A good erection requires good blood flow and good hormones. If you are one of my patients, I typically evaluate both of these and if Hormone Balance is needed, it is one of the first things we will pursue. But we still need to work on blood flow which is 80% of the equation when it comes to achieving a good solid erection. 

 

Until relatively recently, we relied on the typical therapies we have had for decades. With the exception of surgery, all of these therapies only provide for a short duration of increased bloodflow to the penis and they are in no way curative. These therapies include medications such as Viagra and Cialis, the use of injections into the penis, or the usage of a Vacuum Erection device and/or constriction bands or rings. 

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The newest therapy improves erectile function in a totally different fashion. The therapy is known as Low Intensity Shock Wave Therapy. The type of shock wave therapy WE have chosen is known as SonoWave – generating the energy with Sound Waves. This entirely new approach is the first and only therapy to help rejuvenate the penile blood flow by the creation of new blood vessels to carry more blood flow to the penis creating better rigidity and longer maintenance of the erection. The treatment also allows for the Sound Wave vibrations to mobilize tiny amounts of plaque in the penile blood vessels to allow better blood flow. 

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The current data utilizing this new technology is very clear that it works. An article in the British Journal of Urology concludes “This type of therapy appears to improve erectile function, is safe and potentially plays an important role in penile rehabilitation in men. A publication in the medical Journal “European Urology” provides for an analysis of 14 medical studies. The researchers  found that there was evidence that these men experienced improvements in their ED following the shock wave therapy. A leading Urologist from Johns Hopkins University School of Medicine is quoted in the Urology Times that shock wave therapy has now been subjected to multiple randomized, placebo-controlled and additional open label studies in clinics worldwide, demonstrating impressive efficacy and safety. A recent 5 year study of shock wave therapy published in the journal “Sexual Medicine”, showed a 70% improved erection response at 1 year and 40% improvement 5 years after the treatment. The one thing that is clear in all of the medical studies is that there does not appear to be any downside whatsoever in men receiving these treatments. 

 

So, what exactly is this treatment? The SonoWave Therapy is used to apply 500 SoundWaves to approximately 12 areas on the flaccid penile surface. A variety of angles are used so that the entirety of the penis is treated but nothing is applied inside the penis. All of the approaches are on the outside surface of the penis. A total of 6,000 waves are delivered over the course of 15-20 minutes and this constitutes a session. Sessions are scheduled once or twice weekly depending on the patient’s preference and their travel and work schedule. A series of 10 sessions has given us the optimal results but some patients will opt for fewer sessions. Most patients tolerate the sessions quite easily but some may opt for a local anesthetic cream to be self applied to the penis prior to their treatment. 

 

In Summary, this new medical regenerative technique certainly provides a safe and effective way to improve penile blood flow and erections. In the last several years we have had a lot of success with this therapy. SonoWave is certainly an option that might be worthwhile for you to consider as part of your therapy to ultimately improve erection hardness and to improve Sexual Satisfaction for you and your partner.

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