LI-ESWT: Erectile Dysfunction Shockwave Therapy

Q: តើ LI-ESWT ជាអ្វី ហើយវាព្យាបាលជំងឺងាប់លិង្គដោយរបៀបណា?

LI-ESWT បញ្ជូនរលកសូរស័ព្ទថាមពលទាបទៅកាន់ជាលិកាលិង្គ។ រយៈពេលខ្លី៖ ធ្វើអោយប្រសើរឡើងនូវសម្ពាធសរសៃឈាម។ រយៈពេលវែង៖ ជំរុញការបង្កើតសរសៃឈាមថ្មី ការស្តារសរសៃប្រសាទ កាត់បន្ថយជាលិកាស្លាកស្នាម ធ្វើអោយប្រសើរឡើងនូវការសម្រាកសាច់ដុំរលោង។ ត្រូវបានផ្ទៀងផ្ទាត់តាំងពីឆ្នាំ ២០១០ ដំណើរការសម្រាប់ទាំងការលិង្គងាប់ដែលឆ្លើយតបតាមមាត់ និងការមិនឆ្លើយតបតាមមាត់។.

Q: តើអ្នកណាជាបេក្ខជនល្អសម្រាប់ LI-ESWT?

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.

Q: How many LI-ESWT sessions are needed and do results last?

Multiple sessions over weeks, individualized per patient. ~10% recurrence at 3 months, >40% at 2 years — maintenance sessions required. Synergistic benefit with oral PDE5 inhibitors. Day-care procedure with no serious side effects when performed by trained specialist.

បានធ្វើបច្ចុប្បន្នភាពចុងក្រោយ៖ ខែឧសភា 18, 2026

Soaravy Weerasopone, ឯកទេសប្រព័ន្ធទឹកនោម

ជ្ឈមណ្ឌលកណ្តាលនៃមន្ទីរពេទ្យបាងកក។

មន្ទីរពេទ្យ Samitivej Sriracha, Chonburi

ទំនាក់ទំនង LINE

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 និង oral tablet therapy for ED.

មជ្ឈមណ្ឌលផ្នែកជម្ងឺប្រព័ន្ធទឹកនោមនៃមន្ទីរពេទ្យបាងកក ប្រទេសថៃ។ កក់លេខរៀងការណាត់ជួបតាម online 02-310-3009 bhquro@bdms.co.th
មន្ទីរពេទ្យ Samitivej Sriracha ខេត្តឈុនបូរី។ 088-022-1445

Penile shockwave application offers a promising solution for male erectile dysfunction.

Before LI-ESWT became available, patients who failed oral ED medication (PDE5 inhibitors) were advised to pursue more invasive options:

Intracorporeal injection therapy — self-injection directly into the penis before every sexual activity
Penile prosthesis implant surgery — a major operation requiring a highly experienced surgical team

Storz SD1 ultra ESWT device used for penile shockwave therapy.

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.

A healthy sexual life supports strong relationships.

Positive effects of LI-ESWT for erectile dysfunction

Short-term response
- Improves arterial pressure inside the penis, directly improving erectile function
- Scientifically confirmed synergistic effect when combined with oral PDE5 inhibitor therapy
Long-term response
- Stimulates new blood vessel regeneration (angiogenesis)
- Promotes restoration of nerve fibers
- Reduces the natural fibrosis (scarring) process in penile tissue
- Improves smooth muscle relaxation for better penile blood inflow

Treating erectile dysfunction properly leads to better quality of life and relationships.

Limitations of LI-ESWT

Maintenance sessions required over time:
- 10% of patients report ED recurrence at 3 months post-treatment
- Over 40% report ED recurrence at 2 years
- The maintenance program is individualized for each patient
Spinal cord injury patients will not benefit from LI-ESWT, as the brain-to-penile nerve connection is permanently disrupted
Untreated low testosterone patients require Testosterone Replacement Therapy alongside LI-ESWT, as hormonal deficiency is one of the 4 major causes of ED

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.

អ្នកអាចចូលមើលគេហទំព័រផ្លូវការរបស់ខ្ញុំ នៅទីនេះ.

Frequently Asked Questions About LI-ESWT for Erectile Dysfunction

តើ LI-ESWT ជាអ្វី ហើយវាព្យាបាលជំងឺងាប់លិង្គដោយរបៀបណា?

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.

តើអ្នកណាជាបេក្ខជនល្អសម្រាប់ LI-ESWT?

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.

How many LI-ESWT sessions are needed and do results last?

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.

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. កក់ការពិគ្រោះយោបល់.

ការបដិសេធ៖ ខ្លឹមសារនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត Soarawee Weerasopone ដែលជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ វាត្រូវបានបម្រុងទុកសម្រាប់គោលបំណងអប់រំតែប៉ុណ្ណោះ ហើយមិនមែនជាដំបូន្មានផ្នែកវេជ្ជសាស្ត្រទេ។ តែងតែពិគ្រោះជាមួយអ្នកជំនាញថែទាំសុខភាពដែលមានសមត្ថភាពមុនពេលចាប់ផ្តើមការព្យាបាលណាមួយឡើយ។.

សរសេរ និងពិនិត្យផ្នែកវេជ្ជសាស្ត្រដោយ៖ វេជ្ជបណ្ឌិត សូរ៉ាវី វីរ៉ាសូផូន (វេជ្ជបណ្ឌិត ប៉ុម) — អ្នកជំនាញខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រពីក្រុមប្រឹក្សាភិបាល ទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក។ អ្នកស្រាវជ្រាវអន្តរជាតិ៖ មហាវិទ្យាល័យវេជ្ជសាស្ត្របៃឡ័រ (សហរដ្ឋអាមេរិក) · សាកលវិទ្យាល័យជូនថេនដូ (ជប៉ុន) · មន្ទីរពេទ្យអនុស្សាវរីយ៍ឆាងហ្គុង (តៃវ៉ាន់)។.

វេជ្ជបណ្ឌិត Soarawee Weerasopone

លោកវេជ្ជបណ្ឌិត សូរ៉ាវី វីរ៉ាសូផូន (លោកវេជ្ជបណ្ឌិត ប៉ុម) គឺជាគ្រូពេទ្យឯកទេសខាងប្រព័ន្ធទឹកនោមដែលមានវិញ្ញាបនបត្រនៅទីស្នាក់ការកណ្តាលមន្ទីរពេទ្យបាងកក ដែលមានជំនាញខាងសុខភាពបុរស ការវះកាត់ដោយមនុស្សយន្ត (ប្រព័ន្ធដាវីនស៊ី) និងការព្យាបាលគ្រួសក្នុងតម្រងនោម។ លោកបានបញ្ចប់អាហារូបករណ៍អន្តរជាតិនៅមហាវិទ្យាល័យវេជ្ជសាស្ត្របៃឡ័រ (សហរដ្ឋអាមេរិក) មន្ទីរពេទ្យសាកលវិទ្យាល័យជូនថេនដូ (ជប៉ុន) និងមន្ទីរពេទ្យអនុស្សាវរីយ៍ឆាងហ្គុង (តៃវ៉ាន់)។ ខ្លឹមសារវេជ្ជសាស្ត្រទាំងអស់នៅលើគេហទំព័រនេះត្រូវបានសរសេរ និងពិនិត្យដោយលោកវេជ្ជបណ្ឌិត សូរ៉ាវី ដោយផ្អែកលើបទពិសោធន៍គ្លីនិក និងការបណ្តុះបណ្តាលអន្តរជាតិរបស់លោក។.