Terapi Gelombang Kejut Li-ESWT untuk Disfungsi Ereksi

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.

Tujuan klinisnya adalah untuk memulihkan fungsi ereksi, bukan untuk memberikan efek sesuai permintaan. Tidak seperti penghambat PDE5, Li-ESWT bekerja pada substrat vaskular yang mendasarinya dan bertujuan untuk perbaikan berkelanjutan yang bertahan di antara - dan setelah - sesi.

Setiap sesi berlangsung 15-20 menit, tidak memerlukan anestesi, dan tidak ada waktu pemulihan. Sebagian besar pria dapat kembali beraktivitas normal, termasuk berolahraga, secara langsung.

Bukti terkuat mendukung Li-ESWT pada pria dengan ED pola vaskular, terutama di bawah usia 65 tahun, yang memiliki respons parsial atau tidak ada respons terhadap penghambat PDE5. Ini dapat mengembalikan sebagian besar non-responden PDE5 menjadi status responden.

Ini kurang efektif pada pria dengan kerusakan mikrovaskular parah akibat diabetes, cedera saraf pasca-prostatektomi radikal, atau aterosklerosis stadium akhir. Pemeriksaan Hisential mencakup penilaian vaskular dan metabolik sehingga kelayakan disesuaikan dengan mekanisme, bukan sekadar preferensi.

Rangkaian Hisential yang umum terdiri dari 6-12 sesi yang diberikan selama 6 minggu. Perbaikan biasanya dimulai sekitar sesi 3-4 dan berlanjut selama beberapa bulan setelah rangkaian berakhir. Meta-analisis terbesar (lihat referensi di bawah) melaporkan perbaikan klinis yang bermakna pada skor IIEF-EF pada 60-70% pria yang dipilih dengan tepat, dengan efek tahan lama pada 12-24 bulan dan terkadang lebih lama.

Li-ESWT bekerja dengan baik bersama dosis PDE5 yang dioptimalkan dan protokol metabolik. Banyak pria kemudian dapat mengurangi dosis PDE5 mereka atau beralih ke penggunaan sesuai kebutuhan.

Li-ESWT memiliki profil keamanan yang sangat baik di berbagai studi yang dipublikasikan. Laporan yang paling umum adalah nyeri ringan sementara, memar kecil sesekali, dan kemerahan singkat pada kulit. Tidak ada efek samping serius yang secara andal dikaitkan dengan Li-ESWT terfokus untuk ED dalam uji coba acak.

Ini tidak tepat digunakan selama infeksi penis aktif, dengan keganasan aktif di area perawatan, atau pada pria dengan gangguan pendarahan. Dokter yang merawat Anda akan meninjau kesesuaian sebelum jadwal perawatan apa pun dibuat.

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.