This is an area of very active research and a number of treatment protocols have been suggested. Some lasting anywhere between 4 and 12 sessions. Unfortunately, the clinical trials investigating these protocols are quite different in a number of ways such as the energy of the shockwaves applied, number of shockwaves, number of sessions, duration of treatment and time between sessions and the technology of the shockwave machines.
Our own experience and the studies so far indicate that the number of sessions will depend on the severity of ED, the presence of comorbidities and the response to treatment. At our clinic as a minimum, we recommend 6 twenty-minute sessions over a three-six week period. But some patients in the moderate to severe category may require up to 12 sessions on a roughly weekly basis.
The number of pulses may range should be between 3000 and 5000 shock waves per session and there is evidence that administering more shock waves leads to greater improvements. It also seems beneficial to deliver treatment to multiple sites to reach the vascular bed of the erection mechanism.