Frequently Asked Questions about Shockwave Therapy (ESWT)
Everything you need to know about the treatment of erectile dysfunction.
Many men have similar questions before starting shock wave therapy: Is the treatment painless? How many sessions are necessary? When will the first results appear – and how long will they last? In our FAQ, you will find clear and understandable answers. And if you have personal questions beyond that, we are happy to advise you individually in our practice.
Erectile dysfunction means that a man cannot achieve or maintain a sufficient erection during sexual arousal for satisfactory intercourse.
Many men are affected: It is estimated that numerous men between the ages of 40 and 70 suffer from erectile dysfunction at least temporarily.
Common organic causes are vascular problems (circulatory disorders, arteriosclerosis), diabetes, nerve damage, hormonal imbalance, or chronic inflammation of the prostate.
Psychological factors such as stress, fear of failure, depression, anxiety disorders, or relationship problems can affect erection and lead to dysfunction.
Yes – erectile dysfunction is often an early warning sign of cardiovascular diseases, high blood pressure, or endothelial disorders, as the same vascular mechanisms are affected.
In many cases, yes – especially if the causes are recognized early. There are medication therapies, interventions such as injections or vacuum devices, and newer approaches like shock wave therapy.
If the problem persists for a longer period (e.g., weeks or months) or worsens, a medical examination is advisable.
Not directly. Erectile dysfunction primarily affects the ability to achieve an erection and does not necessarily impact sperm quality or fertility.
Extracorporeal shock wave therapy (ESWT) is a non-invasive approach in which low-energy sound waves are specifically directed at the penis to stimulate new blood vessels and improve blood circulation.
A typical session lasts about 15 minutes. Depending on the protocol, several zones (penile shaft, base, crura) are treated.
Often, 6 to 12 sessions are necessary, depending on the severity and therapy protocol.
Usually not – patients mostly report a slight tingling or pressure sensation. It is generally well tolerated without anesthesia.
Very rarely, local irritations, redness, or small bruises occur. Serious complications are hardly documented in studies.
Particularly suitable for mild to moderate, vascular-related erectile dysfunction. Not recommended for open wounds, penile prostheses, bleeding disorders, or certain tumors in the pelvic area.
Some patients report improvements after just a few sessions; the full effect usually develops only a few weeks after the completion of therapy.
In many patients, the effect can last for months to years. In some cases, a booster treatment may be advisable.
It can be effective on its own, but is often combined with medication therapies such as PDE-5 inhibitors, lifestyle changes, or other supportive measures.
Yes — numerous studies, systematic reviews, and meta-analyses support the efficacy and safety, especially in vascular-related erectile dysfunction.
In many cases, it is currently still considered a private service and not covered by statutory health insurance — depending on the country and insurance model.
Comorbidities such as diabetes, high blood pressure, or vascular diseases can influence the success of the therapy. With good management of these conditions, the chances of success are higher.