Shockwave Therapy for Erectile Problems - ESWT

Originally used in cardiology for the treatment of heart diseases, ESWT (Extracorporeal Shock Wave Therapy) uses low-energy shock waves that are transmitted to the penis via a special probe. These shock waves stimulate the release of vascular endothelial growth factor (VEGF), which promotes the formation of new blood vessels and the regeneration of the vascular endothelium. Through these processes, blood circulation in the penis can be improved, leading to a natural and enhanced ability to achieve an erection.

ESWT is performed on an outpatient basis and is painless for the patient. During a session, which lasts about 15 to 20 minutes, several areas of the penis are treated with the shockwave probe. Typically, the therapy cycle includes six sessions spread over six weeks. Patients can resume their normal activities immediately after the treatment, as no recovery time is required.

Shockwave therapy is particularly suitable for men whose erectile dysfunction is based on circulatory disorders, especially in the early stages of the condition. It represents an alternative for those who do not respond to medication treatments such as PDE-5 inhibitors (e.g., Viagra) or cannot tolerate them due to side effects. However, it is essential to conduct a thorough medical examination before starting the therapy to determine the suitability of ESWT for the individual patient.

After the treatment, your doctor will discuss the results and possible further steps with you. Depending on the symptoms, several sessions may be necessary to achieve optimal results. Complementary measures such as physiotherapy or targeted exercises can support the effect of shock wave therapy. Regular follow-up care helps to ensure long-term healing and sustainably alleviate symptoms.

• Non-invasive and painless: The treatment does not require surgery and is comfortable for the patient.
• Long-lasting effect: Studies show that many patients exhibit improved erectile function even months after completing therapy.
• Low side effects: Compared to drug treatments, ESWT has hardly any adverse effects.

The treatment usually consists of six weekly sessions of 15-20 minutes each.

Generally, the situation improves after a few sessions. We therefore usually recommend at least a 6-week treatment, after which the results can often be assessed.

For the 6-week package, the Urology Center Vienna covers the cost of one session (150 euros).