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Extracorporeal shock wave therapy (ESWT) has been used for the treatment of vascular erectile dysfunction and chronic urological pain since 2010. In the medical world, they have been used successfully for the treatment of various medical conditions since around 1980, such as orthopedics. We have the ONLY state-of-the-art Duolith SD1 Ultra machine in Nashville! Men with ED are often treated with oral medications or even penile injections, however, they are not the only way to treat erectile dysfunction. Another effective non-invasive alternative is ESWT! This means that the shock waves are generated outside of the body (“extracorporeally“) in a therapy system and then travel through the patient‘s skin into the tissue. 

The shock waves stimulate the creation of new blood vessels in the cavernosum and other penile tissue where there is blood flow. With its large focus zone it is easy to access these areas with a high degree of accuracy. This improves the blood flow in the penis, which may positively affect the ability to achieve an erection. One therapy session usually takes 15 minutes, and 6 sessions are recommended. This therapy is simple and no anesthesia is required. A major advantage of this innovative treatment option is the fact that it has virtually no risks or side effects.


  • Therapy without medication or surgery
  • Short treatment sessions
  • No side effects
  • No anesthesia or numbing cream required

Clinical trials demonstrated it’s safe, effective, and well-tolerated treatment for erectile dysfunction which even includes men who do not respond to PDEI-5 inhibitors.


Induratio penis plastica (IPP), a curvature of the penis also known as Peyronie’s disease, is an acquired and generally progressive condition of the penis. Most men notice the presence of the disease when they feel thickened nodules (so-called plaques) under the skin of the penis. As the disease progresses, pain may occur with or without an erection and the penis becomes curved during an erection, which can make it difficult or sometimes impossible to have sexual intercourse. When treating Peyronie’s, the curvature and pain points in the penis are treated with extracorporeal shock waves.


Chronic pelvic pain syndrome (CPPS) is characterized by pain in the region of the pelvic floor. Further symptoms are urination problems without evidence of urinary tract infection. Some patients experience erectile dysfunction. Extracorporeal shock wave therapy is performed using a perineal approach, treating the prostate and the pelvic floor.