After SBRT and ADT my libido is zilch and erectile function moderately compromised.

I was recently evaluated at UCLA Men’s Health Center and LiSWT was suggested as potentially beneficial theoretically due to stimulation of increased blood vessel supply to the erectile tissues of the penis. The lack of double blind controlled studies was emphasized, though the literature “suggests” better outcomes with mild-moderate ED with LiSWT compared to a sham procedure.

At my initial visit (last week) tadalafil was increased from 5 mg to 10 mg daily. I do think my erections are slightly improved (I was able to masturbate to an orgasm [dry of course] recently.)

I am still thinking about LiSWT so I know this doesn’t directly answer your question, but UCLA is an academic institution of distinction which lends some credibility to the recommendation.

I understand that protocols and equipment vary widely as current standards are still being defined and evaluated.