Terapi Gelombang Kejutan Li-ESWT untuk Disfungsi Erektil

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.

Matlamat klinikal adalah untuk memulihkan fungsi ereksi dan bukannya memberikan kesan atas permintaan. Tidak seperti perencat PDE5, Li-ESWT berfungsi pada substrat vaskular asas dan menyasarkan penambahbaikan berterusan yang kekal antara - dan selepas - sesi.

Setiap sesi mengambil masa 15-20 minit, tidak memerlukan bius, dan tiada masa rehat. Kebanyakan lelaki menyambung semula aktiviti biasa, termasuk senaman, dengan serta-merta.

Bukti terkuat menyokong Li-ESWT pada lelaki dengan ED corak vaskular, terutamanya di bawah umur 65 tahun, yang mempunyai tindak balas separa atau tiada tindak balas terhadap perencat PDE5. Ia boleh mengalihkan sebahagian besar bukan responden PDE5 kembali kepada status responden.

Ia kurang berkesan pada lelaki dengan kerosakan mikrovaskular berkaitan diabetes yang teruk, kecederaan saraf selepas prostatektomi radikal, atau aterosklerosis peringkat akhir. Pemeriksaan Hisential termasuk penilaian vaskular dan metabolik supaya kelayakan dipadankan dengan mekanisme, bukan sekadar pilihan.

Kursus Hisential biasa ialah 6-12 sesi yang diberikan selama 6 minggu. Penambahbaikan biasanya bermula sekitar sesi 3-4 dan berterusan selama beberapa bulan selepas kursus berakhir. Meta-analisis terbesar (lihat rujukan di bawah) melaporkan penambahbaikan yang bermakna secara klinikal dalam skor IIEF-EF pada 60-70% lelaki yang dipilih dengan sewajarnya, dengan kesan yang tahan lama pada 12-24 bulan dan kadangkala lebih lama.

Li-ESWT sangat berkesan apabila digabungkan dengan dos PDE5 yang dioptimumkan dan protokol metabolik. Ramai lelaki kemudiannya boleh mengurangkan dos PDE5 mereka atau beralih kepada penggunaan mengikut keperluan.

Li-ESWT mempunyai profil keselamatan yang sangat baik merentas kajian yang diterbitkan. Laporan yang paling biasa adalah kelembutan sementara yang ringan, lebam kecil sekali-sekala, dan kemerahan kulit yang singkat. Tiada kejadian buruk yang serius dikaitkan secara boleh dipercayai dengan Li-ESWT fokus untuk ED dalam ujian rawak.

Ia tidak sesuai semasa jangkitan zakar aktif, dengan keganasan aktif di kawasan rawatan, atau pada lelaki yang mempunyai gangguan pendarahan. Doktor yang merawat anda akan menyemak kesesuaian sebelum sebarang kursus dijadualkan.

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.