Individualised shockwave therapy for erectile dysfunction: importance of establishing precise therapeutic range

Abstract

This correspondence aims to provide insight into treatment for erectile dysfunction (ED) using shockwave therapy and specifically focuses on the importance of establishing a precise therapeutic range based on ED severity. While shockwave therapy settings were often based on manufacturer’s guidelines, recent studies have shown that the therapeutic effectiveness and safety of shockwave therapy rely on individualising the treatment’s energy flux density (EFD) and frequency. The aim is to underline t he importance of individualised treatment in optimising clinical outcomes as well as minimising potential adverse effects such as penile fibrosis or potential scarring in the long-term.