ED Treatment and Male Enhancement

Acoustic Shock Wave Therapy and PRP-FM Shot…
The Ideal treatments for Erectile Dysfunction, Peyronie's Disease, and Male Enhancement

Erectile Dysfunction (ED), the inability to achieve an erection strong enough for sex, is quite common.  Most men will experience an occasional episode of ED at some point, but when it becomes the norm, then it is a health problem and should be taken seriously.  Studies show persistent ED affects up to 40% of men over 40, and about 70% by age 70. The cause may be vascular (plaque buildup in arteries), often associated with diabetes or coronary artery disease, neurologic (prostate surgery or penis injury damaging the nerves), hormonal (low testosterone and other hormonal imbalances), drug side effects, or even psychological (performance anxiety or other emotional disturbance).  Regardless of the cause, this is a very distressing condition, causing a man to question his masculinity and affecting his intimate relationships.

Frequently, a man will be treated with oral medications such as Viagra or Cialis, but these are not always effective, have side effects such as acid reflux, nasal congestion, headaches, interact with other drugs and alcohol, have to be taken in advance of sexual activity, and they don’t always work.  If these drugs are ineffective, a man may be prescribed drugs to be injected into the penis (Tri-mix).  These injections are uncomfortable, inconvenient, and can lead to scar tissue buildup in the penis.  Eventually, they may stop working as well.  Finally, a man may be advised to have a penile implant inserted.  In this surgery, the penis is cut open and the internal parts are removed and replaced with silicone balloons that must be inflated with a pump to have sex. 

Fortunately, there is a better option.

Acoustic Shockwave Therapy (Gainswave) and PRP-FM injection (Priapus Shot)

Dr. Joseph Kaye, at Optimal Wellness MD, offers the state of the art technology in Acoustic Shock Wave Therapy (Storz) for penis rejuvenation and we can combine it with PRP-FM (platelet-rich plasma fibrin-matrix) injections (the P-Shot) for the even greater benefit. The PRP system we use at Optimal Wellness MD (Emcyte) is the most advanced in the world and is used by the leading PRP doctors in sports medicine and orthopedics and produces the highest concentration of platelets available, so your PRP treatment is as effective as possible.  When combined, these painless, nonsurgical treatments have up to 90% success in greatly improving or even curing a man’s ED symptoms.  The therapy has been used for over 15 years in Europe and is now being adopted in the United States.  The Acoustic Shock Wave treatment consists of highly focused sound waves that release vascular growth factors and trigger stem cells to repair the penis and repair damaged plaque-clogged blood vessels and nerves. The PRP-FM injections are an extract from your own blood that contains concentrated healing and growth factors that also stimulate repair and regrowth of the penis blood vessels and nerves.  The best results are obtained by combining the two therapies, but either treatment is highly effective on its own, with 75%-80% success individually.

A word of caution: many medspas and other clinics are advertising PRP treatments; if they are using inferior equipment to produce it, the "PRP" they produce is worthless.  Make sure you find out what type of equipment they are using and that they can achieve a 10X concentration of platelets from your blood sample.  This is the required concentration for PRP to work.  Our system reliably produces this concentrated form of PRP.  We invested in this very expensive system from Emcyte because we want you to have great results!  The second factor to consider is whether they turn their PRP into PRP-FM (platelet-rich fibrin matrix).  This is a second step that ensures the PRP injection will stay in the penis and not just disperse back into the bloodstream.  You want the injected material to stay where it is injected!  The third factor is physician skill.  The doctor must know where to inject and how much material to use.  Dr. Kaye is certified by the Cellular Medicine Association to prepare PRP-FM and perform the PRP-FM injections.

Over 40 published studies confirm shockwave therapy works and is not a placebo effect.  Thousands of articles have been published confirming that PRP is safe and effective for many uses in Regenerative Medicine.  The Acoustic Shock Wave treatment involves applying sound waves at a particular frequency and energy to the penis and penile blood vessels and nerves using specialized equipment.  It takes about 20 minutes and is performed in a very private and comfortable setting by your physician. The results are felt immediately as extra nitrous oxide is released, enlarging the penis, and the benefits continue to increase over the course of several treatments.  You are encouraged to be sexually active the same day as the treatment.  We recommend you use a penis pump device afterward to maximize the treatment benefit.  There is no downtime.  Usually, we will do 6 Acoustic Shock Wave treatments over 3 weeks; for more severe ED, we recommend 12 treatments over 2-3 months.  PRP-FM injections can be added to either treatment plan.  There are absolutely no reported adverse effects and improvement is long lasting. Maximum effect occurs 8-12 weeks after treatment.  Studies have shown continuing benefits as far out as 2 years after treatment.  

If you still require some form of pharmacologic therapy after your Gainswave or PRP-FM treatments, we offer unique compounded drug therapies that are more convenient and more effective than standard Cialis or Viagra.  We offer sublingual lozenges containing a mixture of several medicines that boost libido as well as improve erections; we also offer Tri-Mix or Quad-Mix to those men who require it.  Of course, our goal is to get you to a point where you no longer need these medicines!

As a medical practice specializing in Optimal Wellness and Functional Medicine, with an expertise in Hormone Replacement for both men and women, we are able to fully evaluate your medical condition to determine if you have low testosterone or other hormonal abnormalities and then correct them.  Acoustic Shockwave Therapy and PRP-FM work best in men with optimal hormone levels and a healthy diet and lifestyle.  We offer weight loss programs and lifestyle advice which can help ED; we are very knowledgeable in nutrition and supplementation which can also benefit ED.  We can, therefore, offer all you need to achieve optimal health and optimal erectile function.

Who can benefit from these treatments?

If you are currently not taking any treatment for ED and are simply interested in better erections and better sexual performance, or if your penis is smaller than you would like, this therapy can benefit you.  Many men in their 30s use this treatment as a form of “male enhancement”, just as they work out to have a fit physique.  PRP-FM and the Acoustic Wave Therapy cause the growth of the penis and improve sensitivity and firmness of the erections, leading to more satisfying sex.  Studies show an average gain of 7mm length/girth per PRP-FM treatment.

Men who depend on drugs such as Viagra or Cialis may find they no longer need these drugs and can have spontaneous sex as they did in their younger years.

Men who are dependent on injection therapy such as Tri-Mix will often no longer require medication or may be able to have sex using only a low dose of Viagra or similar medicines.

Even men who are unable to have an erection at all, and may be contemplating a penile implant can be helped.  In studies, up to 70% of such patients were able to have sex again with good erections after acoustic wave treatment.  Adding PRP treatment would improve on those success rates.

Men with Peyronie's Disease (an abnormal bending of the penis due to scar tissue) have excellent results with the Acoustic Shockwave Therapy (Gainswave), particularly when combined with PRP-FM (P-Shot).  Studies show about 80% of such patients achieve straightening of their penis adequate to have sex without pain or difficulty.  There is really no other effective therapy for Peyronie's.  Currently, some such patients are treated with collagenase injections (Xiaflex) or even surgery, which are not very efective, and these treatments have the risk of rupturing the penis.  With our therapy, there is no such risk of penis rupture.

Key Points:

  • Drug-Free
  • Non-Invasive
  • Surgery-Free
  • Improves Blood Flow
  • Improved Erection Quality
  • Harder and more Full Erections
  • Improved Sexual Performance
  • Improved Sensitivity

In a recent (2017) review published in Urology, the authors evaluated data from 9 studies that involved 637 patients. They reported that low-intensity extracorporeal shockwave therapy significantly improved both International Index of Erectile Function (IIEF) and the Erection Hardness Score (EHS).

In an earlier study, the authors noted that shockwave therapy was effective in men who responded to phosphodiesterase 5 inhibitors (PDE5i; e.g., Viagra) and could also convert men who did not respond to PDE5is to become responders. A subsequent trial explored the use of shockwave therapy in men who failed to respond to PDE5is. The 52 men received 3,000 shockwaves once a week for 12 weeks while also continuing use of PDE5is. At the one-month follow-up, 35 of the 52 men (67.3%) were able to achieve an erection suitable for intercourse. At three months, 33 of the 35 (94.3%) could still maintain an erection.

For an amusing first-hand account of the Acoustic Shockwave in Men's Health by Ben Greenfield, please click here.

For a first-hand account of the P-Shot in Mens Health, also by Ben Greenfield, please click here.

For an account of the P-Shot increasing penis size in a wounded veteran, please click here.

References for Acoustic Shockwave Therapy

Penile low-intensity shock wave therapy: a promising novel modality for erectile dysfunction.
Abu-Ghanem Y, Kitrey ND, Gruenwald I, Appel B, Vardi Y.
Korean J Urol. 2014 May

Low-Intensity Extracorporeal Shock Wave Therapy for Erectile Dysfunction: a Systematic Review and Meta-Analysis.
Man L, Li G.
Urology. 2017 Sep 26.

Low-Intensity Extracorporeal Shockwave Therapy Can Improve Erectile Function in Patients Who Failed to Respond to Phosphodiesterase Type 5 Inhibitors.
Tsai CC, Wang CJ, Lee YC, Kuo YT, Lin HH, Li CC, Wu WJ, Liu CC.
Am J Mens Health. 2017 Nov

Impact on the Quality of Erections after Completing a Low-Intensity Extracorporeal ShockWave Treatment Cycle on a Group of 710 Patients.
Ayala HAC, Cuartas JPS, Cleves DC.
Adv Urol. 2017

Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis.
Clavijo RI, Kohn TP, Kohn JR, Ramasamy R.
J Sex Med. 2017 Jan

Penile Low Intensity Shock Wave Treatment is Able to Shift PDE5i Nonresponders to Responders: A Double-Blind, Sham Controlled Study.
Kitrey ND, Gruenwald I, Appel B, Shechter A, Massarwa O, Vardi Y.
J Urol. 2016 May

Low-intensity extracorporeal shock wave therapy--a novel effective treatment for erectile dysfunction in severe ED patients who respond poorly to PDE5 inhibitor therapy.
Gruenwald I, Appel B, Vardi Y.
J Sex Med. 2012 Jan

New Advances in Erectile Technology
Stein, Lin, Wang
Therapeutic Advances in Urology. 2014 Feb

Lu, Lin, Reed-Maldonado, Wang, Lee, Lue
European Association of Urology

PRP and PRFM for Erectile Dysfunction & Peyronie’s References

Safety and feasibility of platelet rich fibrin matrix injections for treatment of common urologic conditions

Evaluation of the Benefit of Using PRP and Hyaluronic Acid for Peyronie's Disease

A New Treatment of Peyronie’s Disease by Local Injection of Platelet Rich Plasma (PRP) and Hyaluronic Acid.

265 Combined Treatment of Injecting Platelet Rich Plasma With Vacuum Pump for Penile Enlargement

Effect of platelet rich plasma on the regeneration of cavernous nerve: experiment with rats

Vasculogenic erectile dysfunction: newer therapeutic strategies.

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Joseph Edward Kaye, MD

300 Trade Center, Suite 4400, Woburn, MA 01801
Phone: 781-933-4200 · Fax: 781-933-1553
Monday - Friday 8:00am - 4:30pm