Li-ESWT Shockwave Therapy for Erectile Dysfunction

Focused low-intensity acoustic shockwaves are delivered to the penile shaft and crura through a handheld applicator. The mechanical stimulus triggers a cascade of cellular responses - recruitment of endothelial progenitor cells, upregulation of VEGF and other growth factors, and proliferation of new microvasculature in the cavernosal tissue.

The clinical goal is to restore erectile function rather than to provide an on-demand effect. Unlike PDE5 inhibitors, Li-ESWT works on the underlying vascular substrate and aims for sustained improvement that persists between - and beyond - sessions.

Each session takes 15-20 minutes, requires no anaesthesia, and has no downtime. Most men resume normal activity, including exercise, immediately.

The strongest evidence supports Li-ESWT in men with vascular-pattern ED, particularly under 65, who have had partial or no response to PDE5 inhibitors. It can shift a meaningful proportion of PDE5 non-responders back into responder status.

It is less effective in men with severe diabetes-related microvascular damage, post-radical-prostatectomy nerve injury, or end-stage atherosclerosis. The Hisential workup includes a vascular and metabolic assessment so eligibility is matched to mechanism, not just preference.

A typical Hisential course is 6-12 sessions delivered over 6 weeks. Improvement usually begins around sessions 3-4 and continues for several months after the course ends. The largest meta-analyses (see references below) report clinically meaningful improvement in IIEF-EF scores in 60-70% of appropriately selected men, with durable effect at 12-24 months and sometimes longer.

Li-ESWT pairs well with optimised PDE5 dosing and a metabolic protocol. Many men can subsequently reduce their PDE5 dose or move to as-needed use.

Li-ESWT has an excellent safety profile across published studies. The most common reports are mild transient tenderness, occasional minor bruising, and brief skin redness. No serious adverse events have been reliably attributed to focused Li-ESWT for ED in randomised trials.

It is not appropriate during active penile infection, with active malignancy in the treatment field, or in men with bleeding disorders. Your treating doctor reviews suitability before any course is scheduled.

All figures below are inclusive of GST.

Prices last updated 13 August 2026. Prices include GST unless stated otherwise and are confirmed by your concierge before anything is booked.

• Introductory session: from S$150. This is the price of the introductory Li-ESWT session.
• Within a package: S$350 per session. After the introductory session, Li-ESWT is sold in packages. S$350 is the per-session rate inside a package. There is no single-session rate, so this figure is not a walk-in price for one session.
• Consultation: from S$50 after GST.
• Teleconsultation for follow-ups: from S$50 after GST.

Your package is sized to the course your doctor recommends after assessment, so the total depends on the number of sessions agreed. Where Li-ESWT is combined with oral medication or hormonal treatment, those are quoted separately and clearly.

A complete clinical episode at Hisential is structured around four clearly-defined stages, so patients understand what to expect at each visit and how decisions are made.

Stage 1 - Pre-consultation triage. Before your first appointment about Li-ESWT, our care coordinators take a brief history by WhatsApp or phone to determine whether teleconsultation, an in-clinic visit, or a same-day workup is most appropriate. This avoids unnecessary travel for issues that can be triaged remotely, and ensures patients with urgent presentations are prioritised. Where laboratory tests, imaging, or fasting are likely to be needed, we explain the requirements in advance so the first visit is productive rather than purely exploratory.

Stage 2 - In-clinic assessment. The first consultation includes a structured medical history, focused examination, and, where clinically indicated, point-of-care or laboratory investigations. Doctors document findings in our digital records system and walk patients through the rationale for each test. Costs are confirmed before any chargeable investigation is performed; nothing is added without consent.

Stage 3 - Diagnosis, plan, and shared decision-making. Once results are available, the doctor reviews them with the patient in plain language, including normal ranges, areas of concern, and the level of evidence behind any proposed intervention. For Li-ESWT, treatment options are framed in terms of expected benefit, realistic timelines, side-effect profile, and cost. Patients are encouraged to ask questions and may request a second appointment to consider their options before starting treatment; there is no pressure to decide on the day.

Stage 4 - Follow-up and continuity. Follow-up intervals are agreed at the end of the first visit and depend on the condition: chronic management is typically reviewed every 3-6 months, while acute episodes may be reviewed within 1-4 weeks. Teleconsultation (from S$50 after GST) is offered for routine follow-ups where physical examination is not required. Records are retained securely and remain accessible to the patient on request, including for onward referral or coordination with another doctor.

Hisential does not sell unproven therapies, does not recommend tests without a clinical indication, and does not extend treatment courses beyond what the evidence supports. If a condition falls outside our scope - for example, requiring inpatient care, surgical sub-specialty input, or oncology services - we say so and refer appropriately. Honest scope is part of the standard.