Low Intensity shock wave technology has been used for both erectile dysfunction and Peyronies (penile scarring) conditions since the early 2000’s. The same type of acoustical energy used historically at much higher intensity revolutionized submarine warfare in the 1960’s and then later kidney stone treatment in the 1980’s.
The latest technology involves the use of small handheld devices that generate low energy waves that are focused just beyond the tip of the device, allowing the device to introduce vibrational energy into deep tissues. Shock waves appear to stimulate new blood vessel formation and the technology is getting increasing attention in the world of cardiology and urology for cardiac and also penile revascularization.
Dr. Lander has been using shock wave technology for over 3 decades in his work and research. The low intensity shock wave technology can even be used to re-create a model for concussion in animals in a humane and reliably accurate and reproducible way. Concussion research has been slowed by inadequate models for animal research. Dr. Lander holds the patent for this particular use of acoustic energy.
Shock wave applications in urology are very significant since the vibration created by the energy waves at the cellular level create tiny “sheer forces” which stimulates local resident stem cells in the tissue to “activate” and start building new healthy blood vessels. There are many trials ongoing for ED but definitive answers as to efficacy remain elusive. One problem is that so many studies are ongoing with different devices and different power settings and treatment intervals, making it difficult to draw firm conclusions on the best protocols. Although many questions about ED treatment with shock wave, the urologic literature seems to support using a short series of shocks (sometimes repeated after a rest interval) and using relatively low energy levels and slightly high frequencies for the device settings. Shock wave therapy can be combined with stem cells and also stem cell signaling therapies (such as exosomes or PRP).
Dr. Lander is also using shock wave technology for cases of Peyronies penile scarring in combination with stem cells and cell signal therapies. Again, low energy applications are potentially helpful to help break down scars and assist with tissue healing in an attempt to achieve straightening of the penis.
Shock wave devices have traditionally been used on physician offices but now a cost effective home use model is available (the Phoenix device). Please see this link to find our more and order a device.