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Erectile Dysfunction
Non-pharmaceutical, non-surgical treatment for vasculogenic erectile dysfunction, using Low-Intensity Extracorporeal Shockwave Therapy (LI-ESWT) and PRP to address the underlying vascular mechanism, not just the symptom. Privately. Clinically. Without pills.
Complete confidentiality. All consultations and treatments are conducted with full clinical discretion in a private setting. No GP referral is required, though clients with underlying medical conditions contributing to ED are advised to also consult their GP.
Addressing the cause,
not just the symptom.
Erectile dysfunction affects approximately 50% of men between 40 and 70 to some degree. The majority of cases have a vasculogenic basis, reduced blood flow to the penile tissue due to micro-vascular disease, endothelial dysfunction or the gradual narrowing of the cavernous arteries.
PDE5 inhibitors (Viagra, Cialis) work by amplifying the body's nitric oxide response, but they require an existing vascular response to amplify. They do not restore the damaged vasculature itself. When ED is driven by significant vascular pathology, medications become progressively less effective over time as the underlying vascular disease advances.
LI-ESWT and PRP address the vascular mechanism directly: stimulating neovascularisation (the formation of new blood vessels), restoring endothelial function and improving cavernous arterial blood flow at a structural level. The result is not just improved erectile function during treatment, but restored baseline vascular function that sustains independent of medication.
Primary Treatment
LI-ESWT: Low-Intensity Shockwave Therapy
Focused low-energy acoustic waves delivered to the cavernous tissue of the penis, stimulating neovascularisation, activating endothelial growth factor (VEGF) production and restoring blood flow at a structural level. Multiple randomised controlled trials support its efficacy for vasculogenic ED, with IIEF score improvements consistently demonstrated at 3 and 12-month follow-up.
LI-ESWT Prices
Enhancement Protocol
PRP: Platelet-Rich Plasma
PRP injected into the cavernous tissue following LI-ESWT provides an additional regenerative stimulus, the concentrated growth factors from PRP amplify the neovascular response initiated by shockwave therapy and directly stimulate penile tissue regeneration. Some studies suggest the combination produces superior outcomes to LI-ESWT alone. Can also be used as a standalone treatment in mild ED or as maintenance.
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The evidence base.
LI-ESWT for erectile dysfunction is the most extensively studied non-pharmacological ED treatment available. The research spans over a decade, multiple randomised controlled trials, and consistent findings across study populations ranging from mild to severe vasculogenic ED.
The Cochrane reviews, European Association of Urology guidelines and multiple meta-analyses all note significant improvements in IIEF (International Index of Erectile Function) scores following standard LI-ESWT protocols, with effects persisting at 12-month follow-up in the majority of studies.
PRP for ED has a smaller but growing evidence base, with studies showing additional improvement in vascular and tissue markers beyond shockwave therapy alone, consistent with PRP's well-established mechanisms in other vascular and tissue regeneration applications.
+70%
IIEF score improvement in moderate ED (meta-analysis)
~60%
Respond sufficiently to attempt intercourse without medication
12m+
Results sustained at 12-month follow-up in trial populations
6 sessions
Standard protocol, weekly or fortnightly
These are population-level statistics from published trials. Individual results vary. The consultation at Aesthetics Medispa assesses your specific presentation and provides a realistic expectation for your case, not population averages.
The treatment protocol.
A standard course of LI-ESWT is 6 sessions. Each session takes 20–30 minutes. The treatment is not painful, the sensation during LI-ESWT is notably more comfortable than standard ESWT for tendon conditions because the energy levels are significantly lower.
Suitability: LI-ESWT and PRP are appropriate for vasculogenic ED. They are not indicated for neurogenic ED (caused by nerve damage from diabetes, surgery or neurological condition), a consultation will clarify the likely underlying mechanism. Clients with significant cardiovascular disease, anticoagulant therapy or active penile pathology require discussion before treatment.
Consultation
Full medical history, ED history, current medications. IIEF questionnaire completed. Realistic expectations established. Protocol designed.
Session 1 LI-ESWT
First treatment, 2,000–3,000 shockwave pulses applied to the cavernous tissue via external handpiece. 20–30 minutes. Comfortable throughout.
Sessions 2–6
Weekly or fortnightly sessions. Cumulative neovascular response builds with each session. Some improvement typically noted during the course.
PRP (if included)
PRP session performed at session 3 or 4 (mid-course) for maximum synergistic effect with the established shockwave response.
Review at 6–12 weeks
Results assessment via IIEF repeat questionnaire and clinical review. Full vascular response matures 6–12 weeks post-final session.
Maintenance
Maintenance sessions (1–2 per year) sustain the vascular improvement. Many clients find this significantly delays or reduces medication dependency.
A private conversation first.
All ED consultations are completely confidential. No GP referral required. The first step is a private 30-minute consultation, discussing your situation, your health history and the realistic potential of treatment for your case.