Multiple clinical studies in men have demonstrated that low-intensity extracorporeal shock waves (LiESWL) are capable of improving erections, especially in those patients with milder forms of erectile dysfunction. Up to 40% of patients who take erection pills are either dissatisfied or find the side effects intolerable. Shock wave therapy helps many of these men to get off the drugs.

Animal studies have allowed us to determine the actual mechanism of action. When the shock waves bend cells, growth factors are released. New blood vessels are formed (angiogenesis) nerves are regenerated, and progenitor cells or stem cells are either activated or recruited. There is also a reduction in inflammation.

Shock waves don't work on everybody. Patients who are on the most extreme end of the spectrum, and those who have had radical pelvic surgery are unlikely to benefit. Men who are only interested in penile enlargement should seek alternative options.

• Patients who have responded well to pde5-inhibitors such as Viagra, Cialis, Levitra or Stendra but would prefer a more natural approach.
• Patients who have experienced unpleasant side effects from pde5-inhibitors.
• Patients who are unhappy with the inconvenience of vacuum erection devices.
• Patients who are dissatisfied with vacoactive injection therapy.
• Patients who find intra-urethral pellets uncomfortable or inconvenient.
• Patients who are still potent, but find themselves with erections with less rigidity, fullness, or turgidity.
• Patients who have noted a gradual decline in sensation during intercourse may notice enhanced, youthful feelings.

• Patients who have known bleeding dyscrasias (i.e., patients who have trouble clotting or who are prone to bleeding heavily.)
• Patients who are on blood thinners including but not limited to non-steroidal anti-inflammatory medications, aspirin, coumadin, Eliquis, Pradaxa, Fragmin, Savaysa, Lovenox, Arixtra, Heparin, and Rivaroxaban.
• Patients who have had complete erectile dysfunction for more than three years, or developed erectile dysfunction after pelvic surgery such as radical prostatectomy are unlikely to benefit.
• If you are already getting great erections, you are unlikely to benefit. Enjoy yourself while it lasts!

Uroshock can be performed sitting, standing, or laying down. Unlike other acoustic wave machines Uroshock is nearly silent. It does not create jarring sounds that will frighten other people at home.

We recommend that a water-soluble lubricant be applied to the penis prior to use. This will help to facilitate the Uroshock tip gently gliding over the surface of the penis, and acts as coupling agent to facilitate transmission of the shock wave.

Most patients will find the treatment to be pleasant and calming. For those that have heightened sensitivity, 5% Lidocaine jelly (which does not require a prescription) is readily available at drug stores. We also make both the water-soluble lubricant and Lidocaine jelly available on our website.

The device should be fully charged prior to use. With our premium battery that is included in each unit, each charge will last for multiple applications. The device is easily powered on by depressing the button at the bottom of the unit. Pressing the button a second and third time will sequentially increase the frequency.

The shock wave tip is gently and sequentially stroked over the top 2/3 of the penis. The bottom of the penis is not to be treated, since this could injure the urethra. Similarly, the glans penis (head) is not treated. The two corpora cavernosa, or corporal bodies are largely responsible for erections. These reside in the top 2/3 of the penis. If one were to pull his penis straight up, the part of the penis that is closest to the body is the dorsum. This is the part of the penis that should be treated. The part of the penis which is furthest from the abdomen is the ventral aspect, which should not be treated.

Following treatment there are no particular restrictions, other than to not engage in sexual activity the day of the treatment. Patients who are taking pde5-inhibitors may continue this practice. Patients may not receive maximum benefit from the Uroshock treatments for 3 months or longer, and it would not be unusual for patients to continue to require medications particularly during the early weeks of treatment. Similarly, patients may continue to use vacuum erection devices, and injections, although not on the same day as treatment.

Not all patients will be able to discontinue the use of medications, injections, or vacuum devices. Some patients may notice that their erections are better than they were previously, but they may still need additional support.

Uroshock knows that erectile dysfunction is a sensitive issue, and we want everyone who purchases any of our products to get the best possible outcome. We stand by our products. Please contact us with any concerns or questions during normal office hours.

Yes! Some patients who have become non-responders to erection pills become more responsive after
treatment with shockwave therapy. If your doctor feels that you are a good candidate for oral
medications, such as Viagra or Cialis, but the pills stopped working, you may find yourself responding
better after shockwave therapy. We encourage you to continue using the pills during shockwave
therapy, as long as your doctor feels it’s safe for you to use them.

There are a number of vacuum erection devices that are readily available. They work by drawing blood
into the penis and are considered safe when patients follow the manufacturer's recommendations. The
use of a vacuum erection device between shockwave sessions may complement the shockwave
sessions.