We use the We use the latest Storz’s Medical focused shockwave technology for the treatment of Peyronie’s and ED. Low intensity focused shockwaves (Li-SWT) are acoustic pulses which are delivered via a hand-held devise which in contact with the skin.

Li-SWT promotes angio-genesis (development of new blood vessels) in the penis, thus allowing greater blood flow which helps to revitalise and strengthen an erection. This type of treatment has also been found effective for Peyronie’s disease and chronic prostatitis.

Most patients speak to their GP for a referral or to confirm the diagnosis. Some are referred by an Urologist. Treatment is then carried out at our South Gyle practice in Edinburgh.

Shockwave therapy is carried out by one of our qualified and experienced Physiotherapists and each session takes around 20 minutes. Treatment is discrete and safe and you can continue your daily activities as normal immediately after the session.

In most case, 6 sessions are required at weekly intervals to gain maximum effect, although many people experience some immediate benefit.

We provide a free (no obligation) initial phone consultation with one of our Shockwave Specialists. The consultation is an essential part of the process as your Specialist will be able to advise you on whether Shockwave Therapy is the right treatment for you, and the steps you need to take prior to commencing treatment. It also provides an opportunity for you to ask any questions about the treatment. Call us now on 0131 218 3000 or email info@shockwave.scot to arrange your free no obligation online or phone consultation with our Consultant Physiotherapist.

Each session costs £300. The number of sessions required varies from patient to patient depending on severity of ED, age, general health and any underlying medical conditions. During your free initial consultation, your Shockwave Specialist will be able to give you an estimate of the amount of sessions you may require for the treatment to be effective.

There are two different types of shockwave, focused and radial. Focused is described above, and radial is used in the treatment of musclo-skeletal (MSK) conditions like achilles tendinitis, plantar fasciitis and many other MSK conditions. Click for further information on radial shockwave.

A focused Shockwave pulse is an intense, short acoustic wave that moves faster than the speed of sound. They are typically characterized by:

High positive pressures of more than 100 MPa Extremely short rise times (about 10 microseconds) Fast pressure rises (less than 10 nanoseconds) Narrow effective beams (2-8mm diameter).

When a focused shockwave passes through the human tissue, it produces physiological and therapeutic effects. It is believed that four phases are involved in producing these therapeutic effects.

1. Phase one is the direct effect of the shock. Mechanical pressure directly affects the cells in the tissues being targeted for treatment.
2. Phase two is the physical-chemical phase which influences the metabolism in the cell, increasing their activity to promote healing.
3. Phase three is the chemical phase which may be accompanied by molecular changes and intracellular reactions.
4. The last phase, phase four, involves physiological responses to the first three phases.

Fojecki GL, Tiessen S, Osther PJ. Extracorporeal shock wave therapy (ESWT) in urology: a systematic review of outcome in Peyronie’s disease, erectile dysfunction and chronic pelvic pain. World J Urol. In press. http://dx.doi.org/10.1007/s00345-016-1834-2.

1. 1. Vardi, B. Appel, G. Jacob, O. Massarwi, I. Gruenwald, Can low-intensity extracorporeal shockwave therapy improve erectile function? A 6-month follow-up pilot study in patients with organic erectile dysfunction, Eur Urol, Volume 58, 2010, pp. 243–248
2. 1. Abu-Ghanem, N.D. Kitrey, I. Gruenwald, B. Appel, Y. Vardi, Penile low-intensity shock wave therapy: a promising novel modality for erectile dysfunction, Korean J Urol, Volume 55, 2014, pp. 295–299

N.D. Kitrey, I. Gruenwald, B. Appel, A. Shechter, O. Massarwa, Y. Vardi, Penile low-intensity shock wave treatment is able to shift PDE5i nonresponders to responders: a double-blind, sham-controlled study, J Urol, Volume 195, 2016, pp. 1550–1555

Lu Z, Lin G, Reed-Maldonado A, Wang C, Lue TF. Low-intensity extracorporeal shock wave treatment improves erectile function: a systematic review and meta-analysis. Eur Urol. In press. .

R.O. Cleveland, J.A. McAteer, The physics of shockwave lithotripsy, Smith’s Textbook of Endourology, A.D. Smith, 2007, Blackwell Publishing Ltd, Hoboken, NJ, pp. 317–332