Shockwave Therapy for Mild to Moderate Erectile Dysfunction

Defy Medical is excited to add Shockwave therapy to our growing list of  treatment options for men suffering from Erectile Dysfunction in the Tampa Bay area. This safe and non-invasive treatment option is allowing men to achieve quality erections again without the need for needles or painful surgeries.

Call today to schedule your Shockwave consultation and initial procedure at our Tampa office.

What is LiST (Shockwave Therapy)?  

Low-intensity Shockwave therapy (LiST) for Erectile Dysfunction, also referred to as ‘Shockwave therapy’, refers to a new non-invasive treatment approach for patients suffering from erectile dysfunction. 

Shockwave has been shown to be effective in men with mild/moderate ED (IIEF-EF 17-25) without a history of prostatectomy, radiation, or other major anatomic abnormality.

An increase of 4-8 points on the IIEF-EF scale has been seen in erectile quality as well as one study reporting 95% of participants achieved better erections after only one session per week for six weeks.

How does Shockwave Therapy work?

“Activates angiogenesis (creation of new blood vessels) to help correct erectile dysfunction in the penile and pelvis tissue” 

Acoustic waves are generated then delivered directly to the penis to repair damaged blood vessels and stimulate the generation of new vessels (angiogenesis). This results in blood flow improvements necessary to attain and maintain an erection sufficient for sex. 

Treatment Overview

Physical exam completed in office 

Review Erectile Dysfunction Health Questionnaire w/ a Defy Provider prior to treatment session

Erectile Dysfunction lab panel drawn at initial appointment or patient provided labs reviewed by Defy Provider

What is the cost of Shockwave Thearpy?

Initial Session w/Labs $400

Required Labs to begin treatment 

  1. Testosterone Free + Total
  2. Estradiol Sensitive
  3. DHT
  4. Prolactin 

After the initial session, patients have the choice of applying the initial session with labs to one of two packages

  • Package of 6 sessions + Initial Labs $1800
  • Package of 10 sessions + Initial Labs $2500
  • Single session optional after initial session - $300

Number of sessions needed: Depending on the individual patient's condition and response to therapy, the number of sessions needed can range from 4-30 sessions at 1-3x per week for 4-10 weeks. This protocol is based on the available clinical data and patient reporting. Our physicians will guide the therapy sessions based on the patient's response and feedback. 

Duration: ~20min per session with little to no wait time. Our patients spend an average of 10 minutes in the waiting room prior to their appointment 

What are the benefits of Shockwave Therapy?

  • Experiencing morning erections
  • Improvement of rigidity (firm, full erections)
  • Spontaneous erections without needing medications 
  • Improves response to medications when previously ineffective 
  • Better sensation 
  • Longer lasting erections 

Helps restore spontaneity to a patient’s sexual life and improve the quality of their erection

Combination Therapies

Combining shockwave therapy with other treatments for ED can improve the outcome. 

Defy Medical offers several options to successfully treat erectile dysfunction and sexual dysfunction in men.  

  • Testosterone- Patients not taking testosterone therapy will be given a blood test to determine if levels are too low.  Testosterone Replacement Therapy can be prescribed if low testosterone is diagnosed.  
  • PDE5 oral therapy- There have been reports from researchers and patients who found that adding a PDE5 in the form of a daily tadalafil dose (Cialis) enhances the effects and long term outcome of shockwave treatments. 
  • TriMix Injection therapy -  Injection therapy is an effective treatment for ED for men who do not respond to oral therapy. 
  • PRP- Ask about adding PRP (platelet rich plasma) therapy for enhanced and long lasting results. 

The Evidence

Shock wave appears to be effective in men with mild/moderate ED (IIEF-EF 17-25) without a history of prostatectomy, radiation, or other major anatomic abnormality

  • Lu Z, Lin G, Reed-Maldonado A, et al. Low-intensity extracorpo- real shock wave treatment improves erectile function: a systematic review and meta-analysis. Eur Urol. 2017;71:223-233. 
  • Clavijo RI, Kohn TP, Kohn JR, et al. Effects of low-intensity extra- corporeal shockwave therapy on erectile dysfunction: a systematic review and meta-analysis. J Sex Med. 2017;14:27-35. 
  • Man L, Li G. Low-intensity Extracorporeal Shock Wave Therapy for Erectile Dysfunction: A Systematic Review and Meta-Analysis. Urology. 2018 Sep;119:97-103
  • Two Years Experience With Penile Low-Intensity Shock Wave Therapy for Erectile Dysfunction Letizia, PieroAlei, Giovanni et al.The Journal of Sexual Medicine, Volume 14, Issue 5, e308