What is ESWT (Shockwave Therapy)?

ESWT stands for "Extracorporeal Shock Wave Therapy." It involves applying low-intensity shock waves to the penis using specialized probes, promoting tissue regeneration, new blood vessel formation, and improvement in vascular health. It is particularly used for the treatment of urological conditions such as erectile dysfunction (ED), Peyronie’s disease, and chronic prostatitis.

When is ESWT Used?

• Erectile Dysfunction (ED)

• Peyronie’s Disease

• Chronic Prostatitis

• Penile Tissue Thickening

How is ESWT Applied?

• 2 sessions per week, totaling 6–12 sessions

• 1500 shock waves applied to 5 different areas of the penis per session

• Duration: 15–20 minutes

• No anesthesia required

• Patients can return to daily activities immediately after the procedure

Mechanism of Action of ESWT

• Formation of new capillaries

• Release of VEGF and eNOS

• Nerve regeneration

• Increased collagen production

• Anti-inflammatory effect

• Reduction of oxidative stress

• Activation of stem cells

Advantages of ESWT

• 60–80% success rate

• No anesthesia required

• Painless

• Very low risk of complications

• Can be performed without interrupting daily life

• Potential for lasting effect

ESWT for Erectile Dysfunction (ED)

• Causes include cardiovascular diseases, diabetes, hypertension

• ESWT improves blood vessels and nerve function

• Stem cell activation

• Reduction of inflammation

ESWT for Chronic Prostatitis

• 4–6 sessions applied to the perineal area, 3000 shock waves per session

• Reduces muscle spasms and regulates nerve conduction

• Helps alleviate psychological complaints

ESWT in Peyronie’s Disease

• Reduces or eliminates pain

• May help shrink plaques

• Can prevent further curvature

• Positively affects erection quality

Combination with P-Shot (PRP) for the Penis
In some patients, P-Shot (platelet-rich plasma) injection may be applied after ESWT. This method further enhances vascular and cellular regeneration.

Who Should Not Receive ESWT?

• Patients with infections in the treatment area

• Patients with open wounds

• Patients with penile prostheses

Factors That Increase Success in ESWT

• Quitting smoking

• Controlling diabetes

• Regular exercise

• Psychological support if needed

What Determines the Cost of ESWT Sessions?

• Number of sessions

• Device quality

• Doctor’s experience

• Clinic infrastructure

Conclusion
ESWT is a scientifically proven, safe, and painless treatment option for many urological conditions. This method improves patients’ quality of life and can serve as a non-surgical alternative.