, 72.4% of them were able to get an erection with their medicines.
Overall, it is fair to say more than 70% of people will benefit from this treatment. Of course 70% is not a 100% and this success rate has to be balanced against the cost of the treatment.
What is the procedure like?
You will first have to visit Our Doctors to determine if you are a candidate for ESWT or not.
During the treatment, a clear gel will be applied on your penis and the base of your penis (either side of the scrotum). The treatment probe is place against the skin.
The probe will then send low intensity shockwaves into the treatment area. There should be no pain at all during the procedure. Most patients do not feel anything at all. Some report that they feel a slight tingling.
You will require a total of 6 treatment sessions.
- 1 session everyday for 6 days OR
- 3 sessions per week for 2 weeks OR
- 2 sessions per week for 3 weeks
Each treatment session lasts 20 to 30 minutes. Most patients will start to experience an improvement 2 weeks after completion of the treatment.
Some patients will require a second round of 6 treatment sessions to be done 3 weeks after the first round.
Some patients will require medicines during the treatment process to improve the neo-vascularization of the penis.
Treatment costs $428 per session
ESWT presents an exciting new therapy option that has the potential to cure ED rather than having patients rely on tablets.
The only drawback is that currently is only works for mild to moderate ED caused by blood vessel problems.
This treatment will be available in our Andrology Centre at Novena Medical Center from October 2014.
Need more advice?
- Robertson Walk (Anonymous HIV Clinic) (+65 6238 7810)
- DUO Galleria (Bugis MRT) (+65 6976 5023)
- Novena Medical Centre (+65 6397 2095)
- Somerset – Orchard Building (+65 6262 0762)
- Raffles Place – PLUS (+65 6962 7144)
- Holland V (+65 6235 1339)
- Siglap (East Coast Road) (+65 6962 2144)
Where to find us – here
Selected clinics are open on Saturday and Sunday.
- Penile Discharge (Should I be Worried?)
- Frenulum Breve and Penile Frenulectomy
- HIV Symptoms
- STDs General Info
- Premature Ejaculation
- Erectile Dysfunction
- ‘T’ Deficiency
- How to last longer in bed – Premature Ejaculation
About Dr. Tan
Dr. Tan graduated from the National University of Singapore in 2001. His residency was in the two largest public hospitals in Singapore; Tan Tock Seng Hospital and Singapore General Hospital.