Shockwave therapy for ED?

@tk192 Holy smokes-thank you!!! My thinking right now (super early in this process) is that if I do shockwave, then I will pay the premium and do it under medical supervision by experts at my center.

My understanding that the benefit can wain over time, but levels out. If I need a second round, might as well pony up for my own.

Many, many thanks!

Me, almost three year post RP, partial nerve sparing. Did the readings and thought ShockWave might be beneficial.

10 sessions, and not cheap, next to no improvement for me. Happy I tried it but would not recommend for men who are post surgical.

@dmccarthy104 Yeah, my doctor said that he doesn't recommend shockwave for many patients.

However, he said I was someone who he thought it might be very helpful because of my early partial response (started at two weeks post surgery). Has it gotten dramatically better? Not yet. Going to try 20mg dose of Tadalafil first and then see where I'm at.

He also said that there is no window on treatment and that I could wait. $2,400 is a ton of money, but if it got me all the way there...might be worth the chance.

Side note: He is also a big proponent of Restorex for post surgery patients and works with a lot of Peyronies patients.

@fritzo Thats what I paid. The 20mg Tadalafil works well most of the time. Also have Trimix to lean on. Love to get away from Trimix, but if the 20mg does not work well enough, that's my option.

@dmccarthy104 Thanks goodness there is such a thing as Trimix.

So nobody has had any success with ShockWave? I'd read some medical papers online and it seemed it worked for some people. Would be interested to hear of any success stories!

Timing is everything. I went to a sexual medicine specialist in South Cal last November 2025 about getting Shockwave treatment. At the time I was at 12 months post RALP and my post surgical ED improvement had stopped at 6 months. In other words night erections went away Trimix that had never worked well was requiring a greater dose for a partial erection and Penis shrinkage was now evident in the Vacurect penis pump.
The doctor did a complete workup and then used an ultrasound to measure blood flow and penis health. I had restricted blood flow in the right side and severe fibrosis likely due to nerve damage from surgery.
He said at this point Shockwave was not likely to help and that earlier intervention has a better result. He stated that nerve sparing is a goal not a guarantee and the nerves controlling blood flow and erection are microscopic and cant be seen so the surgeon uses his understanding of anatomy to work around them. Also in occasion there can be vascular damage to the small arteries supplying blood.
Anyway, passed on Shockwave as it was too late in my case and the sexual medicine Urologist recommended I see an implant specialist.

Does not make sense to me unless you had erection problems before your surgery. The damage to the nerve bundles that are associated with your Prostate I don’t think can be fixed by applying shockwaves to the meat of your penis. Wrong area?

Dave 3+4

@jdt I have links from the specialists at UCSF and Northwestern that they trials are underway and that results are promising enough that they are openly saying that shockwave might have benefit (this is before study results are out). They typically won't give any clues.

I can hunt down links later.