{"id":3497,"date":"2021-08-06T08:00:00","date_gmt":"2021-08-06T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=3497"},"modified":"2026-05-18T09:56:09","modified_gmt":"2026-05-18T02:56:09","slug":"dysfonctionnement-erectile-onde-de-choc","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/fr\/2021\/08\/06\/erectile-dysfunction-shockwave\/","title":{"rendered":"Comment la dysfonction \u00e9rectile a \u00e9t\u00e9 am\u00e9lior\u00e9e par LI-ESWT"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" 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1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Low-Intensity Extracorporeal Shock Wave Therapy (LI-ESWT) is a promising treatment for erectile dysfunction (ED). ED is an increasingly common complaint at my andrology office, affecting men across all age groups. I have previously discussed the <a href=\"https:\/\/drsoaraweeurology.com\/2020\/07\/31\/ed-4-major-causes\/\">4 major causes of ED<\/a> and <a href=\"https:\/\/drsoaraweeurology.com\/2021\/03\/26\/how-tadalafil-improved-ed\/\">oral tablet therapy for ED<\/a>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"645\" data-attachment-id=\"3513\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2021\/08\/06\/erectile-dysfunction-shockwave\/cool-chinese-man-winner-sign\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-man.jpg?fit=1200%2C968&amp;ssl=1\" data-orig-size=\"1200,968\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark II&quot;,&quot;caption&quot;:&quot;cool chinese-man winner sign&quot;,&quot;created_timestamp&quot;:&quot;1420308711&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;cool chinese-man winner sign&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Penile shockwave application is a perfect solution in male erectile dysfunction.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Penile shockwave application is a perfect solution in male erectile dysfunction.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-man.jpg?fit=800%2C645&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-man.jpg?resize=800%2C645&#038;ssl=1\" alt=\"LI-ESWT erectile dysfunction shockwave\" class=\"wp-image-3513\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-man.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-man.jpg?resize=300%2C242&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-man.jpg?resize=1024%2C826&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-man.jpg?resize=768%2C620&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-man.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Penile shockwave application offers a promising solution for male erectile dysfunction.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Before LI-ESWT became available, patients who failed oral ED medication (PDE5 inhibitors) were advised to pursue more invasive options:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Intracorporeal injection therapy \u2014 self-injection directly into the penis before every sexual activity<\/li>\n\n\n<li>Penile prosthesis implant surgery \u2014 a major operation requiring a highly experienced surgical team<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"614\" height=\"1000\" data-attachment-id=\"6626\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2021\/08\/06\/erectile-dysfunction-shockwave\/sd1-ultra\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/07\/SD1-ultra.jpg?fit=614%2C1000&amp;ssl=1\" data-orig-size=\"614,1000\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Storz SD1 ultra ESWT at WE Wellness clinic\" data-image-description=\"&lt;p&gt;Storz SD1 ultra ESWT at WE Wellness clinic&lt;\/p&gt;\n\" data-image-caption=\"&lt;p&gt;Storz SD1 ultra ESWT at WE Wellness clinic&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/07\/SD1-ultra.jpg?fit=614%2C1000&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/07\/SD1-ultra.jpg?resize=614%2C1000&#038;ssl=1\" alt=\"Storz SD1 ultra ESWT erectile dysfunction\" class=\"wp-image-6626\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/07\/SD1-ultra.jpg?w=614&amp;ssl=1 614w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/07\/SD1-ultra.jpg?resize=184%2C300&amp;ssl=1 184w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/07\/SD1-ultra.jpg?resize=7%2C12&amp;ssl=1 7w\" sizes=\"(max-width: 614px) 100vw, 614px\" \/><figcaption class=\"wp-element-caption\">Storz SD1 ultra ESWT device used for penile shockwave therapy.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The first official publication on LI-ESWT for ED appeared in 2010. Since then it has proven to fulfill key clinical requirements: scientifically significant effectiveness in ED treatment, applicability even for patients who have failed oral therapy, day-care minimally invasive procedure, and no serious side effects when performed by a well-trained andrologist.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"3514\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2021\/08\/06\/erectile-dysfunction-shockwave\/young-pretty-man-kissing-and-hugging-his-happy-wife\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-sexual-life.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;3.2&quot;,&quot;credit&quot;:&quot;Pavel Vladychenko  vk.com\/altern&quot;,&quot;camera&quot;:&quot;NIKON D800&quot;,&quot;caption&quot;:&quot;Young pretty man kissing and hugging his happy wife while they sitting in bed&quot;,&quot;created_timestamp&quot;:&quot;1509540375&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;32&quot;,&quot;iso&quot;:&quot;400&quot;,&quot;shutter_speed&quot;:&quot;0.003125&quot;,&quot;title&quot;:&quot;Young pretty man kissing and hugging his happy wife&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Good sexual life leads to good relationship.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Good sexual life leads to good relationship.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-sexual-life.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-sexual-life.jpg?resize=800%2C534&#038;ssl=1\" alt=\"ED treatment sexual life\" class=\"wp-image-3514\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-sexual-life.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-sexual-life.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-sexual-life.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-sexual-life.jpg?resize=768%2C513&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Happy-sexual-life.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">A healthy sexual life supports strong relationships.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Positive effects of <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32499189\/\">LI-ESWT for erectile dysfunction<\/a><\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Short-term response\n\n<ul class=\"wp-block-list\">\n<li>Improves arterial pressure inside the penis, directly improving erectile function<\/li>\n\n\n<li>Scientifically confirmed synergistic effect when combined with oral PDE5 inhibitor therapy<\/li>\n<\/ul>\n<\/li>\n\n\n<li>Long-term response\n\n<ul class=\"wp-block-list\">\n<li>Stimulates new blood vessel regeneration (angiogenesis)<\/li>\n\n\n<li>Promotes restoration of nerve fibers<\/li>\n\n\n<li>Reduces the natural fibrosis (scarring) process in penile tissue<\/li>\n\n\n<li>Improves smooth muscle relaxation for better penile blood inflow<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3515\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/2021\/08\/06\/erectile-dysfunction-shockwave\/bikini-girl-holding-mans-hand-and-leading-him-to-koh-hong-island-in-krabi-thailand\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Honeymoon.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;8&quot;,&quot;credit&quot;:&quot;Guitar_Tawatchai&quot;,&quot;camera&quot;:&quot;ILCE-7RM3&quot;,&quot;caption&quot;:&quot;Bikini girl holding man&#039;s hand and leading him to koh hong island in Krabi, Thailand.&quot;,&quot;created_timestamp&quot;:&quot;1616387418&quot;,&quot;copyright&quot;:&quot;Guitar_Tawatchai&quot;,&quot;focal_length&quot;:&quot;16&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.002&quot;,&quot;title&quot;:&quot;Bikini girl holding man&#039;s hand and leading him to koh hong island in Krabi, Thailand.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Taking a good care with erectile dysfunction make perfect relationship.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Taking a good care with erectile dysfunction make perfect relationship.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Honeymoon.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Honeymoon.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Erectile dysfunction treatment results\" class=\"wp-image-3515\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Honeymoon.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Honeymoon.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Honeymoon.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Honeymoon.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Honeymoon.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Treating erectile dysfunction properly leads to better quality of life and relationships.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Limitations of LI-ESWT<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Maintenance sessions required over time:\n\n<ul class=\"wp-block-list\">\n<li>10% of patients report ED recurrence at 3 months post-treatment<\/li>\n\n\n<li>Over 40% report ED recurrence at 2 years<\/li>\n\n\n<li>The maintenance program is individualized for each patient<\/li>\n<\/ul>\n<\/li>\n\n\n<li>Spinal cord injury patients will not benefit from LI-ESWT, as the brain-to-penile nerve connection is permanently disrupted<\/li>\n\n\n<li>Untreated low testosterone patients require Testosterone Replacement Therapy alongside LI-ESWT, as hormonal deficiency is one of the 4 major causes of ED<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">LI-ESWT is increasingly becoming the primary weapon against organic ED instead of relying solely on oral medication. Any questions, discuss with your trusted andrologist.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You can visit my official homepage <a href=\"https:\/\/drsoaraweeurology.com\/\">here<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About LI-ESWT for Erectile Dysfunction<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is LI-ESWT and how does it treat erectile dysfunction?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">LI-ESWT (Low-Intensity Extracorporeal Shock Wave Therapy) delivers low-energy acoustic waves to the penile tissue using a non-invasive probe. In the short term, it improves arterial blood pressure inside the penis. In the long term, it stimulates angiogenesis (new blood vessel growth), nerve fiber restoration, reduction of penile fibrosis, and improved smooth muscle relaxation. It has been scientifically validated since its first publication in 2010 and is approved for both ED patients who respond to oral medications and those who do not.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Who is a good candidate for LI-ESWT?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">LI-ESWT is appropriate for men with vasculogenic (blood vessel-related) erectile dysfunction, including those who respond well to oral PDE5 inhibitors (as it can reduce dependence on medication) and those who have failed oral therapy. It is not effective for ED caused by spinal cord injury (disconnected nerve pathway) or untreated hypogonadism (low testosterone). For the latter, Testosterone Replacement Therapy should be optimized first and combined with LI-ESWT for best outcomes.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How many LI-ESWT sessions are needed and do results last?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A typical LI-ESWT course involves multiple sessions over several weeks, individualized per patient. Results are significant but require maintenance: approximately 10% of patients experience ED recurrence at 3 months and over 40% at 2 years post-treatment. A personalized maintenance schedule is planned with the andrologist. When combined with oral PDE5 inhibitors during the treatment period, there is a scientifically confirmed synergistic benefit. LI-ESWT is a day-care procedure with no serious side effects when performed by a trained specialist.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are experiencing erectile dysfunction and would like to discuss LI-ESWT or other treatment options, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is LI-ESWT and how does it treat erectile dysfunction?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"LI-ESWT delivers low-energy acoustic waves to penile tissue. Short-term: improves arterial pressure. Long-term: stimulates angiogenesis, nerve restoration, reduces fibrosis, improves smooth muscle relaxation. Validated since 2010, works for both oral-responsive and oral-refractory ED.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Who is a good candidate for LI-ESWT?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Men with vasculogenic ED, including those who respond to PDE5 inhibitors or failed oral therapy. Not for spinal cord injury ED or untreated hypogonadism. For low testosterone, TRT should be optimized first and combined with LI-ESWT.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"How many LI-ESWT sessions are needed and do results last?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Multiple sessions over weeks, individualized per patient. ~10% recurrence at 3 months, >40% at 2 years \u2014 maintenance sessions required. Synergistic benefit with oral PDE5 inhibitors. Day-care procedure with no serious side effects when performed by trained specialist.\"\n      }\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Low-Intensity Extracorporeal Shock Wave Therapy (LI-ESWT) is a promising treatment for erectile dysfunction (ED). ED is an increasingly common complaint at my andrology office, affecting men across all age groups. I have previously discussed the 4 major causes of ED and oral tablet therapy for ED. Before LI-ESWT became available, patients who failed oral ED [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10036,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"LI-ESWT (Low-Intensity Extracorporeal Shock Wave Therapy) for erectile dysfunction: mechanism, candidacy, treatment sessions, and long-term outcomes. 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