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Extracorporeal Shockwave Therapy (ESWT)

Erectile dysfunction is a health condition that affects a man’s ability to achieve and maintain an erection firm enough for satisfying intercourse.
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What is erectile dysfunction?

Erectile dysfunction is a health condition that affects a man’s ability to achieve and maintain an erection firm enough for satisfying intercourse. Nearly 50% of Singaporean men suffer from some form of ED. While the symptoms associated with erectile dysfunction are generally not life-threatening, the potential causes of ED could be detrimental – for this reason, ED patients should seek immediate treatment.

Thanks to advancements in the medical industry, there are more effective treatments for erectile dysfunction, including Extracorporeal Shockwave Therapy (ESWT).

What is ESWT?

Extracorporeal Shockwave Therapy is an alternative, non-invasive ED treatment technique. Although a new treatment method for ED, shockwave therapy on a whole is not a new invention.

For decades, ESWT has been used by healthcare professionals to treat:

  • Kidney stones
  • Musculoskeletal conditions
  • Rotator cuff injuries
  • Plantar fasciitis
  • Frozen shoulder
  • Tennis elbow for decades

As erectile dysfunction is caused by inadequate blood supply toward the penile region, shockwave therapy overcomes this problem by enhancing blood flow toward your penis, allowing you to achieve and maintain your erections.

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How does ESWT work?

Erectile dysfunction is often caused by a myriad of factors, including underlying health concerns such as diabetes, high blood pressure, and high levels of cholesterol.

These conditions usually result in the narrowing of the blood vessels around your penile region, which impacts the free circulation of blood to the penis.

ESWT overcomes this by facilitating the repair of damaged penile tissues and blood vessels, or through a process known as angiogenesis. This significantly increases blood flow to your penis, resulting in firm and sustainable erections.

What are the benefits of ESWT?

  • Non-invasive treatment
  • A simple procedure that only takes 30 minutes to complete
  • Free from harmful side effects
  • Highly effective at reversing erectile dysfunction symptoms
  • No downtime

What should I expect during my ESWT treatment procedure?

  1. A doctor uses a handheld device to administer low-intensity shock waves to your penile region.
  2. The device is placed on numerous parts of your penis for 15-minute intervals.
  3. The duration of the entire treatment usually takes about 30 minutes.
  4. It is a non-invasive, painless procedure that does not require anesthesia.
  5. There is no downtime; patients can resume their daily activities after treatment.

Note: ESWT is more effective when used in conjunction with regular exercise, medication and managed diabetes and hypertension.

How effective is ESWT at treating erectile dysfunction?

Previously, most ED patients relied on medications such as viagra to treat their symptoms. However, while these ED medications may help alleviate your symptoms for the time being, they do not address the root cause of ED and are, in other words, short-term solutions.

ESWT is not only more effective but more sustainable than conventional ED treatment approaches. This is because it addresses the underlying cause of ED by stimulating the repair of damaged blood vessels and penile tissues. The effects of ESWT have been reported to last several years, proving to be a long-term solution for men suffering from erectile dysfunction.

How else can I treat ED apart from pills?

Lifestyle changes include;

  • Quitting smoking
  • Reducing alcohol consumption
  • Engaging in regular aerobic exercises
  • Consuming a healthy diet

In clinical trials, lifestyle changes were to a large degree effective in improving erectile dysfunction symptoms in men suffering from obesity or metabolic syndrome.

Although injectables and oral medications are often used to treat erectile dysfunction symptoms, they do not tackle the primary cause of your ED and require dependency.

ESWT, on the other hand, allows for spontaneous erections.

What other medical conditions can ESWT treat?

  • Peyronie’s disease
    This is a condition that causes the penis to curve abnormally due to a buildup of scar tissue. Patients with Peyronie’s disease often experience painful erections. With ESWT, the shock waves can effectively destroy the scar tissue, allowing the penis to fully expand without pain when erect.
  • Chronic pelvic pain syndrome
    People suffering from CPPS generally experience chronic pelvic pain and painful urination. It is estimated that nearly 6% of men experience this particular condition. ESWT helps interrupt nerve impulses while at the same time stimulate pain receptors. This leads to improvements in pain levels and urinary symptoms.
  • Orthopedic disorders
    ESWT works by dispersing calcium deposits and stimulating bone growth. This method of treatment is used for patients who are not willing to undergo invasive treatments such as surgery or even steroid injections.


Is ESWT covered by insurance?
You will have to consult your medical insurance provider to establish whether they cover this type of treatment.
Can ESWT cause damage?
ESWT is a non-invasive procedure that does not cause any side effects. It is the most preferred treatment method for erectile dysfunction and other medical conditions.
How many treatment sessions are needed?
Even though your results will depend on both the root cause and severity of your ED symptoms, patients often experience an improvement in their ED symptoms almost immediately. Effects can last several months or years. Generally, doctors recommend undergoing a couple of sessions over a course of a few weeks for more effective results. You’ll also have to undergo a few maintenance shockwave therapy sessions afterward.

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