勃起不全（ED）に対するLi-ESWT衝撃波治療

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.

臨床的な目標は 回復させることです 勃起機能を回復させることであり、オンデマンドの効果を提供することではありません。PDE5阻害薬とは異なり、Li-ESWTは根本的な血管基質に作用し、セッション間、およびセッション終了後も持続する改善を目指します。

各セッションは15〜20分で完了し、麻酔は不要で、ダウンタイムもありません。ほとんどの男性は、運動を含め、直後に通常の活動を再開できます。

最も強力なエビデンスは、血管性EDを持つ男性、特に65歳未満で、PDE5阻害薬に部分的な反応しか示さない、または全く反応しない男性に対するLi-ESWTの有効性を裏付けています。これにより、PDE5非反応者のかなりの割合を反応者に転換できる可能性があります。

重度の糖尿病性微小血管障害、根治的前立腺全摘除術後の神経損傷、または末期のアテローム性動脈硬化症を持つ男性には、効果が低くなります。Hisentialの検査には血管および代謝評価が含まれており、単なる希望ではなくメカニズムに基づいて適格性が判断されます。

一般的なHisentialコースは、6週間で6〜12回のセッションを行います。改善は通常3〜4回目のセッション前後から始まり、コース終了後も数ヶ月間続きます。最大規模のメタアナリシス（下記の参考文献を参照）によると、適切に選択された男性の60〜70%においてIIEF-EFスコアの臨床的に有意な改善が報告されており、その効果は12〜24ヶ月、あるいはそれ以上持続します。

Li-ESWTは、最適化されたPDE5投与量および代謝プロトコルと組み合わせることで良好な結果が得られます。多くの男性が、その後PDE5の投与量を減らすか、必要に応じた使用に移行できます。

Li-ESWTは、発表された研究全体を通して優れた安全性プロファイルを有しています。最も一般的な報告は、軽度で一時的な圧痛、時折見られる軽微な打撲、および短時間の皮膚の赤みです。ランダム化試験において、EDに対する集束型Li-ESWTに起因すると確実に認められた深刻な有害事象はありません。

活動性の陰茎感染症がある場合、治療部位に活動性の悪性腫瘍がある場合、または出血性疾患のある男性には適していません。治療を開始する前に、担当医が適格性を確認します。

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.