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(SWTED) SHOCK WAVE THERAPY ERECTILE DYSFUNCTION


MESSAGE FROM OUR ERECTILE DYSFUNCTION PRACTITIONER

Erectile dysfunction (ED) is defined as the persistent inability to achieve or maintain an erection adequate for satisfactory sexual activity. It is the most common disorder of sexual function in men. Despite this startling prevalence and the undisputed impact that erectile function has on a man’s self-esteem and quality of life, ED remained largely an under-diagnosed disorder most often due to shame and taboo.

Here in V Clinic, we provide an overview of the pathophysiology of ED and offer a practical diagnostic and therapeutic approach.

Recent epidemiologic studies suggest that approximately 10% of men aged 40-70 have severe or complete erectile dysfunction, defined as the total inability to achieve or maintain erections sufficient for sexual performance. An additional 25% of men in this age category have moderate or intermittent erectile difficulties.

The disorder is highly age-dependent, as the combined prevalence of moderate to complete erectile dysfunction rises from approximately 22% at age 40 to 49% by age 70. Although less common in younger men, erectile dysfunction still affects 5%-10% of men below the age of 40. Erectile impairment is a condition with profound psychologic consequences and may interfere with a man’s overall well-being, self-esteem and interpersonal relationships.

Seeking treatment for erectile dysfunction can be extremely difficult. Many men are embarrassed to talk about their sexual health because it makes them feel like less of a man. If you don’t speak to a professional about your ED, you could miss out on your chance to regain your sex life and start living your life the way you want to. You could also leave yourself open to other health issues associated with ED.Erectile dysfunction affects you in the bedroom, and in your daily life. Because of this disorder, you may feel less confident, anxious, or depressed; your relationships may suffer, and you may be experiencing other health issues that can seriously harm your quality of life.

One of the best treatment option for ED is by Shockwave therapy (SWTED). Shockwave therapy Shockwave therapy uses energy from acoustic waves to trigger a process called neovascularization in certain parts of the body. When neovascularization occurs, new blood vessels form. This helps improve blood flow to the region.Shockwave therapy targets the erectile mechanism so that men are more likely to have erections on their own.Clinical trials of shockwave therapy for ED have had encouraging results (>60%). Many men have found that their erections have improved and they are able to have intercourse.

From my experience seeing erectile dysfunction(ED) patients for the past few years, I have seen tremendous amount of improvements with shockwave therapy. The assessment that I use to determine the condition is based on erection hardness score (EHS) and IIEF-5. I would say there are more than 60% chances where patient are able to achieve full erection after completing the treatment program.

We realize that by treating the underlying health conditions simultaneously the result of shockwave therapy treatment is amazing. Call us at V Clinic now for your free consultation



What is Erectile Dysfunction (ED)?

Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have a satisfying sexual intercourse.

Having ED doesn’t mean that you’re infertile. The majority of guys with erectile dysfunction are still physically capable of having an orgasm and fathering a child. It’s just that these things are difficult to do when you can’t consistently achieve and maintain an erection.

Many things cause erection problems. Although lack of sexual attraction to your partner might be one of them, it's far more likely to be something else. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease.

The occasional difficulty in getting or keeping an erection is normal. Many men experience it during times of stress. It’s only a problem when you’re regularly having difficulty — to the extent that you’re purposefully avoiding contact with your partner for fear that you’ll have trouble satisfying them in the bedroom.


Myths about ED!

ED is more common among older men, that don’t mean it's something you have to live with. It's not unusual for older men to need more stimulation to help get them aroused than they did when they were younger. But there's no reason you won't be able to enjoy sex as you get older. Lots of guys are able to get erections well into their senior years, and there's likely no reason that you can't be one of them.


Most common cause of ED:

  • Heart problems, such as high blood pressure and atherosclerosis (hardening of the arteries)
  • Diabetes (between 35% and 50% of men with diabetes get ED)
  • Some medications for blood pressure, anxiety, and depression
  • Nerve disorders, like Parkinson's disease and multiple sclerosis
  • Hormone problems
  • Mood problems such as stress, anxiety, and depression
  • Smoking and drinking alcohol
  • Certain types of prostate and bladder surgery

Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease. If you're concerned about erectile dysfunction, talk to our doctor — even if you're embarrassed. Fortunately, there are several ways to combat erectile dysfunction. Discuss with us to find out the best solution using on online chat consultation through our website ED is more common than you might think, affecting half of guys over the age of 40. If you’re like the vast majority of guys, it’s not something that’s easy to talk about, but you’re definitely not alone in your struggle.


There’s no shortage of information out there about erectile dysfunction (ED), but the problem is, a lot of it just isn't true. And reading about “miracle” pills or supplements that don't work—and may even hurt you—aren’t going to do your penis any good.

What you need is real, honest information about what’s going on below your belt. Lots of times the cause can be traced to a temporary issue—say, you drank too much alcohol earlier that night, or were completely exhausted from a tough week at the office—that you don’t need to stress over.

On the other hand, if you notice your difficulty achieving or maintaining an erection lasts for three months or longer, that suggests a more chronic issue may be at play.


Effectiveness of shockwave therapy for Vasculagenic ED

Erectile dysfunction (ED) is defined as an inability to achieve or sustain an erection for satisfactory sexual performance. It has a prevalence of up to 52% and is influenced by age and other comorbidities such as diabetes, hypertension, and hypercholesterolemia.Phosphodiesterase-5 inhibitors (PDE5-I) are effective pharmacological methods to treat ED; however, a proportion of patients (30%–40%) fails to respond. Alternative treatments such as intra-corporal injections and penile prostheses may be effective in PDE5-I no responders; however, potential complications often hinder long-term use. These methods attempt to improve erectile function but fail to treat the underlying pathophysiology of ED.

Recently, the first meta-analysis of ESWT on men with ED was published by Clavijo et al. This meta-analysis included 7 randomized controlled trials, with a total of 602 patients with vasculogenic ED. Results demonstrated a statistically significant improvement in the International Index of Erectile Function (IIEF-EF) scores in men who had undergone ESWT as opposed to men who had undergone sham therapy. This meta-analysis showed a clinically significant average IIEF-EF score improvement after ESWT by 4.17 (P < 0.0001).

In a study by Gruenwald et al.,which evaluated the effects of ESWT on 29 men with ED who failed PDE5-Is, of which 21 had diabetes, it was found that the 21 patients with diabetes did respond to ESWT. Cavernosal blood flow and penile endothelial function, as measured by venous occlusion plethysmography of the penis, were both found to be significantly improved (P = 0.0001) in the men who responded to ESWT.

Human studies have demonstrated a statistically significant improvement in flow-mediated dilation in patients treated with ESWT, indicating that animal studies may correlate well with human studies in terms of penile hemodynamics and endothelial function. More studies are required to elucidate the exact metabolic pathways behind the therapeutic changes associated with ESWT.

This treatment option seeks to modify the underlying disease process of ED instead of merely augmenting erectile function.

The current treatment strategies for ED consists predominantly of treatment options that do not address and/or restore underlying pathological changes in the penis and are often associated with various treatment-related side-effects. A treatment regimen that offers men a safe rehabilitative or even curative intent to regain spontaneous erection is an ideal goal. Recent publications show that ESWT can restore natural and spontaneous erectile function by improving penile haemodynamics and underlying pathological changes through itsangiogenic properties. Vardi et al. first reported the use of ESWT in the treatment of ED. In that study, 10 of the 20 patients recovered good erectile function without the need for further oral therapy at 6 months. A follow-up randomised, double-blind, sham-controlled study from the same group 2 years later showed that LiESWT had a positive short-term clinical and physiological effect on erectile function, and ≈50% of patients recovered spontaneous erection .

sufficient for sexual penetration . Similarly in our present study, 60% of patients reported ≥ 5-point improvement in IIEF-5 score and 50% of patients were able to achieve spontaneous erections sufficient for sexual penetration. As expected and akin to published data, ESWT appears to be safe and highly tolerable in our present study. All of our present patients completed the treatment course with no discontinuations and no patient reported penile pain, bruising or haematuria during or at subsequent follow-up visits. It is possible that the high patient satisfaction rate in our present study may be due to a positive experience with ESWT, and that most patients valued the potential to regain spontaneous erection without the need for medical therapy after ESWT.



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