Focused shock wave therapy: impotence treatment in Kyiv
Focused shockwave therapy (FSWT) in urology: treatment of erectile dysfunction and chronic prostatitisFSWT (Focused Shock Wave Therapy) — focused shock wave therapy is a high-tech, non-invasive method of treatment of urological diseases (erectile dysfunction (impotence), chronic prostatitis and chronic pelvic pain syndrome in men, hard flaccid (HFS) syndrome, Peyronie's disease) based on clinical evidence, which does not cause side effects. This therapy with proven effectiveness activates neovascularization, improves microcirculation and stimulates natural tissue repair mechanisms. The procedures are fast, painless and confidential. The main advantage of this innovative treatment is the almost complete absence of risks, side effects and rehabilitation period.
Treating erectile dysfunction (ED) with FSWT
Erectile dysfunction is a more modern and accurate medical term that has replaced the outdated “impotence.” Focused shockwave therapy for erectile dysfunction (impotence) is a painless, non-invasive method that involves delivering short, intensely focused acoustic waves into the tissues of the penis. These waves improve blood circulation, stimulate vascular and soft tissue repair, and contribute to long-term improvement in erectile function.
Clinical validity: Randomized controlled trials have shown improvements in Erectile Hardness Score after just 6 FSWT sessions, with lasting effects lasting up to 12 months.
Recommended course
- 6–12 sessions
- Duration of one session is 20–25 minutes.
- The interval between sessions is 3–7 days.
Treatment of chronic prostatitis and pelvic pain syndrome
Pathophysiology and mechanism of action of FSWT: Microcirculatory deficit and chronic inflammation are key factors in chronic prostatitis. FSWT stimulates the formation of new capillaries and reduces the level of pro-inflammatory cytokines.
Clinical results
- Improvement in IPSS (International Prostate Symptom Score) by 40 % after a course of 8 FSWT sessions.
- Reduction in pain on the VAS scale by 3–5 points already 2 weeks after the start of treatment.
Treatment protocol
- 8 FSWT sessions
- 25 minute sessions
- The interval between sessions is 2–4 days.
- Erectile dysfunction (especially of vascular origin)
- Chronic prostatitis and chronic pelvic pain syndrome
- Disturbances of pelvic microcirculation
- Complications after transurethral surgeries
- Peyronie's disease (penile curvature)
What are shock waves?
Focused shock waves (FSW) are highly effective energy waves. In medicine, shock waves have been successfully used to treat various diseases since the 1980s. The waves are generated by an external device (extracorporeally) and pass through the patient’s skin to the affected or diseased tissues. That is why this method is called extracorporeal shock wave therapy (ESWT).
There are two types of shock waves:
Radial shock waves (Soft shock): Used to treat larger and more superficial areas. Due to its low penetration depth, surface effect, and scattering, radiation therapy is not suitable for the treatment of erectile dysfunction.
Focused shock waves (Hard shock): They have a clearly focused field of influence, which ensures accurate dosage and adequate depth of penetration. Due to the targeted action, the procedure is more comfortable, which is why focused shock waves are used in the treatment of urological and sexological conditions in men.
Comparative effectiveness of radial shockwave therapy versus focused linear shockwave therapy as an erectile dysfunction treatment systematic review and meta-analysis: Urol Ann. 2025 Apr 17;17(2):84–91.
How does the FSWT procedure work?
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Preliminary consultation with a urologist: Pelvic ultrasound, urine and blood tests.
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Equipment setup: Selecting a focal zone based on diagnostic data.
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Conducting the session: Application of focused ultrasound pulses to the affected area, total duration — 20–25 minutes.
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Post-procedural period: No need for rehabilitation or restrictions on your usual lifestyle, slight local sensitivity in the affected area is possible for 1–2 days.
Advantages of FSWT above radial UHT:
- Penetration depth: Focused wave concentrates in vascular structures, treats the root vascular cause of ED and has proven itself well worldwide – while radial UHT is scattered in the superficial tissue layers, giving minimal effectiveness.
- Clinically proven effectiveness: FSWT is a highly effective medical method that restores the natural ability to achieve and maintain an erection without drugs, pumps or invasive surgery. Focused shockwave therapy has been demonstrated increase in IIEF index (International Index of Erectile Function) by 25–30 % compared to radial UHT, where the changes are only 5%.
Some men, unreasonably afraid of inconvenience due to lack of reliable information, purchase low-cost, untested and ineffective home devices that supposedly allow you to perform shockwave therapy at home. These devices also do not treat erectile dysfunction (ED) and can be harmful to your health.
More information about the Diavita Institute Men's Health Center
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Equipment new generation for FSWT
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Experienced urologists with many years of practice
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Individual treatment protocols, adapted to the patient's needs
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No pain and quick return to normal life
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Privacy and comfortable conditions
Are you looking for a safe way to treat erectile dysfunction without drugs or gimmicks? Are you struggling with erection problems? Are you confused by the variety of shockwave therapy devices available, including cheap home devices from online stores? Here are the facts about the false claims about radial shockwave therapy and home devices that manufacturers and some medical providers are promoting, taking advantage of the trust of men looking for a long-term solution.
Which devices are really suitable for treating erectile dysfunction?
Unfortunately, some clinics offer a modified version of shockwave therapy, which is used in physical therapy and sports rehabilitation to treat musculoskeletal pain. Radial shock wave works well for musculoskeletal problems, but is not suitable for treating erectile dysfunction.
More pain – zero effect with radial wave
Some men purchase commercial radial devices advertised online as ED treatments – with no real therapeutic effect. Radial waves, due to their superficial nature, are extremely painful when applied to sensitive areas of the penis and perineum, and can even cause blisters and skin damage. However, clinics that use such devices use anesthetic creams to reduce pain during the radial shockwave therapy procedure. However, radial shockwave therapy is a wonderful method that is intended only for musculoskeletal structures (muscles and ligaments) – and not recommended for sensitive areas of the body. Clinical studies indicate that “…no good quality evidence was found to support the use of radial shockwave therapy for the treatment of erectile dysfunction”.
Vice versa, focused shock wave therapy painless, and most patients do not experience discomfort during the procedure. No anesthesia is required. Focused energy is delivered to a pinpoint area inside the penis where there is damage to blood vessels and soft tissues (erectile dysfunction is mostly caused by vascular disorders, which are often its primary cause). With the FSWT device available at the Diavita Institute Urology and Andrology Center, it is possible to precisely control the depth and intensity of energy during the procedure, which is considered necessary to stimulate the growth of new blood vessels (angiogenesis). Focused shock wave therapy is comfortable and well tolerated when applied to the penis and adjacent perineal areas.
Shockwave therapy for erectile dysfunction involves delivering painless, short, intensely focused waves. These waves increase blood circulation, stimulate tissue repair and regeneration. Shockwaves “put” the body’s cells into repair mode, activating its own accelerated healing mechanism.
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Vascular repair (angiogenesis)
Shockwave therapy promotes the formation of new blood vessels, which improves the symptoms of erectile dysfunction. -
Smooth muscle cell regeneration
Many patients with ED have damage to the smooth muscle of the cavernous arteries. Shock waves have been shown to stimulate the natural regeneration of these muscle cells, which helps restore function.
The greatest benefit of the focused shockwave therapy method at Diavita Institute will be felt by those whose erection problems have worsened to a mild or moderate degree (according to the IIEF scale) due to vascular or age-related reasons. Usually (but not exclusively) these are men over the age of 40. Recently, more and more younger men are also experiencing erectile dysfunction.
Focused shock wave therapy promotes the formation of new blood vessels, which can eliminate the cause of age-related erection problems.
The treatment is completely safe and has no known side effects. Shockwave therapy is likely to be effective, including for men with diabetes who suffer from erectile dysfunction.
Drug treatment usually only provides a short-term effect, most drugs have side effects and may be contraindicated when taking other medications (for example, for vascular diseases). Focused shock wave therapy at Diavita Institute provides a longer-lasting result without known side effects, treats the immediate cause of the problem and restores function naturally.
