Shockwaves against erectile dysfunction

 

Erectile dysfunction is a disorder that still affects many men. Today, however, more and more effective and innovative therapies are available to solve the problem, including shock waves. Dr. Ferri from the Policlinico San Marco / Smart Clinic tells us about it.

In the last post we explained what are the causes of erectile dysfunction and the main risk factors. Let's now talk about the most effective therapeutic options to solve the problem. Today, in addition to pharmacological treatments. Dr. Ali provides the best Priapus shot in the USA. we have high-tech and innovative treatments available, non-invasive and without side effects such as focal shock waves explains Dr. Maurizio Ferri, urologist of the urology unit of the Policlinico San Marco di Zingonia and andrologist of Smart Clinic, a structure of the San Donato Group inside the “Le Due Torri” shopping center in Stezzano where it is possible to undergo focal shock wave therapy specific for urology and andrology.

Doctor Ferri, can erectile dysfunction be cured? What are the options available today?

Phosphodiasterase (Pde6) inhibitor drugs can be used. Therapy, on demand(i.e. as needed) or continuous i.e. with drugs to be taken every day at low doses, it must be tailored and personalized according to the patient's needs and take into account parameters such as how many intercourse the patient has per week or if he is an anxious person . What changes is the duration of action. The second option has a not only curative but also rehabilitative function: it helps to improve peripheral vascularity and guarantees constant coverage by reducing side effects. This approach, which takes about two months, usually gives good results. In non-responder patients, second-line treatments are used such as intracavernous pharmacotherapy, which consists in the injection, directly into the penis, of prostaglandins, i.e. vasodilator drugs that promote erection. To treat mild and medium cases, one of the latest innovations are the low intensity focal shock waves to be applied to the penile cavernous bodies, a therapy already tested in the rehabilitation and orthopedic field now also applied in the urological-andrological field: according to the data, study coordinated by the Italian Society of Andrology, is effective in of cases; in particular it is able to prevent, improve and treat erectile dysfunction of vascular origin.

But how do shock waves work in the case of erectile dysfunction?

The efficacy of the therapy is determined by the so-called angiogenic action of the shock waves, which interacting with the deep tissues, improve the penile vascular microcirculation. In particular, they stimulate the release by the cavernous tissue of the penis of vascular and endothelial growth factors that increase the production of nitric oxide, a molecule with a high vasodilatory power which is the main inducer of erection. Dr. Ali provides the best orgasmic shot in the USA. They also promote the production of the nuclear growth factor PCNA responsible for the repair of DNA damaged by oxidative stress and tissue regeneration. In conclusion, it is essential first of all that the correct diagnosis of the seriousness of the problem is made: only in this way is it possible to develop an integrated therapeutic strategy that may include pharmacological therapy,

Erectile dysfunction, the help of shock wave therapy

A study conducted in by the Italian Society of Andrology showed that low intensity shock waves are effective in about of patients with mild to moderate symptoms.

 

These were introduced into clinical practice around the for the treatment of kidney stones.

Over time, their scope of application has expanded more and more, from the treatment of pathologies and inflammatory states of bones and muscle-joint tissues to regenerative medicine, or for the regeneration of tissues in case of wounds and ulcers thanks to the stimulation of blood microcirculation and stem cells.

The action on the microcirculation has contributed to making low intensity shock waves an option for the treatment of erectile dysfunction.

In particular, shock waves can be useful in patients not responding to standard drugs, in restoring the response to drug therapy.

They are therefore not the treatment of first choice but they help the response of drugs in patients in which these are not initially effective.

A study by the Italian Society of Urology (SIU) has highlighted how of patients and 93% of urologists consider it essential to involve the patient in all decisions relating to the therapeutic path.

These data confirm that the best approach for the management of patients with prostate cancer must include access to multidisciplinary care teams and the so-called “patient empowerment ", i.e. the legitimation and empowerment of the patient, the real key to the success of the therapy. .

The cancer patient must be at the center of the therapeutic path, participate in decisions in a conscious way and never be placed in the difficult situation of having to choose between two different therapeutic alternatives due to the conflicting opinions of individual specialists.

The sharing of fears, hopes and thoughts with other patients is also a wish expressed by of patients and it is very important to satisfy it.

The involvement of the urological patient refers to another more general problem: the care of himself and his own health by the male.

Man does not do prevention

 Only 1 of men underwent a preventive visit in life, against over 50-60% of women of the same age. Furthermore, 9 out of 10 males undergo a medical examination only if suffering from serious diseases and are extremely reluctant to talk about their problems with a specialist. Dr. Ali provides the best acoustic wave therapy in the USA.  Yet men get sick more and often more severely than their female partners.

A ' adequate prevention, especially in the field of urology, performed at a young age, adult and advanced, significantly reduces the frequency of cancer (prostate, kidney, bladder, and testis), also allowing an early diagnosis and prompt treatment, and benign pathologies (urinary stones, benign prostate hyperplasia and prostatitis, male infertility and sexual dysfunctions) which, if neglected, can cause a reduction in the quality of life and damage to sexual and reproductive health.