Men’s Health

Complete hormone testing options (serum, urine, saliva) are available, along with three different treatment options for hormone optimization, which vary depending on hormone levels and need.

PRP / PRF Shot

Commonly combined with Shockwave therapy, Penile PRP (Platelet Rich Plasma) has been found to enhance the effectiveness of shockwave therapy in the resolution of vasculogenic erectile dysfunction. The treatment involves the following steps:

1. performing a blood draw and separating the PRP or PRF (platelet rich fibrin) extraction for the procedure;
2. injecting a local anaethetic as a temporary nerve block at the base of the penis and pubic bone, to numb the shaft and the treated area;
3. painlessly injecting the PRP / PRF solution;

The benefit of PRP / PRF, is in its potency to heal damaged tissue

More effective then oral PDE-5 medications (Viagra, Cialis, etc), for the treatment of ED, Trimix injections offer an effective and reliable therapeutic option for regaining sexual confidence. Whether used on their own or in combination with shockwave therapy until erectile function returns sufficiently on its own, Trimix injection therapy ought to be a consideration for any men who have not gained sufficient improvement from other methods.

The proper technique for safely using Trimix is demonstrated and taught in office until confidence is reached in one’s own skill for home self-administeration.

ED Dual-Shockwave Therapy (EDDSWT)

Poor blood flow to the penis frequently causes erectile dysfunction. The goal of ED Dual-Shockwave Therapy is to address the vascular etiology of erectile dysfunction rather than merely its symptoms. It combines the use of concentrated and radial shockwaves. Shockwave therapy for erectile dysfunction (ED) has been available at White Rock Naturopathic Clinic since 2016.

The purpose of ED dual-shockwave treatment (EDDSWT) is to encourage stronger, longer, and more fulfilling erections by inducing blood vessel regeneration (neovascularization) in the penile shaft and base. The use of shockwave therapy as an ED treatment is permitted in more than 20 nations, including Canada. As a first-line treatment for ED, shockwave therapy is recommended by the European Association of Urology. Instead than only treating the symptoms, it resolves vascular-related ED issues. Shockwave therapy’s ultimate purpose is to assist you in reestablishing spontaneous intimacy with your spouse.

There are two types of shockwave therapy: concentrated and radial. Radial shockwaves are appropriate for the erectile tissue in the penis shaft because they penetrate more superficially. Focused shockwaves have a greater depth of penetration and are particularly effective on the crus, a deeper-lying erectile tissue found behind the testicles.

Most erectile dysfunction clinics employ a single type of shockwave. The treatment of the damaged areas and the intended effects are maximised when the two types of shockwave are used together.

Storz Duolith SD1 & MP100

STORZ manufactures our radial and focused shockwave devices by hand in Switzerland. Clinical studies indicate they have a 91% success rate when employed as part of the curriculum at educational institutions. The radial or focused device is taught in the curricula of many academic institutions, including the University of Calgary, University of Toronto, Carlton University, Queens University, CMCC (chiropractic college), Duke University, and Cleveland Clinic. The same equipment is used by several professional sports teams to assist athletes in recovering more quickly. Storz shockwave technology is utilized by players in the NHL, NBA, NFL, MLB, MLS, and ATP tour to aid with recovery.

What to Expect During Treatment

Men receive their treatment at our White Rock / South Surrey clinic. It’s delivered using two medical shockwave devices that direct the energy (sound) waves to the affected areas at the base and shaft of the penis, focusing energy waves to the arteries in the corpora cavernosa. Patients are asked to remove their clothing below the waist.

Patients usually do not experience significant pain or discomfort during the treatment. Some may feel tingling afterwards – like you might after your hand or foot falls sleep. There are no reports that show major risks or complications of shockwave treatment of the penis.

EDSWT takes under a half hour, making the appointment easy to schedule. There is no downtime or recovery period and you can return to sexual activity immediately. Typically, a full treatment schedule involves 10 visits to over the course of a few weeks. For maintenance, the treatment can be repeated as often as necessary, since it is non-invasive, painless, and there are no side-effects.

http://www.menshealth.com/health/new-viagra

Cost of Treatment:

$1500 / 5x Dual Shockwave (Focused & Radial) treatments                $2800 / 10x Dual Shockwave treatments

$950 / 5x Radial Shockwave treatments                                               $1800 / 10x Radial Shockwave treatments

Studies on Shockwave Therapy for ED Treatment

Research, including double-blind randomized control studies, has shown that LI-ESWT significantly improves penile circulation and erectile performance clinically while having no negative side effects. Approximately 70% of those with ED who have vascular-related ED issues respond well to the medication. For at least a year after therapy, considerable erectile function improvement has been demonstrated in extensive clinical studies.With the help of the therapy, individuals with severe ED—for whose pharmaceuticals had no impact and for whom the only options were vacuum pumps, injections, and implants—can even start responding to PDE5 Inhibitor therapies, including drugs like sildenafil (Viagra), which block PDE5.

When a man has a vascular cause of erectile dysfunction as opposed to a neurogenic reason (prostate surgery, etc.), shock wave treatment is more successful. excessive blood pressure, diabetes, vascular disease, excessive cholesterol, or just lethargic, malfunctioning arteries are common vascular causes of ED. However, vascular and neurogenic ED frequently coexist.

The Journal of Sexual Medicine 2017: Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis

Journal of Urology 2018: Low intensity shock wave treatment for erectile dysfunction: How long does the effect last? 

International Journal of Impotence Research 2019: Clinical trial update on shockwave therapy and future of erectile function restoration

International Journal of Impotence Research.2020: Low-intensity extracorporeal shockwave therapy among urologist practitioners: how the opinion of urologists changed between 2016 and 2019.

Comparison of the efficacy and safety of low intensity extracorporeal shock wave therapy versus on-demand sildenafil for erectile dysfunction

Treating ED After Prostatectomy

Several studies show that low-intensity extracorporeal shockwave therapy may be effective in the treatment of post prostatectomy erectile dysfunction.

Low-intensity extracorporeal shock wave therapy for patients with severe erectile dysfunction due to radical prostatectomy

FROM THE JOURNAL THERAPEUTIC ADVANCES IN UROLOGY:

 “LI-ESWT IS A REVOLUTIONARY TREATMENT OF ED, AND PROBABLY POSSESSES UNPRECEDENTED QUALITIES THAT CAN REHABILITATE ERECTILE TISSUE. THE CLINICAL IMPROVEMENT IN SUBJECTIVE ERECTILE FUNCTION TOGETHER WITH THE SIGNIFICANT IMPROVEMENT IN PENILE HEMODYNAMICS FOLLOWING LI-ESWT CONFIRM THAT LI-ESWT HAS UNIQUE PROPERTIES THAT MAY CREATE A NEW STANDARD OF CARE FOR MEN WITH ED. LI-ESWT IS BOTH FEASIBLE AND TOLERABLE AND WITHOUT ANY ADVERSE OR UNWANTED EFFECTS. ITS MAIN ADVANTAGE IS ITS ABILITY TO IMPROVE AND POTENTIALLY RESTORE ERECTILE FUNCTION IN MEN WITH ED WITHOUT ADDITIONAL PHARMACOTHERAPY.”

 (GRUENWALD ET AL, THERAPEUTIC  ADVANCES IN  UROLOGY . 2013 APR; 5(2): 95–99)

Shockwave Therapy for Chronic Pelvic Pain Syndrome & Non-Bacterial Prostatitis

One of the most prevalent outpatient urological diagnoses, chronic pelvic pain syndrome (CPPS), is on the rise. Clinical investigations have shown extracorporeal shockwave therapy (ESWT) to be a safe and effective treatment for the symptoms of chronic non-bacterial prostatitis (CPPS), for which there was previously no accepted course of treatment. The theory behind the treatment is that it will lessen the inflammation that comes with the illness, giving the perineum and prostate their correct tone and functionality. Even men with symptoms of benign prostatic hypertrophy who struggle with the challenging urination that typically goes along with this benign illness have been tested and shown to benefit greatly from it.

What to Expect During Treatment

At our facility in White Rock/South Surrey, we use the Storz Duolith SD1 Focused Shockwave device to deliver treatments, and it directs the energy (sound) waves to the prostate and perineum. Patients are requested to take off their bottom garments.

In most cases, patients don’t feel a lot of pain or discomfort when receiving therapy. Some people may experience post-tingling sensations similar to when your hand or foot goes to sleep. There are no findings that indicate significant dangers or side effects from shockwave therapy for the prostate or perineum.

Shockwave Therapy takes less than 30 minutes, making an appointment simple to arrange. There is no downtime or healing period, and you may start having sexual relations right away. A typical comprehensive treatment program calls for 5-10 appointments spread out over a few weeks. The procedure may be performed as frequently as required for maintenance because it is non-invasive, painless, and has no negative side effects.

Cost of Treatment:

$1600 / 5 treatments