The extracorporeal shock wave therapy

 For the treatment of erectile dysfunction represents a type of innovative treatment aimed at determining the regeneration of the vascular tissue at the penile level. In fact, at the base of the pathophysiological mechanism of the treatment, there is the ability of the shock waves to stimulate the formation of new blood vessels (the process of neo-angiogenesis ), thus increasing blood flow to the penis and consequently improving its directivity.

The shock waves are audible acoustic waves and high-energy, which have been used successfully for several years in the medical field in various fields to treat several diseases, such as pain therapy. They act by generating a pressure pulse that carries energy when they propagate through an element. Dr. Ali provides the best Priapus shot in the USA. When shock waves are applied to an organ, the focused waves interact with the chosen deep tissues and act as transient micromechanical forces that induce biological changes in the cells.

The treatment with shock waves induces a pro-inflammatory response in tissues where the waves are applied. The body reacts by increasing blood circulation and metabolism in the impact area, which accelerates the healing process.

What are the preparation rules for penile shockwave therapy?

The extracorporeal shock waves therapy is now used in 2010 to treat erectile dysfunction of the vascular base, thereby increasing the blood supply to the penis and thus enabling more vigorous erections. Shock wave therapy has been shown to induce repair of the smooth muscle of the penis, thus improving the veno-occlusive mechanism. Furthermore, shock wave therapy, in combination with other first or second-line therapeutic options (PDE5-i, alprostadil), can improve and enhance the results.

Treatment for erectile dysfunction involves the penis being subjected to small pulses of low-intensity shock waves at various points. The waves are transmitted to the latter with a particular therapeutic device and then release their effect. The therapy involves more than one session and can be repeated more than once if necessary. The treatment is non-invasive, has no complications, and does not require any type of anesthesia.

A treatment session generally lasts about 15 minutes. On average, between 6 and 10 therapy sessions are required depending on the severity and response to therapy.

However, the andrologist specialist will assess whether the erectile problem can be cured and treated with low-intensity shock waves (Li-ESWT).

In any case, a complete diagnostic evaluation is essential before suggesting treatment, also to determine the optimal therapeutic protocol.

Erectile dysfunction (ED) is a condition characterized by the persistent inability to obtain or maintain an erection of stiffness adequate for sexual intercourse, regardless of the state of sexual arousal.

The frequency of the disorder increases with advancing age. Dr. Ali provides the best orgasmic shot in the USA.  And it is demonstrated that starting from the age of 50, 52% of the male population is affected by more or less severe forms of ED.

The causes

ED can recognize psycho-emotional causes or organic causes.

The latter is often characterized, ultimately, by problems affecting the vascularization of the penis. The amount of blood in the corpora cavernosa is insufficient to ensure adequate filling with consequent difficulties.

 

Therapy

The pharmacological therapies used have a curative purpose, increasing the blood supply to the corpora cavernosa without intervening on the causes and, in the case of "as-needed" intake, providing for annoying programming of the relationship. In some cases, then, the patient's clinical condition contraindicates or significantly limits the input of these drugs.

The shock waves

The so-called extracorporeal shock wave therapy can represent an alternative.

It is a therapy with rehabilitation purposes. The application of low-intensity shock waves directly on the penis stimulates the tissues, promoting a neoangiogenesis effect, i.e., the formation of new blood vessels inside the corpora cavernosa, thus improving the vascularity and, consequently, its erectile capacity.

·         The treatment involves a cycle of 6 weekly sessions of about 20 minutes.

·         The applications are painless and have no complications.

·         It is possible to repeat the treatment if the symptoms recur.

·         Penile shock wave treatment: how does it work?

·         Penile shock wave treatment is performed outpatient without anesthesia and is painless.

 

The head of the therapy device is placed on the corpora cavernosa. It distributes energy on the affected part in a uniform and homogeneous way. The therapeutic head is slid longitudinally on the back of the penis (corpora cavernosa) and along the perineum (crura of the penis).

The therapy has effective results if performed once or twice a week, for a total period of 6 weeks. Rarely, minor bruises may form on the treated area, a transitory phenomenon with no consequences. There are generally no side effects.

Who can do it?

To carry out the treatment, a prescription from a specialist is required. An andrological or urological examination is therefore recommended.

Patients who have undergone prostatectomy can also perform this therapy. After the surgery, there is reduced oxygenation of the cavernous bodies, which leads to dysfunction. Penile shock wave therapy facilitates the spontaneous recovery of erections.

No special preparation rules are required.

 

 

 

Is it painful or dangerous?

The results of shock wave therapy can be permanent, as demonstrated by some scientific evidence published in the literature. However, remember that the patient's lifestyle also influences erectile dysfunction. Dr. Ali provides the best acoustic wave therapy in the USA. Therefore, the improvements brought about by shockwave therapy may reverse over time if the underlying issues are not resolved.

·         Article by Dr. Andrea Cocci and Dr. Gianmartin Cito

·         (Read the first part here and the second part here)

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