Recognize What Is Extracorporeal Shock Waves for Sexual Therapy (ESST)

 

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 erect or have difficulty maintaining erection when having sexual intercourse. This condition is generally affected by physical factors such as narrowing of blood vessels to the penis, hormonal or nervous disorders, and psychic factors such as emotional disorders or depression. Treatment of erectile dysfunction is usually done with drug therapy or through a counseling process, while surgical methods are performed on patients with chronic impotence.

Recognize What Is Extracorporeal Shock Waves for Sexual Therapy (ESST)

In addition to drug therapy and surgery, erectile dysfunction can be treated with ESST . ESST is the latest treatment method for erectile dysfunction performed from outside the body without incision or use of anesthesia. ESST is done by using a set of tools that can produce low intensity shock waves to break down plaques that cause blockage of blood vessels in the penis. This shock wave is also able to induce the release of nitric oxide which can improve blood circulation and stimulate the formation of new blood vessels (neovascularization).

Indications ESST

As previously mentioned, extracorporeal shock waves for sexual therapy (ESST) is 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 lifestyle, such as smoking and consuming alcohol.
  • Rarely or lack of exercise.
  • Nervous system disorders.
  • Hormonal disorders or hormonal balance disorders.
  • Anatomical or structural abnormalities of the penis.
  • Psychological disorders, such as stress.
  • Side effects of drugs, such as antihistamines, antidepressants, and corticosteroids.

Before ESST

Before undergoing ESST, doctor and the patient will undergo a discussion phase. The doctor will explain in detail about the ESST procedures that will be performed and the risks that may be experienced by the patient. Patients are also given the opportunity to ask questions until they really understand the procedure to be lived.

After the patient understands and agrees to undergo the ESST procedure, the doctor will begin to examine the patient's medical history. At this stage, the doctor will ask a number of questions regarding the patient's complaints, history of illness, and the type of medication or supplement being consumed. Next, the doctor will perform a physical examination to confirm the diagnosis and confirm the condition experienced by the patient. If needed, the doctor will ask the patient to undergo investigations, such as ultrasound or X-rays.

Procedures ESST

Steps 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 at 5 points of the penis.
  • Each side of the penis will be given a shock wave. The shock wave will release strong impulses and kinetic energy to stimulate blood flow.

The length of the procedure, the number of sessions that the patient must undergo, and the number of shock waves given usually depend on the patient's condition and the hospital where patients undergo the procedure.

After ESST

Extracorporeal shock waves for sexual therapy (ESST) is a safe procedure, so doctors usually allow patients to go home and move as usual. ESST does not cause pain, but the patient can feel a tingling sensation in the penis area. Aside from being a single treatment, ESST can also be combined with drugs to deal with impotence.

In addition, there are several things that patients can do to prevent erectile dysfunction problems from happening again, including:

  • Undergo a healthy lifestyle, such as quitting 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 doing counseling if you are depressed or often nervous.
  • Perform regular health checks, especially if you have diabetes, heart disease, or bleeding disorders.

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