Electro Shock Wave Treatment (ESWT) for ED

ED1000 TreatmentA possible cure for Erectile Dysfunction.

Electro Shcokwave Treatment for ESWT for short has had a long history of use in medical treatment.

It was first used to break up kidney stones. Then it found its way into Sports Medicine where it was used to treat various sports injuries like tendinitis and ligament strains.

Most recently, ESWT has been used for the treatment of Erectile Dysfunction.

How does ESWT work for ED?

One of the causes of Erectile Dysfunction is the poor flow of blood into the penis caused by unhealthy blood vessels.

By shooting multiple low-intensity shockwaves into the penis, new and healthy blood vessels develop. This is known as neo-vascularization.

Who will benefit from ESWT?

Since this treatment is specific for blood vessel problems, only people with ED due to unhealthy blood vessels will benefit. These are usually old patients (40 to 70 years old) and may have chronic diseases such as Diabetes, High Blood Pressure or High Cholesterol.

If your ED is due to other factors such as stress or side effects of medicines, then you will not benefit from this treatment.

ESWT can potentially cure patients with mild to moderate ED. For patients with severe ED, it will make them respond better to ED medicines.

What is the success rate?

Studies have shown that 76% of patients will have an improvement in their IIEF score by more than 5 points. Another study showed that 21 out of 29 patients treated had an improvement of their Erection Hardness Score from 2 to > 3.

In very severe cases of ED where the patient could not get an erection even with medicines for their ED (i.e. PDE5 inhibitors), after the ESWT treatment, 72.4% of them were able to get an erection with their medicines.

Overall, it is fair to say more than 70% of people will benefit from this treatment. Of course 70% is not a 100% and this success rate has to be balanced against the cost of the treatment.

What is the procedure like?

You will first have to visit Our Doctors to determine if you are a candidate for ESWT or not.

During the treatment, a clear gel will be applied on your penis and the base of your penis (either side of the scrotum). The treatment probe is place against the skin.

The probe will then send low intensity shockwaves into the treatment area. There should be no pain at all during the procedure. Most patients do not feel anything at all. Some report that they feel a slight tingling.

You will require a total of 6 treatment sessions.

  1. 1 session everyday for 6 days OR
  2. 3 sessions per week for 2 weeks OR
  3. 2 sessions per week for 3 weeks

Each treatment session lasts 20 to 30 minutes. Most patients will start to experience an improvement 2 weeks after completion of the treatment.

Some patients will require a second round of 6 treatment sessions to be done 3 weeks after the first round.

Some patients will require medicines during the treatment process to improve the neo-vascularization of the penis.


Treatment costs $428 per session


ESWT presents an exciting new therapy option that has the potential to cure ED rather than having patients rely on tablets.

The only drawback is that currently is only works for mild to moderate ED caused by blood vessel problems.

This treatment will be available in our Andrology Centre at Novena Medical Center from October 2014.


Need more advice?

Come down to Our Clinics for a discussion with Our Doctors, or call our clinics for more information:

Singapore Branches


Where to find us – here

Selected clinics are open on Saturday and Sunday.

Email: hello@dtapclinic.com.sg

All Our Doctors are Fully Certified and Trained to conduct specialised STD Screening,  STD Testing & STD Treatment and HIV Testing.

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  8. STDs General Info
  9. Premature Ejaculation
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About Dr. Tan
Dr. Tan graduated from the National University of Singapore in 2001. His residency was in the two largest public hospitals in Singapore; Tan Tock Seng Hospital and Singapore General Hospital.

Find the profiles of our panel of doctors.


  1. nahnah

    Dear Doctor,

    I understand that medication like Cialis will need to be taken daily for 2 months after while having the shock therapy treatment . Is medication really required while on treatment ?

  2. Blablabla

    Hello, can you tell me please, are the results permanent?

    • Hi. No they are not. Most patients require a maintenance session about 1 to 2 times per year.

      • Do you have any branch or vist in Pakistan

      • Hello sir how are you?Iam deepak from qatar. Before two years my panis doesnt work. Iam so narvas. What happen to my penis.one side working but another side not working. Please give me to good solution after i came back happy

  3. richard

    Hi Dr Tan
    I’m 58, having low libido and suffer from ED. How would I know if ESWT is helpful to me? What kind of tests would you perform to decide the most suitable treatment?

    • Hi, you may come down to our Robertson Walk clinic (walk-in) or call up our Novena clinic to make an appointment. We will usually need to perform a complete evaluation including metabolic and hormonal tests, e.g. checking for diabetes, testosterone/estrogen levels, etc.

      • richard

        How much does a complete evaluation costs?

      • Hi,
        I’m from America. I have both diabetes and low testosterone. Will your treatment work for me? If so, how many treatment will I need? Would I have to do this yearly? Does your treatment help low testosterone? Do you have or know of any offices that perform your procedures in America? What is the cost?

        • Yes, ESWT has been shown to be effective in men with diabetes and low testosterone, but must be used in conjunction with optimization of those conditions as well. Results are better and more lasting if done yearly. The treatment itself does not increase testosterone – this can be done with testosterone replacement therapy. We do not have any offices in America.

  4. Hi Dr,2 years ago, i started to tightening the urethra under the scrotum to hold ejaculation ( because i have some level of premature ejaculation ). After doing this for so many times i started having problems with erections. Now i have no morning erections, i lost my erections fast, and it is very hard to achieve one, even when i masturbate. I think i may created a scar in the corpus spongiosum/urethra by doing that, because when i touch that area i can feel it. I went to Dr, and he find i have an inflammation there ( i made a penis doppler), and he gave cialis, i have good erections with cialis ( low doses), but when i stop taking it, the problems come back. I think the problem is with the inflammation or i may have also damage the nerves in those areas, because the glab osf my penis is much less sensitive now. Do you think ESWT could help me with this inflammation or with it could help with nerves healing. Thanks in advance.

    • ESWT has been found to help in both inflammation and improvement of nerve function. I do think that you are a good candidate for this treatment.

  5. Pedro

    Hi Dr, i have an inflammation in the corpus spongiosum, because i used to tightening the urethra/corpus spongiosum with my finger and it created an inflammation on it, because when i put my fingers in that region i feel scar.Now i have no morning erections, and i lose my erections fast and the glan of my penis is less sensitive now.The doctor gave me cialis and i can hold an erection with low doses,but without it, it is very dificulty to achieve one. Could shock wave therapy help me, it has been 2 years and i see no improvements, and im only 28, and i hope i didnt mess up my penis forever. Thanks in advance and sorry for my long post, it is because im so afraid.

  6. Hi dr.Tan
    I have the heart chronic prblems and diabete type 2 and use the high blood pressure tablets such as valzartan and sustac 6.4, metformin 500.
    I have the problem of ED for one month. Before I had the problem but can be able to do the sex once in a week without any major problem except my ejection was not stable and lengthy.
    As you know, I can not use the tablets including viagra as I take medicines such as nitroglycring(sustac),
    Do you thin the ESWT can help me?
    I am 52 years old.
    Thanks in advance for your help and consultancy

    • ESWT works for patients with mild to moderate ED due to vasculogenic problems. From the brief history you provided, it does sound like you are a good candidate for ESWT. However, you should still have a proper assessment before deciding on the treatment.

  7. Hi dr, i think i may have damage my penis by sleeping with the foresking retracted for so many times. Can this treatment could cure me?

    • I do not quite understand your question. However, I think the best thing for you to do is to see a doctor to get properly assessed. You are welcome to visit us at Novena Medical Center #08-31.

      • Dr., i was with some case of premature ejaculation, so i started to tight the urethra just under the scrotum. I did many times and it created a scar tissue in urethra/corpus spongiosum, because when i touched it, i can feel it. And i also used to sleep with my foreskin retracted. I think i may have created a venous leakage (maybe in corpus spongiosum due to the scar) by doing those things.Does shockwave therapy could cure me?

        • This is very unique. I cannot say that there is a lot of data available for this. However, there is data for ESWT treatment of Peyronie disease which is a bit like breaking up scar tissue. And there is data for ESWT helping with venous leak. So theoretically I would say ESWT might work for you. However, as there is no prior reported cases to prove this, I will be very guarded about the prognosis.

          • Thanks for your answer Dr.I went to a dr., and u made a penile doppler and he found i have varicocele. Im just 28 years old, do you think varicocele is main cause of my erections problems. Can ESWT could help me?


    My Doctor advised me to go for ESWT since I have been identified having venous leak. I am 63 years old, have regular medication for BP CHOLESTEROL DIABETES.Also had an implant of a stent in 2011. I am a heavy smoker and drink only a daily basis. Should I stop this bad habit before I start ESWT treatment? Please help.

    • You have multiple factors causing your ED. Diabetes, High Blood Pressure, High Cholesterol and smoking all contribute to ED. Your medicines used to control Diabetes, High Blood Pressure, High Cholesterol also contribute to ED. To top it all off you also have venous leak! If you want to solve your ED you have to stop smoking, stop drinking, get your Diabetes, High Blood Pressure, High Cholesterol under good control. You will also need ESWT and very likely also need tablets for your ED. You may even need penile injections.

  9. Max Z

    I have a venous leak and went through a 6 session ESWT. I did not use Cialis during the sessions. The doctor did not tell me about that. I waited a lot and after the treatment there were 3-4 weeks when I felt good and got proper erections with sildenafil. But then the effect vanished in a few weeks. The nurse that gave the treatment told me that some men had taken 6+2 treatments and the last two were 2-3 months after the first 6. What do you think about this?

    • drtan

      Out of professional courtesy I should not be commenting on your Doctor’s advice and treatment. As far as I know, there is no strict guideline on ESWT for venous leak. The treatment guideline for ESWT for ED in general is 6 sessions followed by a break of 3 weeks followed by another 6 sessions. You should go back to your attending Doctor for more advice.

  10. Reddy p

    I’m 27yrs old and am diagnosed with an arteriogenic ED( penile doppler showed mild reduction in systolic blood velocities). Am I a good candidate for ESWT? Once done, how long will this be effective.

    • drtan

      Wow. I am so sorry to hear that. You are very very young to have arteriogenic ED. Yes you are a very good candidate for ESWT. Effectiveness usually lasts a year after 6 sessions. Following which we do 1 to 2 sessions per year to maintain. I have personally found that the benefits last longer in younger patients.

  11. Dear Doctor

    I have ED problem. I use to lead a very active sex life until I had a heart bypass operation in 2013. At times I may experience mild erection which last a short while and it went limp. I am age 72 and need help.
    what would a penile implant cost and what are the risks in my case
    Thanks and regards
    KC Fong

    • Apologies. We do not place penile implants. You are welcome to see us for a discussion of your ED and recommendation of treatment options. If you are keen on an implant, we can refer you to the appropriate surgeon. The risks of placing an implant are similar to the risk of other surgeries. There is a risk of bleeding, infection, implant failure and there is also a risk of anesthesia. The surgeon and anesthetist will have to analyze your fitness for surgery before deciding to do it for you or not. You have had a heart bypass surgery so that might be a complicating factor. Furthermore, you may be on blood thinners like Aspirin which may also further complicate matters for the surgery.

      You may first want to consider other options like tablets, penile injections, shock wave treatment and vacuum pumps.

  12. Tan Bee Lam

    Hi Doctor,

    I am an old man age 63 and have been suffering from ED for many years since my fifties. I am unable to get erections at all unless I take Viagra or Cialis pill. Even then it is not a very hard erection.

    I am wondering if this new treatment ESWT is effective and will cure my ED.

    However, from what I gathered for this treatment to be administered, the penis need to be in a semi solid state long enough so that the shockwave could be applied to the shaft of the penis.

    But my penis is always in the flaccid state which is less 2in in length, so will it suitable for ESWT treatment?


    • Let me start with the caveat that I have not seen you and therefore the information here should not be taken as medical advice.

      From what you have told me I really do not think ESWT can permanently cure your ED. What it CAN do for you is improve your reaction to Viagra or Cialis.
      In other words, after going through the ESWT therapy, you will still need Viagra or Cialis but will get a good hard erection when you take them.

      You do not need to be erect when undergoing ESWT. That said, very often, to get the most out of the ESWT therapy, we encourage patients to be on daily 5mg of Cialis while undergoing ESWT.


  14. Hi Doctors,

    I have some erection problems. I can maintain a very hard erection for a long time. It become semi hard after 7 – 8 mins and I will go soft when I am in some positions.

    I have did the IIEF questionnaire. I am all right. I am wondering do I have ED? or is it other erection issues?

    Can the ESWT help my erection?

    Hope to hear from you soon.

  15. Hi,

    I had been suffering ED for quite some time. My prob is when I m in lying position, my erection is not a problem. But once I stand up, the erection goes off straight.

    Tats caused frustrations where I cant have sex when I m trying to insert it.

    I suspect it’s my blood vessel prob. However, do u have the necessary equipment to check on blood vessel? Or necessary equipment to check on the causes? Will the cost b vr high?

    • Dr Justin Sim

      If you are young then most ED is psychological in nature. Particularly if you can get an erection lying down. If it was a blood vessel problem you would also experience it lying down. We don’t have penis blood vessel checks available but we can certainly still investigate for you. If it really is a blood vessel problem we can use our machine to increase your blood vessels but this can be up to $400 per session and you may need several sessions. I would advise you come and speak to us first.

  16. Hi Dr Tan, I’m only in my mid twenties, so will this treatment still be suitable for me? But I’m not sure of the cause too.. One more thing, how much is the total cost for the 6 session package now? Thanks.

  17. nicholas thang

    i am from China,i have an ed with venous leak, i wanna try this treatment of ESWT to singapore,but i have a poor enlish,i am afraid of getting difficulty in contact with the doctors,could I talk with the doctor there in Chinese?is the name of hospital Novena medical center?

    • 你好。我是陈医师。ESWT可能能够帮助静脉漏引起的勃起功能障碍。当然最有效的治疗方法还是静脉硬化治疗。我本身在我们Novena Medical Center的诊所看诊。很欢迎你来跟我讨论哪个治疗方法比较适合你。请发电子邮件给 doctor@drtanandpartners.com 我们会帮你约看诊时间。

      • nicholas thang


        • 对。静脉硬化治疗的确需要动小手术找出阴茎背深静脉然后把药直接打进去。这一种治疗方法有70%的成功率。大多数比较年轻的人会选择试ESWT先。

          • nicholas thang


          • eswt的效果不是永久的。eswt会改善动脉血流。但是,过了一段时间动脉一定再回到原来的状态。大多数的患者会一年做一次或两次eswt来保持效果。只是初一次做eswt才需要6次。

          • Nicholas thang


          • 对不起。我的华语水平不高害你乱了。初一次eswt需要6个sessions。一年后只需要1到2个sessions.

          • Nicholas


          • 我们的诊所没有提供手术服务。你可以跟泌尿科医师讨论这个问题。

  18. Yes it is possible.
    We can do:
    1. 6 sessions every day for 6 days
    2. 6 sessions one every 2 days for 12 days

  19. Jakarta

    Hi Doctor,

    I am from Jakarta, I will be travelling to Singapore next week. I would like to make an appointment for Electro Shockwave Treatment. I am currently under medication for impotency.

    • Hi, sure thing. The Electro Shockwave Treatment is available at our Novena clinic. Kindly call +65-63972095 to make an appointment.

  20. Vincent

    Hi Dr Tan
    How are you. I would like to ask if the success rate of this treatment is also dependent on the doctor carrying out the treatment. I am asking because I notice that Pro Lim from Gleneagles charges $3600 for the entire course. It is quite different from what your clinic charges. May I know why are there such differences.
    My second question is pertaining to frequency. I read that in other countries , the recmended number is treatments is 12. However in sg, all the clinics do the treatments in block of 6. In your experience should 12 be more of an accurate figure for this treatment to succeed? Thank you for your time in answering my question.

    • drtan

      Prof Lim and I both have our own set of patients and report similar experiences. We often discuss our experiences at conferences. I really cannot comment on the price difference.

      As for the number of sessions required, you brought up a good point. The recommended number of sessions by most guidelines and by the manufacturer of the machine I use (ED1000) is 6 over 3 weeks. Then wait 3 weeks and another 6 IF required. My personal experience is there is definitely an additional benefit from 12 sessions but not a lot more than 6. In other words, patients experience the most benefits from the first 6 sessions. So the question is whether or not it is worth it to pay for another 6 sessions for less benefit. People who require 12 sessions are usually people with vascular risk factors like Diabetes. What I sometimes advise my patient (without vascular risk factors) is to spread out the next 6 sessions over 3 to 6 months. I find that they still get the benefits and it provides longer term improvement.

  21. Hi Doctor,

    I am back to my country and I am very happy for the results. Thank you very much.

    If there is a chance of you visiting my country, please let me know. I can show you around.

  22. Hi Dr,

    I am 55 male from Bandung West Java. I am currently on oral medication for this problem. I would like to try this treatment matter.

    I am going Singapore to visit my daughter and her family next month. I will be staying in Singapore for 2 – 3 weeks.

    I will just like to know the how long will this session be.

    • ESWT Treatment for ED requires 6 sessions over 3 weeks. Each session lasts about 20 minutes and is painless. I have had patients who squeezed the 6 sessions into 2 weeks and had similar benefits.

  23. Anonymous

    Thank you for your recommendation and after the treatments my performance has improved gradually.

  24. Lim Weng Chiew

    ESWT is for those with blood vessels problem only? But how do I know if the cause of my ED is due to blood vessels problems or not.

    Can I try this treatment regardless of whether it is due to blood vessels problem or not because this is the only treatment that can cure ED if I am not mistaken.

    From what I heard, it is very expensive, just a few sessions of treatment will cost thousands of dollars, is that true?

    • ESWT works by inducing the penis to make new healthy blood vessels. A process called angiogenesis. So it works well for patients who suffer from mild to moderate ED with a vasculogenic cause. It also works for patients who do not respond to PDE5I’s. If your ED is not caused by blood vessel issues, it is highly unlikely this treatment is going to make any difference. You are certainly welcome to try it but you might be wasting your money. We charge $500 per treatment session. One treatment course is 6 sessions over 3 weeks which comes up to $3000.

      • Random11889

        Does venous leakage get cured by shockwave therapy? I am sure I have a venous leakage and would like to know if it counts as a vasculogenic disease which can be cured by shockwave therapy.

        • That is a very good question. ESWT does NOT cure venous leakage. Venous leakage is fixed by surgery or inserting a coil into the vein to reduce outflow. However, you can use ESWT to improve the inflow and in some situations, this may be good enough to overcome the venous leakage. That is assuming you have some arterial compromise in the first place.

          • random

            What kind of surgery fixes venous leakage? And what are their success rates?

          • drtan

            You can tie off the veins or insert a coil into them. You need to check with a surgeon who does these surgeries. I do not do them.

          • when you said “However, you can use ESWT to improve the inflow and in some situations, this may be good enough to overcome the venous leakage”

            do treated similar experience? if yes what is the result?

          • Patients have reported satisfactory results so far.


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