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 from outside the body without incisions or the use of anesthesia. ESST is done using a set of devices that can emit low-intensity shock waves to break down the plaque that causes blockage of blood vessels in the penis. This shock wave is also able to induce the release of nitric oxide which can increase blood circulation and stimulate the formation of new blood vessels (neovascularization).
ESST indications
As mentioned previously, extracorporeal shock waves for sexual therapy (ESST) are performed on patients who experience erectile dysfunction. This condition can be experienced by adult men, especially aged 40 years and over. There are several things that cause erectile dysfunction, including:
- Unhealthy lifestyles, such as smoking and consuming alcohol.
- Rarely or lack of exercise.
- Nervous system disorders.
- Hormonal disorders or hormonal balance disorders.
- Anatomical or penile structure abnormalities.
- Psychological disorders, such as stress.
- Side effects of drugs, such as antihistamines, antidepressants, and corticosteroids.
Before ESST
Before undergoing ESST, doctors and patients will undergo a discussion phase. The doctor will explain in detail about the ESST procedure to be performed and the risks that the patient may experience. Patients are also given the opportunity to ask questions until they really understand the procedure to be undertaken.
After the patient understands and agrees to undergo the ESST procedure, the doctor will begin examining the patient's medical history. At this stage, the doctor will ask a number of things about complaints experienced by patients, history of illnesses that have suffered, and the types of drugs or supplements that are being consumed. Next, the doctor will do a physical examination to confirm the diagnosis and confirm the patient's condition. If needed, the doctor will ask the patient to undergo a supporting examination, such as an ultrasound or X-ray.
ESST Procedure
The steps in the ESST procedure are as follows:
- The patient will be laid on the examination table in the supine position.
- The doctor will apply a special gel to all parts of the penis.
- Next, the doctor will attach the ESST applicator to 5 points on the penis.
- Every side of the penis will be given a shock wave. The shock wave will release a strong impulse and kinetic energy to stimulate blood flow.
The duration of the procedure, the number of sessions the patient must undergo, and the number of shock waves given usually depend on the patient's condition and the hospital where the patient is undergoing the procedure.
After ESST
Extracorporeal shock waves for sexual therapy (ESST) is a safe procedure, so doctors usually allow patients to go home and do activities as usual. ESST does not cause pain, but the patient can feel a tingling sensation in the penis area. Apart from being a single treatment, ESST can also be combined with drugs in treating impotence.
In addition, there are several things that patients can do to prevent erectile dysfunction problems from reoccurring, including:
- Live a healthy lifestyle, such as stopping smoking, limiting or avoiding alcohol consumption, and not using illegal drugs.
- Eat healthy and nutritious foods, and exercise regularly.
- Doing things that can reduce stress, such as meditation, or counseling if you are depressed or often nervous.
- Carry out regular health checks, especially if you have diabetes, heart disease, or bleeding disorders.
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