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  #1  
Old 12-08-2018, 09:20 PM
hellobye hellobye is offline
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shockwave therapy for ED

Any bro tried before can share some review? Happen to know a clinic is having promo(cheaper) rate for this treatment and i am thinking of trying it to treat my ED.
  #2  
Old 13-08-2018, 07:27 AM
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Re: shockwave therapy for ED

Quote:
Originally Posted by hellobye View Post
Any bro tried before can share some review? Happen to know a clinic is having promo(cheaper) rate for this treatment and i am thinking of trying it to treat my ED.
Before you start on any treatment you first have to establish the cause. If the issue is psychological then shockwaves are not going to make any difference.

The theory behind shockwave therapy is that it helps to increase blood flow by reducing any restrictions in the tiny blood vessels that are paramount in achieving an erection.
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  #3  
Old 13-08-2018, 01:23 PM
hellobye hellobye is offline
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Originally Posted by sammyboyfor View Post
Before you start on any treatment you first have to establish the cause. If the issue is psychological then shockwaves are not going to make any difference.

The theory behind shockwave therapy is that it helps to increase blood flow by reducing any restrictions in the tiny blood vessels that are paramount in achieving an erection.
the thing is doctor suggested shockwave therapy since he couldnt find anything wrong with me.
he said there are patients like me who he proposed this treatment to and miraclously got cured of ED.
  #4  
Old 13-08-2018, 02:16 PM
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Re: shockwave therapy for ED

Quote:
Originally Posted by hellobye View Post
the thing is doctor suggested shockwave therapy since he couldnt find anything wrong with me.
he said there are patients like me who he proposed this treatment to and miraclously got cured of ED.
In that case you have nothing to lose so why not give it a go to see what happens.

It either works or it doesn't. If it does it will bring new found confidence and heightened pleasure.

You can read the nitty gritty of the studies done at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3607492/ The study did show that it did not work for everyone. In life nothing is 100%

The purpose of our first study was to evaluate the feasibility, efficacy, and safety of LI-ESWT in 20 men, aged 56.1 ± 10.7 years, with mild to moderate ED due to cardiovascular disease and without any neurogenic etiology [Vardi et al. 2010]. These patients had ED for almost 3 years (average), and all were able to function sexually with the use of PDE5i (i.e. PDE5i responders). Our treatment protocol was based on the described methodology used in cardiac LI-ESWT [Kikuchi et al. 2010], with modifications according to the depth of the target tissue (corpora) and to anatomical differences. We applied 300 SWs (energy intensity of 0.09 mJ/mm2) to each of five different sites: three along the penile shaft and two at the crural level. The protocol consisted of two treatment sessions per week for 3 weeks, a 3-week no-treatment interval, and a second 3-week treatment period of two treatment sessions per week.

One month after LI-ESWT, the erectile function in 15 men improved. An increase by more than five points in the International Index of Erectile Function - Erectile Function (IIEF-EF) domain score was noted in 14 men, and by more than 10 points in 7 men. Five men did not respond to LI-ESWT. Overall, the average increase in the IIEF-EF domain scores was 7.4 points (13.5–20.9, p = 0.001). Furthermore, erectile function and penile blood flow were measured using nocturnal penile tumescence (NPT) and venous occlusion plethysmography of the penis, respectively. LI-ESWT improved all NPT parameters, especially in the 15 men who responded to LI-ESWT, where significant increases in the duration of the erections and penile rigidity were recorded. Penile blood flow also improved significantly and a strong correlation was found between the increase in the IIEF-EF domain scores and the improvement in penile blood flow at the 1-month follow-up examination. At the 6-month follow-up visit, 10 men reported that they still had spontaneous erections that were sufficient for penetration and did not require PDE5i support.
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  #5  
Old 13-08-2018, 10:55 PM
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Re: shockwave therapy for ED

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Originally Posted by hellobye View Post
is having promo(cheaper) rate for this
TS don't mind me asking what is the price you are paying for the sessions?
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Old 14-08-2018, 07:09 AM
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Re: shockwave therapy for ED

u can find the answer here
https://www.todayonline.com/singapor...le-dysfunction



Quote:
Originally Posted by IAmAwesome View Post
TS don't mind me asking what is the price you are paying for the sessions?
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Old 14-08-2018, 07:55 AM
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Re: shockwave therapy for ED

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Originally Posted by IAmAwesome View Post
TS don't mind me asking what is the price you are paying for the sessions?

88 dollar for first 3 session followed by 400plus for the next 3
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Old 17-08-2018, 11:15 AM
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Re: shockwave therapy for ED

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Originally Posted by hellobye View Post
88 dollar for first 3 session followed by 400plus for the next 3
means what? 1st 3 sessions $88/session, next 3 sessions $400 ? Let us have your feedback after treatment
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Old 20-08-2018, 10:10 AM
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Re: shockwave therapy for ED

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Originally Posted by hellobye View Post
88 dollar for first 3 session followed by 400plus for the next 3


I am keen to try out this. Please Pm me the clinic and location. Thank Uou.
  #10  
Old 20-08-2018, 11:00 AM
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Re: shockwave therapy for ED

read post 6

Public hospitals now offering shockwave therapy for erectile dysfunction

SINGAPORE — In a bid to revive his flagging sex life, Mr James Lim (not his real name), who suffers from erectile dysfunction (ED), has attempted numerous treatments ranging from penile injections to oral medications for over 20 years.

While certain treatments provided temporary relief, others like hormonal injections left the 74-year-old retiree and his partner, who is 20 years younger, unsatisfied with their fluctuating and inconsistent results.

"(Having ED) left a negative impact on our relationship, and I know she isn't satisfied. Even if we don't discuss it, we both know there's an issue," said Mr Lim.

Now, he believes he might have finally found a gamechanger for his performance woes. Last year, Mr Lim underwent shockwave therapy, which was first used as a non-invasive treatment for urinary stones. The treatment uses shockwaves, at a much lower intensity than that used to treat urinary stones, to stimulate the development of new blood vessels in erectile tissues.

Mr Lim said he saw results after undergoing a total of six sessions over three weeks at the National University Hospital (NUH).

"Right now, I'm at the 11-month mark, and it has been extremely effective so far. I am now able to perform and am back to being myself. My partner is also very pleased," he said.

ED affects about one in five men, said Dr Joe Lee, consultant and director of Andrology and Male Reproductive Medicine at NUH. The condition is characterised by the inability to get or keep an erection for sexual intercourse.

NUH's male sexual dysfunction clinic sees more than 500 outpatient consultations for ED each year. Mr Lim is one of the over 50 ED patients who have undergone shockwave therapy at the clinic since late-2015.

First made available here as an ED treatment in 2014 at Gleneagles Hospital, low-intensity shockwave therapy is also available at Singapore General Hospital and Khoo Teck Puat Hospital.

POTENTIALLY TREATING THE CAUSE

At NUH, it is now part of the standard treatment options available to men with ED linked to vascular (or blood vessel) causes, which make up more than 70 per cent of ED cases, said Dr Lee who treated Mr Lim. It is used as a second-line treatment when oral medications fail to work.

"In men suffering from ED due to a reduced blood flow to the penis, (shockwave therapy) results in increased blood flow to the penis, allowing them to attain and maintain erections for sexual performance," said Dr Lee.

An erection requires a good amount of blood to flow into the penis and not flow out too quickly to maintain rigidity, explained Dr Tan Yung Khan, a urologist at Mount Elizabeth Novena Hospital.

For instance, vascular ED can occur when trauma to the arteries supplying blood to the penis, or arteriosclerosis (thickening of the artery walls) from diseases such as diabetes and high cholesterol, affect flow of blood to the area, said Dr Tan. ED may precede cardiovascular disease by a few years, he said.

Patients are usually required to undergo six to 12 treatment sessions, each lasting 15 to 20 minutes, said Dr Lee.

During the treatment, which can be done without anaesthetic or pain relief, patients will experience a tapping sensation. They can resume their usual activities like work and sports after the treatment.

One of the potential benefits of shockwave therapy is that it might possibly treat the cause of ED, which has long been viewed as an irreversible condition, and not only its symptoms – something that most current treatments focus on.

For example, drug agents augment erections transiently, but the effects are not long-lasting as they do not alter the underlying pathology of ED in any way, said Dr Lee.

"Shockwave therapy works by stimulating the development of new blood vessels in the erectile tissue, which addresses the underlying pathology of ED. (This could) potentially reverse the state of ED in a more lasting manner," he said.

It could also benefit some heart disease patients who are on a drug called nitrates – they cannot take PDE5i drugs like Viagra and Cialis as there are drug interactions, said Dr Tan.

If the treatment is successful, patients will not require medication, said Dr Tan. "As such, sex can be more spontaneous. If the patient is medication-dependent, then they will have to plan for sex and remember to take their medications at least an hour prior. This could reduce spontaneity."

Cost-wise, shockwave therapy is "comparable" to two to three years' supply of oral medications for a man who has regular sexual intercourse twice a week, said Dr Lee.

NOT A PERMANENT SOLUTION

But the treatment has its limitations and not every ED sufferer is a suitable candidate. According to Dr Lee, current knowledge of the durability of the effects is limited by the treatment's short history.

Most data show that the effect tends to wear off with time, and only 30 per cent can have prolonged benefits beyond two years, said Dr Tan.

"When using (shockwave therapy), I tell patients that it is not often a permanent solution but it could possibly get them off drugs for a period of time," said Dr Tan.

There are currently no established guidelines on the maximum number of treatments patients can have, said Dr Lee.

"Ongoing studies looking at 'booster' shocks for patients who have been treated before seem to suggest it has a role but more time is needed for these findings to be validated," he said.

For now, a new study published in The Journal of Sexual Medicine in March has established a protocol for optimal treatment of vascular ED using low-intensity shockwave therapy for the first time.

"The efficacy (of the treatment) depends on the number of sessions; 12 sessions are better than six and 18 sessions better than 12. Therefore, it depends on the severity of the problem. Men with mild ED may have six sessions while patients with severe ED may need up to 18 sessions," said Professor Dimitrios Hatzichristou, professor and chairman of the department of urology at Aristotle University of Thessaloniki, who is one of the study authors.

"One question that was answered through our studies is that patients can have the treatment sessions either once or twice or even three times per week. Also, patients may receive 12 or 18 sessions in courses of six sessions, with or without a break between the courses," he said.

WHO STANDS TO BENEFIT?

Shockwave therapy is unlikely to replace other forms of treatments as it cannot be applied to all types of ED, said Dr Lee.

"While shockwave therapy is generally very safe and well-tolerated, treatment success lies very much in selecting the right treatment for the right patient," said Dr Lee.

For instance, it is not suitable for ED arising from nerve disorders as it has no impact on the nerves, he said. Other causes of ED include psychological, neurological or low testosterone issues.

Younger patients under 65 and those with better response to erection pills will benefit most from the treatment, said Prof Hatzichristou.

In patients who do not benefit from PDE5i drugs, the success rates of shockwave therapy are low, said Dr Tan.

The treatment tends to be less effective in older patients with more severe ED or a longstanding history of diabetes, who have a higher tendency of developing neuropathy (nerve disorders), Dr Lee said.

But for patients with severe ED who struggle with poor erections despite taking the maximum doses of oral ED medications, shockwave therapy may help improve their response to oral medications. They may achieve better erections after the treatment but are unlikely to be completely weaned off medications, said Dr Lee.

Besides medication and shockwave therapy, other treatment options include the use of penile injections and vacuum erection devices.

In the most severe form of ED, penile prosthesis may be implanted surgically to achieve erection by mechanical means, he said.

Quote:
Originally Posted by cyberman View Post
I am keen to try out this. Please Pm me the clinic and location. Thank Uou.
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  #11  
Old 25-08-2018, 11:22 AM
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Re: shockwave therapy for ED

Our own Dr Tan giving his view on it.

The painless, potent ‘shock’ treatment for men who struggle to perform in bed
Read more at https://www.channelnewsasia.com/news...iagra-10644552

Compared to the likes of Viagra, shockwave therapy remains a less mainstream remedy for erectile dysfunction. But some doctors and patients in Singapore are warming to it.

SINGAPORE: "Shockwave therapy for the penis” can be an intimidating proposition, admitted Travis (not his real name), a Singaporean male in his late 30s. Yet five months ago he tried the treatment in a bid to fix his erectile dysfunction (ED) - and it worked.

“People might be put off by the word 'shockwave', but there’s nothing to be afraid of. It was painless, there was no discomfort,” he described. “And it is effective. My performance has improved … it’s much better now.”

Despite the name, shockwave therapy actually uses external, low-intensity acoustics to trigger a process that forms new blood vessels, improving blood flow to the nether regions to help enhance the firmness of an erection.

“Part of the reason for ED could be inflammation of the blood vessels or damaged tissue - and what shockwave therapy does is create better-quality tissue,” said Dr Lim Kok Bin, a urologist who has been offering the treatment at his Raffles Hospital clinic since 2016.

He added that the technology is not new, having long been used to address joint pains as well as break down kidney stones - albeit at energy levels of 100 times more.

Along the spectrum of ED remedies, shockwave therapy sits between oral medication like the instantly recognisable Viagra and invasive procedures such as injections and prosthetic implants.

For Travis, the latter was a big no-no. He has also tried “non-conventional” supplements including traditional Chinese medicine and Viagra, but one proved ineffectual and the other produced side effects like blurred vision and headaches - so he turned to this other approach.

“SCARY-SOUNDING”

Shockwave therapy is a more recent development than the 20-year-old blue pill of Viagra, having been first published in European research papers at the turn of the 2010s and only arriving in Singapore in 2014.

Today it is readily available here at private clinics, Raffles Hospital, Singapore General Hospital, National University Hospital and Khoo Teck Puat Hospital. But the treatment remains little-known: Travis believes this is due to ED being a topic “not openly discussed” to begin with, and Dr Lim put it down to a lack of advertising.



A further barrier could be what Dr Tan Kok Kuan, who runs a group of sexual health clinics, acknowledged as the “scary-sounding” name and notion - however ill-conceived - of shockwave therapy.

“The only scary thing about the treatment is that it is rather loud,” said Dr Tan, who is Travis' doctor. “It is completely non-invasive and completely painless.

“It feels very much like an ultrasound scan. Gel is placed on the probe and the probe is placed against the skin at the groin and the penis. If you touch the probe with your finger, you barely feel a tapping sensation,” he added.

“Patients feel nothing at all. In fact, many of my patients fall asleep during the treatment.”

Dr Lim reiterated: “I’m not sticking anything into your body, I’m not cutting you up. Nobody complains about pain - only one patient was a bit sensitive and jumped a bit. Nothing could go wrong.”

It was with those words as a guarantee that this reporter - who does not have ED - agreed to experience a standard 15-minute session involving 1,000 “shocks” on each of five different spots.

Yes, that adds up to 5,000 in total which sounded absolutely terrifying as I lay down on Dr Lim’s examination table, shivering in part from the cold of being exposed from the waist down and in part out of naked fear. But it was too late to turn back, and I clenched my teeth as he fired up the machine and went to work ...

As the doctors described, there was a bit of a din, which caused initial panic and the imagination of being repeatedly smacked down there. But I quickly realised that aside from a little warmth and a slight pattering sensation with each supposed “shock”, there was no pain at all.

It ended as quickly as it started, and with no need to worry about future repercussions, both doctors reassured.

Said Dr Lim: “Only two things will happen: It either helps you or doesn’t. The worst that could happen is it has no effect.”

He has administered shockwave therapy to around 20 patients, with only two not responding “very well” to the treatment due to psychological factors. Dr Tan, meanwhile, said: “I have treated more than 500 cases and I can safely say they have all seen some level of improvement, some more than others.”

FIXING MEN’S PROBLEMS FOREVER?

Dr Tan also quipped: “The joke I have with my patients is the only ‘side effect’ is injuring the wallet.”

Patients generally require six sessions divided over two to three weeks, costing in total between S$2,000 and S$5,000, depending on the clinic.

For Dr Lim, each round of six sessions lasts for a couple of years, while Dr Tan recommends returning for one session a year “to maintain the beneficial effects”.

Dr Lim pointed out that a two-year stretch of taking Viagra - with each pill costing around S$20 - would work out to around S$2,000 as well.

Shockwave therapy has also been touted in certain circles as a potential permanent cure for ED, compared to the temporary relief provided by Viagra. And in March this year a study recommended, for the first time, guidelines for optimal therapy at six to 18 sessions depending on the severity of the ED.

Nonetheless Dr Lim said it was still a work-in-progress with further protocols to be established, such as when to administer the treatment again.

“I would still prefer giving oral medication,” he noted. “If the patient is already doing so and it’s not helping, then I’ll suggest trying shockwave therapy while continuing to take medicine.”

Added Dr Tan: “I am very hesitant to use the word ‘permanent’. That would imply if a patient undergoes this treatment when he is 45 years old, he still will not have ED when he is 80 years old. This obviously cannot be the case.

“Not all patients with ED will benefit from this treatment,” he explained, pointing to additional psychological and other medical factors as possible issues. “This treatment is only for men with mild to moderate ED caused by blood vessel disease.

“Therefore, patient selection is very important. Also, managing the patient's expectations is important.”

For Travis, though, the clear advantage of shockwave therapy lies in its facilitation of spontaneous, naturally occurring erections - unlike with pills, which have to be planned for and taken at set times before sex.

The result has been a happy spouse and a couple now eager to try for kids. “I think I’ll keep doing this for the rest of my life, if I have to,” he said, adding he was already looking forward to his next session with Dr Tan. “Need to recharge!”

Read more at https://www.channelnewsasia.com/news...iagra-10644552
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  #12  
Old 25-08-2018, 11:48 AM
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Re: shockwave therapy for ED

Those who want to save money can try zapping their penises with electricity instead.

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  #13  
Old 25-08-2018, 09:56 PM
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Re: shockwave therapy for ED

Technically it seems like the key factor is to improve blood circulation down there to promote vascular growth. Wonder if someone could replicate the expensive machine using a piezoelectric disc driven by frequency generator to create and control the vibrations.

... When cannot stand, complain cannot stand. When can stand, complain cum too fast, when that is solved, complain it's too small, and when even all that is solved, complain sperm count low and impotent Plenty of opportunity for medical science!
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Old 26-08-2018, 08:15 AM
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Re: shockwave therapy for ED

I've been taking the supplements with ginseng/tongkat Ali. Slow but I can see better erections, though of course not as hard as when I was younger, but at least it last longer
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Old 26-08-2018, 10:04 AM
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Re: shockwave therapy for ED

Quote:
Originally Posted by riotspace View Post
I've been taking the supplements with ginseng/tongkat Ali. Slow but I can see better erections, though of course not as hard as when I was younger, but at least it last longer
You need to fix the source of the problem otherwise all your supplements are doing is slowing down the inevitable.

There is no reason why a 65 year old cannot have the same quality of erections that he had when he was 20 years old provided his cardiovascular system is in tip top condition.

Exercise, reducing cholesterol and keeping diabetes at bay are all keys to sexual health. Take care of your dick and it will take care of you.
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