The Gainswave Treatment near James Island SC instrument is turned off after 8 p.m., and the therapist will move to another area. Shockwave therapy has been shown to guarantee visible results in one to three months. The Gainswave Treatment near James Island SC is so effective that maintenance treatment is rarely prescribed for years following treatment. Some studies suggest that the results of the Gainswave Treatment near James Island SC will last up to a year and maybe more. The most widely held belief is that “adjustment treatments will be needed after one year to maintain improvement.” However, to the best of our knowledge, no study has been conducted to evaluate factors that could affect or predict the success of Li-SWT treatment for erectile dysfunction in men with a poor response to PDE5i.
In addition, there are very few articles that have analyzed the long-term effects of Li-SWT on the penis. This led us to evaluate the long-term prognosis (at 18 months) of li-SWT in men with vasculogenic erectile dysfunction who did not respond to PDE5i, and to evaluate factors that could influence or predict the success of Li-SWT in these patients. They responded to Li-SWT, when patients reported having had successful sexual intercourse with an erection sufficient for penetration (EHS ≥). These patients were followed up for 6, 12 and 18 months.
Three patients (5.8%) of the 11 PDE5i converters showed a marked improvement in the IIEF-EF and had satisfactory sexual intercourse without the need to use the PDE5i, and the remaining eight PDE5i converters maintained their response. The 19 patients who had not converted to PDE5i continued to have unsatisfactory sexual intercourse. Once again, the 22 patients who had an EHS ≥ 3 (at 3- and 6-month follow-ups) without PDE5i (who responded to Li-SWT) maintained their response. We investigated the factors that predicted the success of Li-SWT (EHS ≥3, with or without PDE5i) in our patients at 18 months of follow-up, and found that younger patients with short erectile dysfunction and a moderate degree of erectile dysfunction responded better to LI-SWT T (Table). An additional study of these factors identified threshold values of 45 and 2 years for age and duration of erectile dysfunction, respectively, in accordance with the recipient's operating characteristic curve.
Another prospective series, which included only 20 men with erectile dysfunction who did not respond to oral PDE5i, showed a success rate similar to that of the previous study. The treatment consisted of four sessions over a 4-week period. During each session, the patient received 5000 shock waves; 1800 were applied to the penis and 3200 to the perineum. During the active treatment and follow-up phases, all patients maintained their usual schedules of high-dose PDE5i on demand or daily doses.
In total, 60% of patients responded to treatment. An important question for patients is how long will the effects of Li-SWT last? Bechara and others reported 12-month results on the efficacy and safety of Li-SWT in patients with erectile dysfunction who did not respond to treatment with PDE5i. In their study, Li-SWT treatment was effective and safe in 60% of the 50 patients, and the efficacy response was maintained for 12 months in 91.7% of these patients. On the other hand, Kitrey et al.
They studied the efficacy of Li-SWT on the penis for 2 years after an initially successful result. They evaluated 156 patients who underwent the same treatment protocol but who participated in different clinical studies. After 1 month, treatment was successful in 99 patients (63.5%).During follow-up, a gradual decline in efficacy was observed. The beneficial effect was maintained after 2 years only in 53 of the 99 patients (53.5%) in whom success was initially achieved.
Patients with severe erectile dysfunction were more likely to fail sooner than patients with non-serious erectile dysfunction. During the 2 years of follow-up, the effect of Li-SWT was lost in all patients with diabetes who had severe erectile dysfunction at the start of the study. In contrast, patients with milder forms of erectile dysfunction without diabetes had a 76% chance that the beneficial effect of Li-SWT would be maintained after 2 years. Our current results are in line with those of Kitrey et al.
After 18 months, 11 of the 22 patients (50%) who had a good initial response to Li-SWT were able to have sexual intercourse without taking oral PDE5i, and those who had shown some level of decline in their response to Li-SWT were able to use PDE5i successfully. Finally, we recognize some limitations of our present study. First, the sample size was small. Second, we don't randomly assign our current patients to treatment and simulated groups.
Finally, we relied on patients' evaluation of their erection and did not perform a CDU of the penis during follow-up to evaluate hemodynamic changes. Here you will find articles from the Arab Journal of Urology, courtesy of Taylor & Francis. Since shockwave therapy is a fairly new treatment for erectile dysfunction that isn't covered by insurance plans, the urologist may first recommend other treatment options for erectile dysfunction. Consider using shock wave therapy at reputable men's clinics, such as Priority Men's Medical Center in Atlanta, if you want to have a healthy sex life.
Clinically known as low-intensity shock wave therapy (LisWT), orthopedists have used it for years to help heal broken bones, injured ligaments and injured tendons. Nexus HealthSpan is conveniently located in Orange County and offers easy access to specialized shockwave therapy. and other men's health services. Arguably one of the best parts of shockwave therapy is that it doesn't require you to take a break after treatment.
According to a research study, 82% of patients with mild to moderate erectile dysfunction showed improvement in erectile function after treatment with linear shock waves. For men who want painless and long-lasting treatments, shockwave therapy is an excellent treatment option, with virtually no significant adverse effects. Shockwave therapy is suitable for men who don't respond well to other treatments for erectile dysfunction, such as Viagra. Unlike oral medications for erectile dysfunction, focused shock wave therapy does not require continuous use of medications, reducing the risk of side effects and drug interactions.
In essence, shock wave therapy is a non-surgical outpatient treatment procedure that uses high-energy, low-intensity sound waves to cause the breakdown of plaque that clogs erectile blood vessels.