Extra-Corporeal Shockwave Therapy (ESWT) is a new non-invasive treatment that can be used for some types of erectile dysfunctions that are vasculogenic (i.e. caused by poor blood flow). A probe is positioned over different areas of the penis to deliver low-intensity shockwaves, which stimulate the growth of new blood vessels, allowing more spontaneous and harder erections. Each treatment session usually takes about 30 minutes. Six to 12 sessions, usually once a week, may be required to see a response.
This involves placing the penis in a plastic cylinder and creating a vacuum around it to encourage blood flow. Once the penis is sufficiently erect, a ring is placed at its base to keep the blood in the penis. However, ejaculation is not possible as the ring compresses the urethra.
This medication can be injected into the penis to create an erection. Your doctor may prescribe this if your response to oral medications is sub-optimal. Patients will be taught how to self-administer the injection. The first injection will be done in the clinic, under your doctor or specialist nurse's supervision.
Some side effects include:
If all else fails, a surgery can be performed to implant a penile prosthesis – options include semi-rigid malleable rods or inflatable cylinders that can be pumped up to achieve an erection as required.
Some complications may include: