Low Intensity Shock Waves, A Promising Treatment

Promising treatment to treat arteriogenic erectile dysfunction (caused by arterial damage).

Erectile dysfunction (ED) is relatively common in the male population, and it affects one in 2 men between 40 and 70 years of age, its highest incidence increases with age. Its causes involve various risk factors such as high blood pressure, the consumption of sweets and foods rich in animal fat, which causes cholesterol to rise, and triglycerides.

The above elements prevent erection, by damaging the small caliber arteries, which include those of the heart, brain and those leading to the penis. But if you go to a specialist in the field in time, effective treatments may be indicated.

Only a change in lifestyles, healthy and balanced eating, with an adequate body weight, the practice of physical exercises on a regular basis, could recover the erection in the penis with quality.

Once the arterial damage in the penis has been verified, with the presence of Erectile Dysfunction in its different degrees of intensity (Light, Moderate and Severe). You can improve the quality of erection, together with the previous recommendations, combine it with the use of family drugs, called Phosphodiesterase 5 inhibitors, developed at the end of the last century, among which are Sildenafil (Viagra), Vardenafil (Levitra), Tadalafil (Cialis), which are effective in 70% of men who use it, improving the ability to achieve or maintain erection when usually taken 2 hours before sexual intercourse.

For the Group of Men with severe ED who do not respond to these drugs is reserved the treatment with Implant of penile prostheses, in its various modalities, the malleable, much cheaper than the hydraulic ones (known as “bombitas”), both are performed by a surgical procedure, which is also quite effective, when performed on physically and mentally fit men, according to our experience.  

However, since some years, it has been developed mainly in Europe, new therapies with Low Intensity Shock Waves that has proven to be very effective in erectile dysfunction, vasculogenic, produced by arterial damage. 

So, what are shock waves?

This treatment was accepted by the EUA (European Association of Urology) *, in its “Guidelines 2013” as a “gold standard” treatment, for these patients. This treatment causes cellular microtraumas, stimulating angiogenesis (formation of new vascularization of the penis), managing to recover the erection of 60 – 70% of men suffering from Arteriogenic ED (Smokers, Diabetics, Hypertensive, dyslipidemia, ischemic heart disease, etc.).

In our experience with this treatment in the Central Clinic “Cira García”, since July 2015, in more than 100 patients, with the MEDISPEC team, Omni spec™ Model ED 1000. In 60% of all patients who received “shock wave discharges” have reported a substantial improvement in the quality of their erections, after 6 weeks of having been applied the treatment, 6 sessions and an adherence to it.

This method is non-invasive and painless and many of them have returned to another treatment at 6 -12 months.    

Advantages of Low Intensity Shock Wave Therapy in ED:

• It is an outpatient treatment.

• Non-invasive (Does not affect organs or tissues).

• Each session does not exceed 20 minutes.

• Easy to use (Learning curve, fast).

• It is not painful. It does not require anesthesia or sedation.

• Effective 50 – 70%, in two weeks of treatment.

• All this makes patients adhere to the treatment (do not abandon it and want to repeat the treatment).  

• Several patients can be treated in a day, depending on the available wave applicators.

• Using the same equipment, the Software can be opened for additional disciplines (Orthopedics, Angiology, wound healing).

The treatment takes 6 sessions with 9000 shock waves per patient.

Source: Dr. Ramiro Fragas Valdés, Master in Sexuality and Assistant Professor at the Comandante Manuel Fajardo University Hospital in Cuba.


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