Extracorporeal Shockwave Therapy (ESWT)

What is Extracorporeal Shockwave Therapy (ESWT)?

Extracorporeal Shockwave Therapy, or ESWT, is a painless procedure that can be used to treat Erectile Dysfunction, Penis Curvature and Prostatitis. Dr Tan has been providing ESWT treatments for more than 11 years.

ESWT in Singapore uses low-frequency shockwaves directed at various areas of the penile tissue to reduce inflammation and stimulate the growth of new blood vessels for improved blood flow to the penis. For many years, this procedure has been generally effective in treating erectile dysfunction (ED) and other men’s health conditions, particularly in those who do not respond to other treatments, such as oral medications, lifestyle modifications, or other interventions.

What Are the Types of ESWT?

Extracorporeal Shockwave Therapy (ESWT) utilises two primary types of shockwaves: focused and radial. While both are effective, their distinct characteristics make them suitable for different conditions and treatment areas.

• Focused Shockwaves

  Focused shockwaves penetrate deeply into the body, making them ideal for treating conditions located near bones or in calcified areas. Their precision enables targeted treatment without damaging surrounding tissues. These high-intensity waves converge at a specific depth, making them particularly effective for addressing deeper issues, such as those in the pelvis or hip. Focused ESWT is also highly beneficial for patients with erectile dysfunction (ED), as it significantly enhances penile blood flow, leading to stronger erections.

• Radial Shockwaves

  Radial shockwaves cover a broader, more superficial area. They are excellent for addressing muscle chains, trigger points, and myofascial adhesions. This type is usually used to treat plantar fasciitis, tennis elbow, and Achilles tendonitis. While radial waves offer a lower maximum intensity and lose some power as they penetrate deeper, their wider spread provides relief over a larger area, making them suitable for many issues reachable at shallower depths, including various tendon and bone conditions.

Why is Extracorporeal Shockwave Therapy (ESWT) Done?

Erectile dysfunction or impotence (defined as the inability to achieve or maintain an erection) is a relatively common condition in men as they age; due to a wide range of possible factors such as having underlying health conditions like atherosclerosis (artery hardening), heart disease, high blood pressure (hypertension), and diabetes. These may lead to the narrowing of blood vessels within the penis, which is why extracorporeal shockwave therapy in Singapore may be recommended in suitable cases to stimulate the growth of new blood vessels (resulting in improved blood flow to the penis) and potentially regenerating penile tissue as well.

What Are the Benefits of ESWT?

Extracorporeal Shockwave Therapy (ESWT) offers a range of benefits by stimulating the body's natural healing processes. These include:

• Pain Relief: Reduces pain from soft tissue, bone, and joint injuries.
• Accelerated Healing: Improves blood circulation and may support the body's natural healing process.
• Restored Mobility: Promotes the restoration of tissue and joint mobility.
• Safe & Non-Invasive: An outpatient procedure with minimal side effects and downtime.
• Effective for ED: Has shown promising results in improving erectile dysfunction symptoms, particularly in vascular-related cases.

How Does ESWT Treatment in Singapore Work?

During ESWT, a handheld probe is used to target specific areas of the penis and groin while emitting gentle shockwaves to help stimulate blood vessel growth and increase penile blood circulation. During the treatment, you may feel a slight tapping sensation but it is not painful. Usually, the treatment lasts around 20–30 minutes without any preparation or recovery time required, allowing patients to resume their normal activities immediately afterward. A weekly session for six weeks is usually required in order to complete the treatment.

What to Avoid After ESWT?

After your ESWT session, you can return to daily activities and work immediately. However, for the first 48 hours, avoid strenuous or pain-provoking activity in the treated area, including high-impact exercises. If you feel discomfort, use only pain relief methods approved by your doctor, and avoid NSAIDs (non-steroidal anti-inflammatory drugs), as they can interfere with the treatment.

Is ESWT Effective? And for How Long?

The effectiveness of shockwave therapy for erectile dysfunction varies from patient to patient based on severity. In most patients, this treatment usually results in improvements in erectile function, though the extent may vary. A long-term study is still required to determine the true efficacy of ESWT. Therefore, doctors may suggest the need for follow-ups in order to review its efficacy and identify if future maintenance treatments are needed.

Are There any Side Effects?

ESWT for erectile dysfunction is generally a very safe treatment, especially in the hands of an experienced men’s health doctor. Patients may experience temporary side effects following ESWT, usually minor discomfort on and around the penis, or bruising of the penile skin. To minimise the risk of post-procedural complications and encourage optimal healing, follow your doctor’s care instructions and attend your scheduled follow-up appointment.

Is Extracorporeal Shockwave Therapy (ESWT) Painful?

While everyone’s pain tolerance levels are different, many patients report no pain, while some may experience minor discomfort, tingling, or tapping sensations. Rest assured that the strength of the shockwave is adjustable, so your doctor will have full control over its intensity, depending on your comfort level. Patients will receive detailed information about what to expect beforehand.