Big Wave Energy
Erectile dysfunction, often known as impotence, is the inability to obtain or maintain an erection during sexual activity. Erectile dysfunction (ED) is the most prevalent sex condition reported by men to their doctors. ED can lead to stress, marital troubles, and low self-esteem. Luckily, science is advancing fast in this area, and you have many options, including Shock Wave Therapy.
Dr. Edward Karpman is highly skilled in the treatment of erectile dysfunction. He focuses on treating the person more than the symptom, and staying on top of modern trends gives him more options to treat your ED. Schedule a consultation to see what he can do to get you back in the game.
Let Sensation Flow
The holy grail in all fields of medicine has been the ability to restore or regenerate the function of normal healthy tissues. The discovery of stem cells holds much promise to this end. Stem cells are pluri-potential cells in our body that have the ability to differentiate into healthy new cells, tissue, or organs. Erectile dysfunction has been an area of scientific research for stem cells now for over a decade. Researchers have tried injecting stem cells into the penis for many years. The difficulty was keeping those stem cells localized to the penis making regenerative injection therapy ineffective for E.D.
Low-Intensity Shock Wave Therapy (LISWT) is sound waves that carry energy. When LISWT is applied to the penis, relatively weak but focused sound waves interact with the targeted deep tissues causing stress and micro trauma. This process tricks the penis into releasing angiogenic factors that cause the penis to produce new blood vessels (Neovascularization), improving the blood supply. This form of therapy has been used in many different fields of medicine for the same purpose of producing new blood vessels. In 2010, the first study looking at LISWT for the treatment of E.D. was published (Vardi et al. 2010). Since then, there have been many (>100) published studies evaluating the effectiveness of LISWT for the treatment of E.D. A recent meta-analysis showed that LISWT is effective for the treatment of E.D. Overall, the studies have shown that approximately 76% of men will report improved erectile function following LISWT, and 72% of men that have failed “Viagra-like” drugs will become responders to these drugs after LISWT.
Dr. Karpman and El Camino Urology Medical Group have been monitoring the developing literature regarding LISWT for E.D. since 2010. As the leading expert and clinic in male sexual dysfunction in California, we have started offering patients LISWT for E.D. LISWT is currently an 510(K)-Cleared treatment for poor wound healing and orthopedic conditions. LISWT has not yet gained FDA approval for the treatment of E.D., Peyronie’s disease, or prostatitis.
The medical literature is replete with a variety of approaches and machines for use in LISWT for E.D. First of all, not all LISWT machines are the same. Sound waves generated by these machines vary in focal size, waveform, and depth of penetration. Many commercially available machines use radial wave therapy instead of focused/unfocused pulse waveforms. The advantages of focused/unfocused pulse waveforms are that the depth of penetration is much deeper, and the treatment field is much larger than radial waveform therapy. Radial waves have a very shallow depth of penetration and are only effective at the skin level. The soft wide, focused technology used by Dr. Karpman has a depth of penetration of 10 cm which can reach the deeper proximal tissues of the penis.
You can further discuss LISWT for erectile dysfunction with Dr. Karpman. Since the treatment is not currently 510(K)-Cleared for the treatment of ED, Peyronie’s disease, or prostatitis, insurance carriers do not reimburse for this procedure, and the financial responsibility is solely on the patient. The treatment cost is reasonable, and we offer specials for this treatment at El Camino Urology. Schedule your consultation to learn more!
The number of shocks and the number of treatment cycles is variable in the literature. Most commonly, protocols have used 1,500 shocks per session with weekly sessions for six weeks. The shocks are evenly distributed in the distal, mid, and proximal parts of the penis. The procedure does not require any anesthesia and can be done in approximately eight minutes.
Currently, medicare and most insurance plans do not cover this treatment. However, we will work with you to ensure that it is accessible to your financial needs.
Extensive experience has shown that shock wave therapy is a very safe treatment with no problems. It has no effect on the surrounding neurons or blood vessels. Shock wave treatment is actually being utilized to treat specific types of neuralgia (pain caused by a nerve). It is non-invasive and painless, with most men experiencing a little tingling sensation in the penis with each shock wave. In addition, the intensity of the shock wave can be modified, ensuring that the therapy intensity is below the patient's pain threshold.
Start your journey to reclaim your sexual reproductive health. From infertility to erectile dysfunction and more, Dr. Edward Karpman has your best interests in mind. Schedule your consultation today!
2490 Hospital Drive, Suite 210, Mountain View, CA 94040