Shock Wave Therapy-ESWT

What is Shock Wave Therapy?

Shock wave therapy (ESWT); is a treatment method performed by directing intense and pressurized sound waves created from a generator to the targeted area of ​​the body through a probe. This method was first designed to break kidney and urinary tract stones (ESWL) and is still successfully applied and used in certain indications. The device, which is designed in the same way and whose intensity is reduced or adjustable, has come into play for other purposes and is used for many purposes today. Shock waves produced outside the body have two parts: focusing and producing shock waves. High pressure sound waves (2-6 Bar) are obtained from a specially designed generator and delivered to the target area of ​​the body through a probe. As a result of the shock with these intense sound waves, it causes the secretion of some substances (subtance P and nitrite oxide) in the nerve endings in the area, thus reducing the pain, the hardened and chalky tissue in the environment is dispersed, and it is absorbed into the body and removed from the environment. It also causes the secretion of some factors (eNOS, VEGF, PCNA, etc.) that enable vascular growth and new vessel formation in the tissue.

Areas of Use in Urology

 

• Breaking of kidney and urinary tract stones (first area of ​​use)

• Impotence-Impotence-Flax penis

• Peyronie's disease and penile curvature

• Chronic prostatitis

• Overactive bladder (OAB)-Painful bladder syndrome (interstitial cystitis), chronic pelvic pain

Erectile Dysfunction-Use in flaccid penis 

Lack of adequate sexual performance, inability to achieve and maintain an erection satisfactory for intercourse, and inability to perform sexual function satisfactorily is called erectile dysfunction-ED. The failure of a man to maintain his normal sexual function at a sufficient level and duration is called loss of sexual potency - flaccid penis. Patients complain of erectile dysfunction, premature ejaculation and flaccid penis as the main complaints. In field studies, 50% of men between the ages of 40-70 Erectile dysfunction and loss of sexual potency (limp penis) are reported. Erection is possible with a complete hormonal balance, coordinated and harmonious functioning of the vessels and nerves, and is under the influence of the psychological system. This causes the secretion of certain substances in the erectile penis tissues, and these substances initiate the formation of new vessels and the process of chronic wound healing from the damage caused by the shock wave. In the latest generation devices, the energy levels of shock waves and the depth of effect in the application area can be controlled.

 

Use in Peyronie's Disease

Peyronie's disease; It refers to the pathological process that causes hardening (fibrosis), calcification and eventually penile curvature in the form of plaques in the erectile corporal structure in the penis. It is more common in men in the 40-60 age group. It is claimed that tissue thickening and hard plaques form after repeated microtraumas, which ultimately causes penis curvature towards the plaque side. It is also observed more frequently in men with diabetes and hypertension. Basically, patients consult a physician with complaints of painful erection and penile curvature. A wide variety of treatments are performed, from drug treatment to surgical treatment. Despite this, clear results cannot be obtained and there is a possibility of recurrence of the disease.

 

Use of Chronic Prostatitis

 

Chronic Prostatitis has many different clinical forms that impair the quality of life and affect daily life. It is a disease that occurs frequently. On the other hand, it is a clinical syndrome that does not respond well to medication and some manipulations, and mainly manifests itself with chronic pelvic and facility pain, painful ejaculation and urination problems.

Situations in which ESWT should not be performed

It should not be used in bleeding disorders, cancers, presence of large vessels and nerves in the target area, bone growth areas (epiphysis, spinal cord), pacemaker area, infection area and during pregnancy.

 

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