Tag: treatment

SONICWAVE Treatments for Erectile Dysfunction Resulting from Radical Prostatectomy

Initial caution… then Good News.

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 – could potentially cause further damage. Therefore we began by recommending that we delay SONICWAVE treatment for at least a year after the surgery.

Three clinical trials (see links below) run over the last few years have shown there is no reason to delay treatment. Early treatment gives better results. SONICWAVE therapy promotes nerve regeneration along with improved sexual function.

Prostate treatments that don’t involve surgery respond more quickly to SONICWAVE and improvements are experienced in 6 – 8 weeks. After a radical prostatectomy, as long as the nerve has been largely preserved, the improvements can take longer.

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 (half erection). 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 clinical studies that explore efficacy:

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

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 – 2019

Low-intensity extracorporeal shockwave therapy in the treatment of erectile dysfunction following radical prostatectomy: a critical review – 2019

Erectile Dysfunction after Radical Prostatectomy: Low-Intensity Extracorporeal Shockwave Therapy (LIESWT) Plays a Role?

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

23/09/2016
Sex, Scams, and Science: Why You Deserve a Doc When Dealing with Erectile Dysfunction

Dealing with erectile dysfunction isn’t easy to talk about. Over-the-counter pills, online quick fixes, or even just ignoring it can seem easier than calling a men’s health clinic, especially if the challenge of getting and maintaining an erection is new to you.

We know. We get it. But you and your partner deserve to know what’s going on with your body. A doctor who specializes in erectile dysfunction can decipher the real reasons your penis isn’t performing. And that doesn’t just make the process of finding the right treatment quicker and easier–it could also save your life.

Erectile Dysfunction Can Be a Symptom of More Serious Problems

An erection occurs when the arteries in your penis receive signals from the brain to let more blood flow in. This process involves a lot of important parts of your body including the circulatory system, the nervous system, your pelvic muscles, and even your brain.

This means that when you experience challenges getting or maintaining an erection, the causes could involve many different and critical parts of your body.

That matters to a doctor, and it should matter to you. It matters that erectile dysfunction could signal high cholesterol, high blood pressure, or even diabetes. It matters, too, that you have options for dealing with erectile dysfunction. There are a variety of treatments available which take those underlying issues into account.

A specialist like Dr. Ron Mayer at Toronto men’s health clinic FullMast is trained to identify and treat the causes of erectile dysfunction. That’s good news not only for your sex life, but your well-being in general.

Getting Help for Erectile Dysfunction is Easier Than You Think

An erectile dysfunction specialist is just that: a specialist. Doctors at our men’s health clinic spend all day dealing with erectile dysfunction by talking to men and their partners and treating sexual health issues. That means they’re experts in not only treating ED, but in making sure people are comfortable with the process.

Don’t know anything about erectile dysfunction? We will walk you through any questions you have. Don’t want to take pills? We have great treatments that don’t involve medication. Need support navigating erectile dysfunction with your partner? We know just the person to help.

Going to a doctor for your erectile dysfunction not only helps you to improve your health, it opens up possibilities and resources for dealing with erectile dyfunction that you may not have even known existed before your visit.

Oh…and it works.

Alternatives to a visit to your doctor, like over-the-counter pills, don’t have a great track record. While they may work for some, success can be short-lived. That’s because these band-aid solutions don’t address the core health issues at play with your erectile dysfunction.

Erectile dysfunction is a common issue, and seeking treatment from a specialist is the smartest way to address it. Your sex life, your body, and your health deserve a holistic, informed approach which only an erectile dysfunction specialist can provide.

Schedule your consultation with the FullMast Men’s Health Clinic in Toronto or Vancouver, or call 1-844-500-1177 for more information.

19/08/2016
Since health is a fundamental human right, so sexual health must also be a basic human right

The World Health Organization defines sexual health

The WHO defines sexual health as a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled. (WHO, 2006a)

I like that definition as it defines the full spectrum of sexual health. Often I see patients who initially present with an organic cause of their erectile disorder and after treating them with a multimodal approach which can include sonicwave therapy, pelvic floor exercises and testosterone treatment, they are still not up to the task (excuse the pun). Speaking with these men I realize that as a consequence of their organic cause many of them have developed a profound psychological component affecting not only their ability to achieve an erection but may also interfere with the man’s overall well being, self esteem and interpersonal relationships.

It is important to think about the psychological impact on both partners when dealing with sexual issues and offer one or both counselling with a therapist trained in sexual health.

12/08/2016