Focused Shockwave Therapy in Paris
Dr Adam Vardi - Urologist
Management of chronic pelvic-genital conditions
Focused shockwave therapy in Paris
Low-intensity focused shockwave therapy (Li-ESWT) is a major non-invasive, drug-free therapeutic advance in the management of several chronic pelvic-genital conditions. Initially used in urology for high-energy fragmentation of stones (lithotripsy), shockwaves are now employed at low energy for their regenerative and analgesic properties.
Dr. Adam Vardi uses this technology in his practice to treat erectile dysfunction, Peyronie’s disease, and chronic pelvic pain syndromes.
Biological mechanisms of action: neo-angiogenesis
Urological Surgery in Paris & Neuilly
Contrary to widespread belief, low-intensity shockwaves do not create tissue lesions. They deliver acoustic energy that traverses the tissues and generates a phenomenon of mechanotransduction. This mild mechanical stress induces a biological response at the cellular level:
- Release of growth factors: stimulates the formation of new blood capillaries.
- Neo-angiogenesis: the creation of new vessels restores deficient vascularization, a crucial aspect of erectile function.
- Recruitment of stem cells: promoting regeneration of damaged or fibrotic tissue.
- Anti-inflammatory and analgesic effect: through modulation of pain transmission and reduction of local tissue inflammation.
Urological treatments by focused shockwave therapy in Paris
Docteur Adam Vardi - Urologist
1. Vascular erectile dysfunction
Erectile dysfunction (ED) is often the consequence of cavernous arterial insufficiency (atherosclerosis). While conventional drug treatments (PDE5 inhibitors) treat the symptom, focused shockwaves aim to treat the cause by improving blood perfusion of the penis. The protocol consists of several sessions spread over a few weeks. The treatment is particularly effective in patients who respond only partially to medication or who wish for an alternative to pharmaceutical therapy. It often restores spontaneous erectile function or improves the efficacy of oral treatments.
2. Peyronie’s disease (penile curvature)
Peyronie’s disease is characterized by the formation of a fibrous plaque (scar) on the tunica albuginea of the corpora cavernosa, leading to penile curvature during erection and sometimes pain. The application of focused shockwaves during the inflammatory (painful) phase of the disease allows: – Significant reduction of pain during erections. – Stabilization or reduction of the fibrous plaque through mechanical and biological effects. – Improved tissue suppleness to limit the progression of the curvature.
Focused Shockwave Therapy
Urologist in Paris
Major clinical applications
3. Chronic perineal and pelvic pain
Chronic pelvic pain syndrome (CPPS) is a complex condition affecting patients’ quality of life. Shockwaves act here as a powerful pain modulator. By reducing tension in the pelvic floor muscles and acting on local nerve endings, they produce a lasting reduction in perineal pain symptoms, often where conventional drug treatments (analgesics, alpha-blockers) have failed.
4. Chronic abacterial prostatitis
Some forms of chronic prostatitis are not related to active bacterial infection but to a residual inflammatory state of the prostate gland. Focused shockwaves, through their ability to penetrate tissues deeply, can reach the prostate via the perineum. The anti-inflammatory effect and improvement in local microcirculation contribute to the reduction of associated voiding disorders and sensations of pelvic heaviness.
Treatment course and clinical protocol
Shockwave therapy is an outpatient procedure performed directly in the doctor’s office.
- Patient comfort: The treatment is painless. A slight tingling or vibrating sensation may be felt, but no anesthesia is required.
- Duration: A session lasts approximately 15 to 20 minutes. The patient can resume work and personal activities immediately after the session, without any restrictions.
- Frequency: The standard protocol generally consists of 6 sessions, at a rate of one to two sessions per week, depending on the condition and the observed tissue response.
Unlike “radial” shock waves (often used in physical therapy for tendinitis), the focused shock waves used by Dr. Vardi allow the energy to converge with millimeter precision on the target area (corpus cavernosum, fibrotic plaque, or prostate), ensuring maximum effectiveness at depth without damaging superficial tissues.
Safety and Contraindications
Focused shock waves have an excellent safety profile. Side effects are rare and mild (mild local redness or temporary bruising). The main contraindications are:
- Severe bleeding disorders or high-dose anticoagulant therapy.
- The presence of an active local tumor in the treatment area.
- An acute urinary tract infection during treatment.
Conclusion
Focused shock wave therapy offers a practical and scientifically validated alternative for patients suffering from andrological conditions or chronic pelvic pain. By harnessing the body’s natural regenerative abilities, this technology delivers lasting results while avoiding the burdens associated with daily medication or major surgical procedures.