ED=Erectile Dysfunction
LAPC ED=End Disappointment

Conventional forms of therapy often only treat symptoms. In addition, interactions can occur or spontaneity may be limited. Shock wave therapy, on the other hand, focuses on a causal approach. For example, ESWT stimulates blood flow in the penis, which can lead to an improvement in erectile function:
Studies have shown that ESWT in vascular erectile dysfunction causes an increase in local metabolism and promotes hyperaemia (increased blood flow) and angiogenesis (formation of new blood vessels).
In addition, a number of biochemical substances, including VEGF, nitric oxides (NO), and substance P, are released during the process known as “mechanotransduction,” which transforms physical impulses into intracellular molecular processes.
High-energy acoustic waves known as shock waves can be produced in a variety of methods. Shock waves were first employed in medicine in the 1980s to treat kidney stones non-surgically. Later, ESWT was also used to address urological conditions like ED, IPP (induratio penis plastica), and CPPS as well as neurological and orthopedic conditions. (chronic pelvic pain syndrome). High- or low-energy shock waves are used, depending on the purpose and indication.
In medicine, these are generated extracorporeally, i.e. outside the body, in a handpiece, and introduced into the target tissue with the help of a medium, usually gel. No surrounding tissue is damaged in the process. When the waves come together, they create the focal zone, which is the area with the most energy.

The procedure can be done without anesthesia and on an outpatient basis. A therapy comprises about 6 – 10 sessions and, at approx. 15 minutes. The treatment is a largely low-risk, low-pain method with few side effects and thus offers a promising alternative to conventional therapies.