
Diagnosis of Erectile Dysfunction
Although the causes of erectile dysfunction can be multiple, both psychological and organic, the mechanisms can be: - The inability to fill the sinusoids of the penile corpora cavernosa with blood. - The inability to retain blood in the sinusoids of the penile corpora cavernosa. Difficulties in filling may be due to fibrosis in the corpora cavernosa or nerve conduction disorders. Difficulties in blood retention may be due to venous dilation or an inability of the tunica albuginea to close. In all these cases, adequate elasticity is required in both the corpora cavernosa and the tunica albuginea, both to expand the blood vessels and to close them efficiently during erection. 2D-SWE elastography allows for precise localization and quantification of tissue elasticity, while low-intensity focused shock wave therapy (LIESWT) treatments restore lost elasticity, achieving firm and sustained erections naturally or with low-dose oral medication. Furthermore, color Doppler ultrasound without the injection of vasoactive drugs allows for the assessment of the state of penile blood vessels, and neurological studies (penile EMG, CEP, and CBR) allow for the assessment of the state of the nerve pathways. At Shockwave Argentina, we perform diagnostic studies during the initial consultation, allowing us to tailor a personalized treatment plan. Our Low-Intensity Focused Shock Wave Therapy (LIESWT) treatments are noninvasive, painless, without adverse effects, suitable for diabetics or those undergoing prostate surgery, and have no age limit.
How much does a shock wave treatment for erectile dysfunction cost? To be able to set a price for a treatment, it is obviously necessary to know what type of treatment we are referring to, given that erectile dysfunction has multiple causes, meaning it can be psychological, organic, or both. Furthermore, organically caused erectile dysfunction can be due to medication, hormonal, metabolic, or vascular, muscular, or nervous disorders, alone or in combination, in different locations and with different magnitudes. All these variables require different therapeutic protocols tailored to each case. For example, treating a venous macroleak due to mild phlebectasia in the distal third of a corpus cavernosum is not the same as treating severe diffuse fibrosis throughout the trunk of both corpora cavernosa, or diabetic or post-radical prostatectomy neurogenic dysfunction. Each treatment will require a different number of sessions, with different energy levels, at different frequencies, and a different number of waves per session. Therefore, in order to estimate a treatment, a personalized prior diagnosis will be required. To obtain this diagnosis, a complete clinical evaluation, an ultrasound, a color Doppler ultrasound, and a qualitative-quantitative penile elastography will be required. To coordinate and schedule an appointment or request information, you can do so by calling us or via WhatsApp at 11-2878-4060, or by visiting our website: www.shockwaveargentina.com


