Radial shockwave therapy for male erectile rejuvenation in a dermatology and/or medical aesthetic practice
David Goldberg MD, JD, FAAD  Anneke Andriessen PhD  Michael Gold MD, FAAD
First published: 12 June 2019 https://doi.org/10.1111/jocd.13022
Funding information :
 This work was supported by unrestricted educational grant from Zimmer.

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Abstract
Introduction
Erectile dysfunction is defined as the inability to achieve and maintain an erection to satisfactorily complete intercourse. Treatment depends on the cause and includes phosphodiesterase 5 inhibitor medications, penile pumps, implants, and surgery. Low‐intensity shockwave therapy has been shown to be effective and safe for the treatment of erectile dysfunction.

Objective
We explored the role of low‐intensity radial shockwave therapy for erectile dysfunction treatment in a dermatology and/or medical aesthetic practice setting.

Materials and Methods
A literature review was conducted on radial low‐intensity shockwave technology in use for erectile rejuvenation to explore its positioning, safety, efficacy, tolerability, subject satisfaction, and usability in a dermatology and/or medical aesthetic setting.

Results
Low‐intensity shockwave therapy was shown to be effective in subjects with organic erectile dysfunction, and the treatment effect was maintained for up to 2 years post‐treatment. The treatment is reported to be safe and well‐tolerated and have little downtime. Many dermatologists use low‐intensity shockwave therapy for the treatment of cellulite and other conditions. This type of treatment is now available for erectile dysfunction and seems an attractive and safe option for subjects with organic vascular erectile dysfunction.

Conclusions
Studies and clinical experience suggest that male erectile rejuvenation using low‐intensity radial shockwave therapy seems an attractive option. The treatment can be safely, and effectively, delivered by trained staff as part of the total package that is available to men in a dermatology and/or medical aesthetic practice.