Extracorporeal shock waves for sexual therapy (ESST) is a treatment procedure performed to treat male patients with erectile dysfunction (impotence) problems. ESST is used as an alternative treatment method for impotence, in addition to drug therapy and surgery (surgery). Erectile dysfunction or impotence is a condition when the male genitals (penis) are unable to make an erection or it is difficult to maintain an erection during sexual intercourse. This condition is generally influenced by physical factors such as narrowing of blood vessels to the penis, hormonal or nerve disorders, and psychological factors such as emotional disorders or depression. Treatment of erectile dysfunction is usually done with drug therapy or through a counseling process, while the surgical method is performed on patients with chronic impotence. In addition to drug therapy and surgery, erectile dysfunction can be treated with ESST. ESST is the latest method of erectile dysfunction treatment performed fr