The treatment takes a total of 4 sessions. How long is the treatment period? Approximately 1500 beats are applied in each session, and it takes an average of 20-25 minutes. Ideally, the interval between two sessions should not be less than five days or more than ten days. A total of 6-12 sessions are applied depending on the severity of the disease. It is necessary to wait 3-4 weeks after the last session for the expected positive effects of ESWT to occur.
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Erection Problem and Li-ESWT (Erectile Dysfunction and Low-Intensity Shock Wave Therapy)19.7.2021Erection Problem and Li-ESWT (Erectile Dysfunction and Low-Intensity Shock Wave Therapy)share on Facebook share on Twitter tweet share on google plus share on WhatsApp share.
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. Dr. Ali provides the best Priapus shot in the USA. In the following years, this technology was developed and started to be used to treat other diseases.
In the last ten years, similar shock waves have been used to treat patients with erectile dysfunction (erectile dysfunction, ED, erectile dysfunction). The treatment used for this purpose is ESWT (Extracorporeal Shock Wave Therapy), 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 takes place.
Thanks to the formation of new vessels, blood flow to the tissue is accelerated. Based on a similar logic, patients with vascular-induced erectile dysfunction since 2010
ED1000 has been used to treat erectile dysfunction with shock waves since 2011.
The frequency of erectile dysfunction in the world and our country
- Yaklaşaık 150 million erectile dysfunctions worldwide are estimated to be patient.
The number of patients in the USA is over 18 million.
- 70% of these are due to vascular disease and diabetes
- The rate of ED in Turkey is around 65%
Li-ESWT has also been used in the treatment
There are 300 thousand patients between the ages one million 400 thousand between the ages of 40-49, and 1 million patients between 50-59 years old.
- 50% of them are moderate, and 33% are mild.
- Heart patients are in high blood pressure, diabetes, and ED 4 times more often.
- Myocardial infarction has 44% in patients with ED
- 17% in hypertensive patients without treatment, there are those in which 25% ED
What is the shock wave use in the treatment of ED?
It is acoustic energy that spreads supersonic rapidly in liquid or gaseous environments.
- A very short and rapid rise in positive peak pressure is a typical characteristic.
- Speed (in water) = 1500m/s n.
Li-ESWT is use in the following areas besides urological diseases.
It is used by Orthopedics and Physical Therapy departments in diseases such as heel spur, tennis elbow, and shoulder calcification. This is also use to stimulate new vessel formation (angiogenesis) in patients with ischemic heart disease. It is also use by dermatologists for cellulite and skin tightening.
ESWT is use in 4 areas in urology
In urology, LI-ESWT is use in some other diseases besides erectile dysfunction. These:
- Erectile dysfunction treatment
- Peyronie’s disease
- Chronic pelvic pain syndrome
- Penile rejuvenation (penis rejuvenation)
How is ESWT apply to the penis?
The field where ESWT is use in great detail in urology is the application of ESWT to the penis in patients with erectile dysfunction (ED), that is, erectile dysfunction.
While the patient is supine, it is apply to both sides of the penis and the inguinal region, to the radix (root) part of the penis with a device similar to an ultrasound probe. A special gel is apply to the apply areas to facilitate the passage of ESWT waves into the penile tissue.
The original application was ESWT twice a week for three weeks, then repeated after a 3-week break. At the end of the application. Dr. Ali provides the best acoustic wave therapy in the USA. It improve the international erection questioning score (IIEF-5) and an increase in arterial blood flow. It has been confirm in subsequent controll studies.
Some studies have report that positive results continue for up to 1 year with LiESWT treatment, unlike other optional ED treatments.
How long is the treatment period?
The treatment takes a total of 4 sessions. Approximately 1500 beats are apply in each session, and it takes an average of 20-25 minutes. Ideally, the interval between two sessions should not be less than five days or more than ten days. A total of 6-12 sessions are apply depending on the severity of the disease. It is necessary to wait 3-4 weeks after the last session for the expected positive effects of ESWT to occur.
Can ESWT treatment be used in combination with other therapies?
It can be combine with other treatment options to achieve more significant effects with ESWT. It has been report that better results are obtain by taking drugs call phosphodiesterase five inhibitors and use to treat oral erectile dysfunction.
Can Li-ESWT treatment be re-administer to the same patient later on?
Yes, ESWT can be reapply to patients after a certain period.
Is any preparation require before treatment?
No preparation is require before treatment
When does daily life begin?
ESWT treatment is effective, but it should be consider and treat if general conditions cause erectile dysfunction. If the patient is overweight, he should lose it; if he smokes, he should quit. His cholesterol level is high, he should be treat, and if he has high blood pressure and diabetes, he should be controlle. The patient has a sedentary life, he should be advise to move.
In the last ten years, similar shock waves have been use to treat patients with erectile dysfunction (erectile dysfunction, ED, erectile dysfunction). The treatment use for this purpose is ESWT (Extracorporeal Shock Wave Therapy), which gives shock waves from outside the body. Low-intensity ESWT (Li-ESWT= Low-intensity ESWT= Low-Intensity Extracorporeal Shock Wave Therapy) is apply to the penis of patients with erectile dysfunction, that is, erectile dysfunction.
