Treatment Overview
The combination of shockwave therapy and PDE5 inhibitors is an advanced treatment approach for erectile dysfunction (ED) available in Korea. Shockwave therapy, also called low-intensity extracorporeal shockwave therapy (Li-ESWT), improves penile blood flow and stimulates tissue regeneration. PDE5 inhibitors—such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra)—enhance blood flow during sexual stimulation.
Using both therapies together can provide synergistic benefits, addressing the underlying vascular issues with shockwave therapy while improving immediate erectile function with PDE5 inhibitors. Korean clinics are recognized for offering personalized combination therapy with cutting-edge equipment and expert urologists.
Purpose & Benefits
Purpose
- Improve penile blood flow and vascular function
- Promote regeneration of penile tissue and erectile nerves
- Enhance spontaneous erections while providing medication support
- Provide a comprehensive treatment plan for men with moderate to severe ED
Benefits
- Non-invasive shockwave therapy combined with effective oral medication
- Enhances both short-term erectile function and long-term penile vascular health
- Reduces dependency on PDE5 inhibitors over time
- Safe with minimal side effects
- Improves confidence and sexual satisfaction
- Can be tailored to patient needs for optimal results
Ideal Candidates
Who Should Consider Combination Therapy
- Men with mild to moderate ED who respond partially to PDE5 inhibitors
- Patients with vasculogenic ED or early vascular dysfunction
- Men seeking a long-term solution alongside immediate improvement
- Individuals looking to enhance erectile function for sexual performance
- Patients who want to reduce the risk of progression to severe ED
Special Considerations
- Not suitable for patients with severe anatomical penile deformities
- Patients with contraindications for PDE5 inhibitors (e.g., nitrates use) require medical evaluation
- Korean clinics provide comprehensive pre-treatment assessments including medical history, physical exam, and penile Doppler ultrasound
Possible Risks & Complications
Common Risks
- Mild tingling or discomfort during shockwave therapy
- Temporary redness or swelling at the treatment site
- Headache, flushing, or mild stomach upset from PDE5 inhibitors
Long-Term Risks
- Very low with non-invasive therapy and proper medical supervision
- No evidence of permanent tissue damage from shockwave therapy
- Rare side effects from PDE5 inhibitors can usually be managed
Korean urologists follow strict protocols to minimize risks and optimize safety for international patients.
Techniques & Technology Used
Treatment Approach
- Shockwave Therapy: Low-intensity shockwaves are applied to targeted penile areas to stimulate angiogenesis and tissue regeneration
- PDE5 Inhibitors: Oral medications are taken as prescribed to enhance erectile response during sexual activity
- Standard protocol may involve 6–12 shockwave sessions combined with daily or on-demand PDE5 inhibitor use
- Sessions last approximately 20–30 minutes for shockwave therapy
Technological Advantages
- Precision shockwave devices with adjustable energy levels
- Real-time monitoring for safety and comfort
- Sterile and modern clinical environment
- Personalized therapy plans combining medication and shockwave therapy
- Korean clinics maintain strict quality and hygiene standards
Treatment Process in Korea
Step 1: Consultation & Evaluation
- Medical history and ED assessment
- Physical examination and penile Doppler ultrasound
- Discussion of treatment options, combination therapy protocol, and expected outcomes
Step 2: Personalized Therapy Plan
- Determining number of shockwave sessions
- Deciding on PDE5 inhibitor type, dosage, and schedule
- Integration with lifestyle and health recommendations
Step 3: Therapy Sessions
- Shockwave therapy sessions delivered in a clinic setting
- PDE5 inhibitors taken according to individualized prescription
- Each shockwave session lasts 20–30 minutes
- Minimal discomfort and no anesthesia required
Step 4: Follow-Up
- Post-treatment evaluation to assess erectile function improvement
- Adjustment of PDE5 inhibitor dosage or schedule if necessary
- Additional shockwave sessions may be recommended based on results
Korean clinics provide comprehensive support for international patients including travel coordination, translation, and scheduling assistance.
Recovery & After-Care
Recovery Timeline
- No downtime from shockwave therapy; patients can resume daily activities immediately
- Sexual activity can typically resume within a few days per physician guidance
- Mild soreness or tingling from shockwave therapy resolves quickly
- PDE5 inhibitors may cause temporary side effects which generally subside
After-Care Recommendations
- Maintain a healthy lifestyle with regular exercise and balanced diet
- Avoid smoking, excessive alcohol, and high-stress environments
- Follow up as advised for monitoring long-term results
- Combine therapy with counseling or sexual health coaching if needed
Results & Longevity
Expected Results
- Improved erectile function and spontaneous erections
- Enhanced firmness and quality of erections
- Reduced reliance on PDE5 inhibitors over time
- Improved penile vascular health
- Increased sexual confidence and satisfaction
Longevity
- Initial improvement often seen within 3–6 weeks
- Long-term effects may last 6–12 months or more depending on lifestyle and underlying health
- Maintenance shockwave sessions may be recommended for sustained benefits
Why Korea Is a Top Destination
Advantages of Shockwave + PDE5 Inhibitors in Korea
- Highly skilled urologists specializing in male sexual health
- State-of-the-art shockwave devices and medication management protocols
- Personalized combination therapy plans for optimal outcomes
- Minimal downtime and low risk of side effects
- Transparent pricing and high patient satisfaction
- English-speaking staff and full support for international patients
- Integration with comprehensive male sexual health programs
Korea offers advanced medical expertise, high-quality technology, and patient-centered care, making it an ideal destination for combination ED therapy.
Cost Range
Combination therapy in Korea generally costs:
- ₩1,500,000 – ₩3,500,000 KRW per course
(Approx. $1,200 – $2,700 USD)
Costs vary based on the number of shockwave sessions, type of PDE5 inhibitor, and clinic selection. Consultation and follow-up visits may be included in the total cost.
Popular Clinics in Korea
- Seoul National University Hospital – Urology & Male Sexual Health
- Asan Medical Center – Male Sexual Dysfunction Unit
- Samsung Medical Center – Andrology Department
- CHA Fertility & Male Health Center
- Severance Hospital – Yonsei University Urology Clinic
- MizMedi Hospital – Erectile Dysfunction & Andrology
- Gangnam W Hospital – Male Sexual Health Clinic
These clinics are recognized for expertise in ED management, combination therapy, and patient satisfaction.
