Shockwave therapy for erectile dysfunction (Li-ESWT) is a non-surgical treatment in which low-energy acoustic waves are directed at penile tissue to stimulate small blood vessels and improve blood supply. It is best suited to mild to moderate erectile dysfunction of vascular origin, and its aim is to improve natural erectile quality and possibly the response to medication.
Treatment is given in the clinic without anaesthesia or incisions: a hand-held applicator with conductive gel is moved over defined areas of the penis according to a set protocol. It is usually delivered as several sessions spread over a number of weeks, with the number and frequency decided by the doctor according to the case and device.
Each session generally lasts about fifteen to twenty minutes, needs no hospital stay, and normal activity can be resumed immediately. Scientific evidence on its effectiveness remains mixed, so specialist societies regard it as an option for carefully selected patients. Any result usually becomes clear weeks to a few months after the course is completed, not after the first session.
The final cost is set after a medical consultant reviews your case and photos.
Assoc. Prof. Dr. Zülfü Sertkaya is an Istanbul urologist who focuses on andrology. He graduated from Gazi University Faculty of Medicine in 2008, completed his urology residency at Haydarpaşa Numune Training and Research Hospital in 2014, and holds the FEBU title (2017). He worked at state, university and private hospitals, including Memorial Diyarbakır and Başakşehir Çam and Sakura City Hospital. Since 2022 he has run his own clinic in Zeytinburnu, focusing on penile prosthesis, Peyronie's disease, premature ejaculation and male infertility.
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It may improve penile blood flow and spontaneous erections without drugs or surgery, and may help some men respond better to tablets that were not working well enough.
Men with mild to moderate vascular erectile dysfunction; little benefit is expected in severe or nerve-related cases, and suitability is decided after a medical assessment.
Usually no special preparation is needed beyond a medical assessment and relevant tests. Never stop any medicine, such as blood thinners, on your own; the doctor decides.
You lie down, gel is applied to the skin, and the doctor moves the applicator over set points along the shaft and base of the penis for a defined number of pulses.
No anaesthesia is needed; most men feel only mild tingling or tapping that stops when the session ends.
No. You can return to work and normal life straight after each session, without particular restrictions unless your doctor advises otherwise.
Improvement, if it occurs, begins weeks to months after the course; how long it lasts is not firmly established, and some men need further sessions.
It is generally safe; mild redness, small bruising or brief discomfort may occur. Effectiveness varies between men, and no result can be guaranteed.
Not necessarily. It may reduce the need for medication in some men, but it is not a substitute for injections or an implant in severe cases, and it can be combined with tablets under medical supervision.
You can travel right after a session since no anaesthesia is used, but the length of stay depends on the number and spacing of sessions planned by your doctor, who confirms the schedule.
