Prostatectomy

The medical community has been cautious about treating erectile dysfunction caused by radical prostatectomy for understandable reasons. The nerve that runs through the prostate gland is delicate and easily damaged by the surgery and further disturbance by low-intensity extracorporeal shock wave therapy (LI-ESWT) – SONICWAVE as we term it – might cause further damage. We therefore chose to wait for over one year after surgery before using SONICWAVE. 

Three separate clinical trials that have been run over the last few years show that the therapy promotes nerve regeneration along with improved sexual function. 

We have found that improvements in erectile performance happen more slowly than with patients who haven’t undergone the surgery. Usually improvements are experienced before the end of a course of treatments – that is, within 6 – 8 weeks. After a radical prostatectomy, where the nerve has been largely preserved, the benefits are experienced after this period.

What is the Best Timing for SONICWAVE Treatment?

There is no harm in starting treatment right after the prostate surgery. We suggest waiting until you have recovered from discomfort and are able to exercise normally. 

The best results are obtained when SONICWAVE treatments are started within one year of the surgery. Erectile tissues degrade without periodic tumescence. In other words it is beneficial to regain at least some erectile function within months of prostate surgery. 

What About Clinical Studies?

Our first hand experiences with patients provide the confidence for us to recommend SONICWAVE to treat erectile dysfunction after radical prostatectomy. Additionally, here are three recent clinical studies that show efficacy:

Low-intensity extracorporeal shock wave therapy for erectile dysfunction after radical prostatectomy: a review of preclinical studies – 2018 

Effect of penile rehabilitation with low intensity extracorporeal shock wave therapy on erectile function recovery following robot-assisted laparoscopic prostatectomy – Aug 2020

Erectile Dysfunction A Prospective Randomized Placebo-Controlled Study Evaluating the Effect of Low-Intensity Extracorporeal Shockwave Therapy (LI-ESWT) in Men With Erectile Dysfunction Following Radical Prostatectomy – June 2021

If You Have Had Prostate Surgery and suffering from Erectile Dysfunction Book an Appointment with One of our Physicians 

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