Shockwave Therapy for ED | Explained by Urologist Dr. Robert Chan
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- Опубліковано 14 жов 2024
- Shockwave Therapy for ED | Explained by Urologist Dr. Robert Chan
In this video, I go over the basics of shockwave therapy treatment for ED in men. Shockwave therapy, also known as acoustic wave therapy, Gainswave, or Truepulse, uses high energy sound waves to help stimulate new blood vessel growth in the penis. Shockwave therapy differs from other erectile dysfunction treatments like viagra because medications only treat symptoms of the ED. On the other hand, shockwave therapy focuses more on the underlying pathophysiology i.e. poor blood flow to the penis.
References:
Meta-analysis of randomized controlled trials that assess the efficacy of low-intensity shockwave therapy for the treatment of erectile dysfunction
Jeffrey D. Campbell, Bruce J. Trock, Adam R. Oppenheim, Ifeanyichukwu Anusionwu, Ronak A. Gor, and Arthur L. Burnett. Ther Adv Urol. 2019 Jan-Dec.
If you live in the SF North Bay Area and would like a urology consultation, please contact us below:
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Dr. Robert Chan
1240 S. Eliseo Drive
Suite 200
Greenbrae, CA 94904
(415) 461-4000
drrobertchan.com
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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Information obtained from this video should not be taken in lieu of your own medical provider's advice and treatment plan. Please consult directly with a physician or other healthcare professional regarding any diagnosis or treatment plan options. Content provided on this UA-cam channel is for informational purposes only and should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose , treat, cure or prevent disease.
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You are doing a very fantastic job for men .Thank you.
Hi Dr. Excellent video. Just a point on Peyronie's. I have had shockwave therapy for the condition and have definitely noticed a reduction in curvature - quite a lot actually - and my case is worse than just 1 plaque. Also noticed a reduction in plaque and that no new plaques seemed to form over areas that have had the treatment done. I've had 12 sessions done so far over the span of about a year and can definitely say that it does make a difference, especially with the pain associated with the disease. I am in the younger age of the usual spectrum however, so that may be a factor for it having an effect.
It may not work for everyone and studies may not be conclusive yet, but just wanted you to know that I'm an example of a positive result thus far. Thanks again for the informative video :)
that is awesome to hear. I am younger as well and know the exact moment I "broke" my junk, What was odd was that it was fine for a couple weeks, had a little soreness and then literally one day I was curved to the left and less than half as long.... it's been like that for a few years... I am still able to pull one half fully to attention, just the curved side is not gonna work. I was hoping these treatments would break the plaque down as I am just about ready to take a jackhammer to myself due to the psychological head games *no pun intended* that losing half of yourself plays on you. Well, at least I can hope for relief, a little or some is better than not trying...
@@jnb756 duuuuude I totally get the head games OMG TOTALLY 🤪🙃 but If it's any consolation after about 3 or 4 years the head games really start to subside but what a mind f%$k for the 1st year Holy s%$t the crazy thoughts that go through our heads. Mine was done by a doctor ON ACCIDENT after a Double ingrunal hernia surgery 😭 but I get it sir I am so sorry you have to go through this. I wouldn't wish this on anyone
Most machines have no value. Only the Storz is worth it.
So this worked for your Peyronies ? I see conflicting information, stating it doesn’t work.
@@charleswind8298 Storz only. That is what all the Urologists use. Storz only. No radial waves and no pneumatic.
Most published studies use focused shockwave rather than radial pressure wave therapy.
Dr. Chan, crazy coincidence: I also live in Marin and I recently ordered a Phoenix to try out! Happy to report back with how it goes (I'm 26 y/o). Keep up the great work.
keep us updated, & good luck
@@baaghisingh198 seems he didn't get lucky or got super lucky I wish
Ben - did the Phoenix work for you?
@benwehrman Did it work?
Yo did it work????
I really appreciate your clarification on the shock wave that the Phoenix didn’t. I have just gone through a Radical Prostatectomy June 14, 2021 and I was considering the purchase. I now have educated myself. Thank you so much for your video
you are welcome.
@@DrRobertChan Hello Dr. Chan. Thank you for posting this video. I have Peyronies disease and have been researching the various treatments available. Currently, I'm leaning towards Xiaflex injection. I'm finding it difficult to find studies and results. Is there any helpful information you can share?
Sir please give me your address in L0sAngles (california) 0r phone #
You left out the two most important details: how much does it cost, and is it covered by insurance?
Don't know cost, but I'm sure it's thousands of dollars. As for insurance, good luck with that! Lol
Cash 💰
You can get it for 500 usd here in China
Showed up londa creepy at forst but the info was consistent to what ive heard before.
I applaude your courage and compassion dr udoka,thanks for curing me of Erectile dysfunction and premature ejaculation
Been using the Phoenix and it's working
Dr. Chan I purchased a home unit Phoenix. I was reading also the difference between the shockwave that The phoenix provides and the low intensity shockwave which is the one that all of the trials Have included in their studies and I’m sure you know yourself that there is a radical difference in the type of shockwave. I am on treatment 12 of the Phoenix and I don’t notice much. Is the machine that you were talking about in this video a low intensity shockwave machine?
hi, yes the device is low intensity shockwave. I'm not too familiar with the phoenix. whatt is the settings in terms of Bars of pressure and frequency of shocks that it delivers?
I have been thinking about trying the Phoenix. Based on your experience, is it a waste of money?
@@DrRobertChan 100% working?
@@DrRobertChan 100% working?
@@DrRobertChan 100% working
QUESTION: Does the acoustic shockwave in proximity to fibrous scar tissue negatively influence or damage an inguinal hernia mesh repair? The hernia mesh repair creates an inflammation response from the body that promotes scar tissue to grow around the mesh which in turn is supposed to result in a much stronger repair. Shockwave therapy alleges to break down scar tissue. The device in question is The Phoenix by Launch Medical.
woah, great info for all the guys with ED.
Great information and well delivered. There seems to be an upsurge of allegedly effective home use devices suce as the Phonix rocket have you had any experience of this equipment or do you know of any studies?
hi gary,
I'm not too familiar with the home use devices and haven't seen any studies of them, so can't corrobate if they actually work or not. another commenter mentioned his experience with the phoenix in one of his commets.
Thank you for your hard work in this area of disfunction for men.
My pleasure!
Good vid. In your opinion is this device basically the same as a vibrator?
Gainswave is radial wave and that has never been studied. Focused and linear are the ones that work
Gainswave is a marketing company but physicians may use focused or radial or both
And there are multiple studies on radial wave therapy for ED
Doctors like you, founders of the shockwave therapy machine and scientists, who developed Viagra, Cialis et alt. make the humankind a million times more satiesfied, peaceful and happy than any religion...thx for this!
you're welcome. where would humanity be without the ability to procreate.
Great information. It is being interrupted, however, by the musical background. It is difficult to listen and "take in" what the Doctor is saying. WHERE is your office located. I assume you are in the United States because our English pronunciation is so very good.
thanks for the feedback. my office is located in Marin county just north of san francisco.
Hey Doc I'm 60 obese on Furosemide Pradaxa Digoxin Carvedilol
Type 2 DIABETIC will this work for me?
I'm not sure that shockwave and acoustical waves are the same thing. The studies have been done on shockwave machines which break the sound barrier, acoustical waves do not. A third class of men who won't benefit from shockwave therapy are those with sufficient cardiovascular circulatory health. Every two years I get my eyes examined and the doctor inspects the tiny arteries in my eyes. Since he can find no plaques in them and they are actually smaller than the arteries in my nether region, I doubt if I would be a good candidate for shockwave therapy. Instead I concentrated on diet and lifestyle changes and the use of a vacuum pump an the results have been quite gratifying. Finally, for those guys thinking about buying the Phoenix, There are other machines on amazon and Ebay that are less than half the cost and which are not only good for home treatment of ED, but for a variety of muscular, tendon and other pains and athletic type injuries.
What other machines on anazon
Had first treatment today with no lidocaine. Wasn’t painful. Will see how it goes.
How’d the results go?
@@Iamthistermwinner I noticed an increase in potency and even kind of felt increased libido. Not sure how much is placebo effect but seems for one treatment to have made a difference.
@@curtisnucmed wow bro _no lidocaine,well, does it burn or sting or press real hard? Who does the procedure? Do you have to be fully neked during it? Or just panties? Was it expensive?
@@nastcar6351 it stings a bit, but not painful. I was wearing just a hospital gown and my nurse practitioner did the procedure. Almost feels like a slight bee sting but not as bad as the machine vibrates. Hardest thing is not feeling awkward having another man handle your manhood, but once you get past that it’s fine. $75 a treatment. Suggested once a month for a few months then reassess how it’s working.
@@curtisnucmed ok_that doesn't sound bad and price is good. Bro bro part would be awkward emberessing. Even tho it's has slight sting,does it cause sensations pleasure? Like how easy is it to avoid accidental wetness or release? Or is that not even a problem at all?
Thx for the advice on the shockwave therapy for curvature issue. So if this isn't gonna work. What's the safest way to solve curvature ?
Hi, doctor. What is the usual setting of ECSW in terms of frequency(Hz) and power (mJ) in ED?
What is the best to use for ED? Focused Shockwave or radial?
No radial. No pneumatic. Only Storz.
@@georgewashington8934 oh why?
ONLY focused, not radial!
Radial actually does work but may require more treatment or higher energy levels.
Is there an update to this video? The information is over four years old plus new research by now should tell us how shockwave has been working. They are now selling home machines for shockwave therapy. Do they work?
Hi Dr ...I am on that decision making between the Phoenix or the Shock wave acoustic thru a company . $900 vs 12 treatments financed $6000.00 ? We are talking a big difference here . What is your take on this ? Both are doing the same thing but the price .I appreciate your honest opinion on this .I enjoyed your presentation Thank You and Have a Wonderful day ..
Throwing money away to institutions that thrive off money from men's desparations. You need to do search on the FREE knowledge of " "SABRE" & " ANGION" methods for true men's "member" health. Anything you have to pay for, will always be an exaggerated rip-off.
Superbly explained
Thank you 🙂
Does this really really work?
Verticuloses maybe it’s a deficiency disease off fermented foods
There are so much chemicals in our food these days, its easy for a man to get ED.
Dr Chan, I am wondering if you know of anybody in the Washington, DC area who is competent in this technique? Or perhaps even Philadelphia?
I have interviewed three doctors here who do this and was quite certain that those three were, forgive me, not up to par for their chosen career.
Apparently its only the focused shockwave therapy that works though,. this is the radial shockwave therapy machine, it has minimal effect.
I hear radial and focus are different shockwaves but does the Phoenix wave shock therapy work or not? Thank you
How does this work? Can u demostrate whit pic anatomy what does it do to the muscle the veins bloodflow
So to feel pleasure you must first feel pain.
But it's worth it?
The effects of the therapy last for a year and then it starts again.
Endlessly?
There are alternatives. Look up Big Potential.
Hi Dr. Chan … can this treatment work for ED caused by mild corporal fibrosis?
difficult to say. i'd recommend getting evaluated by a urologist in person to see.
Good 👍🎯✍️
Thank you! Cheers!
Very informative video Dr. Chan. Thank God I don't have any prob with my"junior"...Yet. I just take L Arginine.
Thanks Baaghi!
For men over 40, citrulline malate may be more effective than arginine.
@@paulcohen6727 or a citrulline + L-arginine combo of 3000mg?
@@baaghisingh198 Fine, but if you're eating nuts, seeds, beans or meat, you're probably already getting plenty of arginine in your diet.
@@paulcohen6727 YEAH ABOUT THAT, DURING MY LUNCH BREAK TODAY ... I had a brief chat with a GNC employee, You're rt L-arginine doesnt do much for your body or for your Junior*. well I'm takin zinc, mag, cal pill now for test boost
Sir where is your clinic beause I have this problem I want this treatment
If I go to a doctor what do these sessions cost and is it covered by insurance
Can Acousticwave therapy be used after TURP? If so, when can it be started..?? Any contraindications?
it can. i'd check with whoever did your turp to find out about when it can be started and if they have any reservations about doing so
@@DrRobertChan …thanks.,will do and let you know..
Hello Dr.Robert Chan, You mentioned that the treatment will be effective only for one or two years only. This treatment claims that it involves physiology and angiogenesis process which will unblock any blood vessel blockages and will trigger stem cells to grow new blood vessels to reverse ED problem. If patient keep the underlying condition say Diabetes, How come the ED can come back?. The patient should feel good for long time as the blood vessels are clear now and new blood vessels are in place to perform better than before. In spite of such an expensive treatment, If the problem comes back in one year, it cannot be claimed as permanent cure. Can you please tell why the problem can come back in one year under what conditions? Low intensity focussed Extracorporeal shockwave therapy using STORZ DUOLITH 1 equipment. Is it the one that you are talking about? I am waiting for your answer.
This is with the Storz D-Actor equipment. I am only hypothesizing about why the duration is only 1-2 years, but if say someone has an underlying diabetes condition, then the diabetes can still impact the new blood vessels that are created... that is very astute - it isn't a permanent cure.
@@DrRobertChan Thanks for your reply Doctor. If the patient keep the diabetes well under control after the shockwave treatment, still will the ED problem come back after 1 year.? of course sexual aging can happen to everyone. But until then even if the patient keep his diabetes under control, is there more change of getting ED problem back in 1 year, or if underlying condition is under control can we expect the effectiveness of the treatment for many years?.
i have the same question. i really dont understand why doctors are saying this will work for 1-2 years, whereas the problematic blood vessels healed or replaced by new ones.
This should be treated as The permanant cure for ED.
The look of the device give one impression it is used for prostate shockwave therapy
interesting! never heard that comment before...
@@DrRobertChan did you try it ??
I have 50/ 50 erectiles with Sildenafil 100 mg tables, please advise 🙏
understanding this is four years old. maybe new machines. i just had this done in asia. top international hosptial. US trained urologist. it was the best machine Dormier. which is like a german GE medical device company.
i am on #4 and the first 3 about 12-13 minutes zero paid. maybe a tingle but not pain at all. the radical machines (not recommended) are suppose to be painful. i doubt a US doctor would use a radical and not focused machine.
IT WORKS!
Can this help non-bacterial epididymitis related to Pelvic pain syndrome?
probably not
Would this work from diabetic nerve damage
So the device in the video, that's a radial wave device right? I've read that the radial wave doesn't work like focused shockwave therapy.
yes, that's very astute of you to pick that up. it's radial wave technology. I picked this one primarily because it has been the one's used in prior clinical trials. here's the specs of it if ur curious - medicalwaveus.com/products/d-actor-100/
@@DrRobertChan thank you. I'm a PA in Ohio and I'm interested in learning more about this technology.
I wonder if a low-voltage Tabernacle would work?
Okay it really works, I’ve heard it’s way to expensive?!?!?
That’s radial shockwave therapy tho right??? Or is that FOCUSED?
to the point
Does this therapy work on Peyronie’s disease
Is this shock wave therapy is good for me? I am age 65, & had TRUP for my urine problems & it's good now, taking medicines like (tablets Candace 2.5 ) for my BP is lower then 55., please advise 🙏 thanks.
Dia = 55
hi dr. shah, this sounds like a good question for your urologist in person.
can it useful ercetyl dis function due to emotional failure?
What if my rocket just doesn’t land once it takes off with your technology?
Please advise
How much does it cost and why?
What, will they come up , with next?
Thank you so much Dr emuakhe on UA-cam from Africa for all your amazing hard work! thank you for helping our community and putting yourself on the front line to combat with the erection dysfunction,you are truly amazing...
What are the causes to ed my partner is 39 drinks a lot bit no health issues he works a lot and has work stress
How much does it cost on average?
You remind me of Harold off harold and kumar
does shock wave work for venous leakage?
Dr. This has not inspire more comfort or confidence in me for this procedure even though I'm very interested
that is the proper reaction to have a health dose of skepticism when approaching this procedure. i think that mindset will really temper your expectations on what you will realistically achieve with it...
@@DrRobertChan I use a device I bought for use at home. I'm getting good results without pain and not spending thousands of dollars. Lol
Castor oil rubbed into the penis daily might heal scar tissue. Not sure. Castor oil has great health benefits.
Where can I get this is this in Ireland
Is it safe if i use it on my own or only a doctor can do the treatment?cause many of machine have in amazon
I've never used one that was available on amazon. I would always recommend you consult with a doctor or medical professional before beginning any medical treatment.
Dr. Robert Chan thank you very much for the info
@@pogijin9790 Yo Man, don't put a price tag on your manhood... get a couple of treatments from a real professional, first. ...And keep us updated
@@baaghisingh198 thanks for advice
@@baaghisingh198 Hey man, why don't you just do what you want? No advice from you needed.
Shock wave breaks stones (called lithotripsy), how does it stimulate new vessels?
He showed it causes vessels to dilate but said it causes new vessels. That diagram is misleading.
Also if it brings stem cells to the penis (he doesn't say how and where they come from), or do he say that just to throw a shocker to be impressive ???
here's a great article that explains the science in a little bit more detail:
www.ncbi.nlm.nih.gov/pmc/articles/PMC3607492/
@@DrRobertChan I found 2 reviews, one in Urology Times, which outline the procedure. It’s not FDA-approved. One aspect is that it is very expensive and is short-term, needs to be repeated annually
I'm going to slam my wiener in the screen door
blessed are the men who do such clinical trials and research. This article is very informative and explained everything in detail.
Thanks Dr. Chan ,,👍
Hi Dr Chan, what are your thought on the Phoenix home acoustic device?
I haven't seen any data or studies on the home devices to know if they actually work or not. if you do buy one and try it, please be sure to let me know what you think and how effective it is.
@@DrRobertChan Is it work for premature ejacultion??
Have any side effect in the near future💖🎊
Does it work for diabetic with erectile dysfunction please answer me
yes, it is helpful for diabetics.
@@DrRobertChan thanks doc robert
LOL, until recently I hadn't realized that Mario updated his favorite way to tackle ED and it's a relief! Although what he previously suggested was pretty good, it was a real pain to follow... I just go'ogled the latest in Volpstein’s Thunderous Erections, it's so much simpler and potent now!
Hello Doctor, I have testicular calcification which is really affecting my semen quantity..how do I get rid of it? Appreciate you advice 🙏🏼💯
No medicine needed,I did have premature ejaculation earlier but now I can stay 15-45 mins depending how long my partner and I wants,thanks dr udoka on UA-cam
Is this therapy a permanent solution
I was absolutely delighted with the immediate healing I got through Dr Mados on UA-cam. Keeping saving lives doctor
is it working for venous leakage??my edv is 3.92cm/s
I have that caused by a drug called finasteride
Venous leakage ka kese pta chala ?
This treatment is how much $?
I think it depends on where you are at. It really varies.
I got mine from Dr. Vikraft Sambos on UA-cam channel for $70
Sir i have this ED problom please i want treatment. But iam from India I living in hyderabad
U can meet with dr.rahul reddy from jubli hills he use to perform shockwave therapy
Since Google endorses this video I assume it is most likely false.
What’s this machine called?
this is the storz d-actor 100
Sir please send this machine link to buy Amazon.
unfortunately it's not avaiable on amazon. here is the link to the company that does distribute it if you are interested. medicalwaveus.com/
How much in each session??
It really depends on the clinic that offers it.
@@DrRobertChan how about you
I'm probably full of plaque both with and without calcium.
What about men 74 or older
My wife can do that for me
So, I have peyronies disease, and now I know my sex life is officially, over😢
Why you give up? Your looking in the wrong place. For True ED health, you need to search for "SABRE" & "Angion" methods. Not any institutions that make money off men.
How about diebetes..
No radial. No pneumatic. Only the Storz machine is good.
Also is it possible to use unfocused on ED......more sessions, the results the same? ((or no)?
@@jamescooper9537 I watched a lot of video's and all the Urologists use is Storz. I heard the others have NO value. What more can I say?
@@jamescooper9537 No. Storz only.
Ah..Ancient secret..
I have scar burn on my penis after hit by hot water it still can get erection but the forehead color black im scared I don't want to do any surgery will this help me reduce the black spot and colour
I still have ED too
Can I just a massager
Better keep your damn shock machine off my in-between-leg structure.
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Does this help with Peyronie’s disease ?
possibly with the pain, but does nothing for curvature. may possibly make it worse.