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===Focused shockwave therapy=== [[Extracorporeal shockwave therapy|Focused shockwave therapy]] involves passing short, high frequency acoustic pulses through the skin and into the penis. These waves break down any plaques within the blood vessels, encourage the formation of new vessels, and stimulate repair and tissue regeneration.<ref>{{cite journal | vauthors = Vardi Y, Appel B, Jacob G, Massarwi O, Gruenwald I | title = Can low-intensity extracorporeal shockwave therapy improve erectile function? A 6-month follow-up pilot study in patients with organic erectile dysfunction | journal = European Urology | volume = 58 | issue = 2 | pages = 243β8 | date = August 2010 | pmid = 20451317 | doi = 10.1016/j.eururo.2010.04.004 }}</ref><ref>{{Cite web|url=https://edclinics.co.uk/shockwave-therapy/|title=Shockwave Therapy for Erectile Dysfunction | ED Clinics|date=27 July 2020|access-date=22 September 2021|archive-date=23 September 2021|archive-url=https://web.archive.org/web/20210923151918/https://edclinics.co.uk/shockwave-therapy/|url-status=live}}</ref> Focused shockwave therapy appears to work best for males with vasculogenic ED, which is a blood vessel disorder that affects blood flow to tissue in the penis. The treatment is painless and has no known side effects. Treatment with shockwave therapy can lead to a significant improvement of the IIEF (International Index of Erectile Function).<ref>{{cite web | title = International Index of Erectile Function (IIEF): Guidelines on Clinical Application of IIEF patient Questionnaire | work = Department of Urology | publisher = Addenbrooke's Hospital | location = Hills Road, Cambridge, CB2 0QQ | url = https://www.camurology.org.uk/wp-content/uploads/interpretation-of-the-iief.pdf | access-date = 2021-09-22 | archive-date = 2021-10-26 | archive-url = https://web.archive.org/web/20211026022523/https://www.camurology.org.uk/wp-content/uploads/interpretation-of-the-iief.pdf | url-status = dead }}</ref><ref>{{cite journal | vauthors = Man L, Li G | title = Low-intensity Extracorporeal Shock Wave Therapy for Erectile Dysfunction: A Systematic Review and Meta-analysis | journal = Urology | volume = 119 | pages = 97β103 | date = September 2018 | pmid = 28962876 | doi = 10.1016/j.urology.2017.09.011 | s2cid = 7048621 }}</ref><ref>{{cite journal | vauthors = Clavijo RI, Kohn TP, Kohn JR, Ramasamy R | title = Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis | journal = The Journal of Sexual Medicine | volume = 14 | issue = 1 | pages = 27β35 | date = January 2017 | pmid = 27986492 | doi = 10.1016/j.jsxm.2016.11.001 }}</ref>
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