Shockwave for Erectile Dysfunction Featured

 

Erectile dysfunction describes a condition where an erection is either not possible or not sufficient for the desired task of sexual activity. 

 

One of the main drivers causing erectile dysfunction is poor vascular blood flow and patients who respond well or fair to PDE5i medication are shown to have the best outcome.  Patients who are non-responders have shown to improve and become good responders to PDE5i medication following Focus Shockwave .   

At Core Body Clinic we also use Focus ShockWave in the treatment of Pelvic Pain in both men and women, and we are currently using in Hard Flaccid syndrome and erectile function after Prostatectomy.

You can find out more by calling or emailing the clinic or booking online

How does Shock wave help Erectile Dysfunction?

While medication like PDE5 inhibitors provide a solution to erectile dysfunction, they do not change the underlying pathophysiology of loss in vascular supply and reduced nitric oxide release.  Focus shockwave has angiogenic properties and delivers electro shock impulses into the target tissue stimulating healing through the process of angiogenesis.  New blood vessels are formed and the release of nitric oxide is enhanced dialating blood vessles and increasing cell permeability.  The overall effect increases and enhances perfusion and thus provides a longer standing change in erectile tissue physiology and therefore enahnced erectile function. 

Research has shown that these changes achieve better and even spontaneous erectile function, where this might have been unachieveable.  Some patients experience pain during an erection and ShockWave therapy can help by modulating the release of substance P, a powerful peripheral nerve neurotransmitter responsible for the reduction of pain.

 

 

Research has demonstrated that Focus ShockWave therapy can lead to a significant improvement in erectile function and has been shown to improve the International Index of Erectile Function which lasts at least 9 months .  A systematic review (pooling of lots of randomised controlled trials) with a cohort of over 800 patients treated for erectile dysfunction using focus shockwave therapy found that the treatment was indeed highly effective, safe and led to significant improvements in erectile function. Further reading can be found here.

 

How many sessions are required?

It is necessary to repeat the sessions for at least 6 weeks and in a consistent weekly manner.  In some instances it is necessary to repeat 2 sessions a week.

6 to 8 sessions are needed in most cases.  This can last for up to 18 months with a repeat course recommended after this time. 

 

Is it safe?

Shock Wave therapy is very safe provided it is delivered by trained practitioners.  Some patients experience a little ache like pain during the treatment that can last for 24 to 48 hours afterwards. 

 

Is this the only treatment I need?

Erectile dysfunction can have many causes that interact to cause ED.  Therefore, having a holistic approach to treatment is key in ensuring you get the best out of the Shock wave therapy. Other treatments may include:

  • Pelvic floor exercises to release your pelvic floor

  • Specialised Breathing and relaxation work.  Relaxation through breathing has been found to be hugely beneficial for all types of conditions.

  • Re-education of the  pelvic floor, hip and abdominal musculature

  • General exercise

 

 

more reading.........

How does an erection happen?

An erection occurs when we become aroused and messages from the brain signal the penile muscles (Corpus Carvernosa) to relax.  Blood enters the erectile tissue (Corpus Carvenosa) via the pudendal artery and inflates the penis.  The Tunica Albugenia then contracts to trap the blood in the penis and keep it in an erect state.

The erectile tissue  of the Corpus Carvenosa and Corpus spongiosum are under autonomic control are extensions of the pelvic muscles of the skeletal and consciously controlled Bulbospongiosus and Ischiocarvenosus.  It must be noted that these are different. 

 

What Causes Erectile Dysfunction?

There are many causes of erectile dysfunction and finding out the likely cause is a good starting point in getting the right treatment.  This is a list of possible causes:

  • Problems affecting the flow of blood to your penis

  • Conditions of the nervous system, which is made up of your brain, nerves and spinal cord

  • Changes or disease causing change in hormone levels

  • Physical structure problems in the penis

  • Diabetes

  • Smoking

  • Psychological and emotional well-being

  • Intra-pelvic pain syndromes like Chronic Pelvic pain

  • Hard Flaccid or HF

  • Post surgical injury to nerves and muscular tissue (Prostatectomy / TURPS)

  • Cycling

We could always recommend you see your GP 1st to rule out any other co-morbid factors.

 

To find out more

Please email the clinic or call. 

Ask for Adrian Wagstaff to call you back. 

If you are confident you require Shock wave then simply book online using the online services.

Last modified onWednesday, 04 May 2022 22:38
Adrian Wagstaff

Adrian is the Lead clinican at Core Body Clinic.  He is a well known and experienced physiotherapist who qualified in 2001 from the University of Huddersfield with a BSc (Hons) in Physiotherapy.

Website: www.corebodyclinic.co.uk