Summary
Dr. Ann Truong, a board-certified medical doctor specializing in men's health with over 25 years of experience and 7,000+ ED patients treated, presents a new protocol for focused shockwave therapy that targets both the penis and the pelvic floor muscles. She explains the detailed cellular mechanism of how focused shockwave works: sound wave energy creates shear stress in microtubules, triggers endothelial microtrauma and repair, stimulates neoangiogenesis, reverses fibromuscular changes to restore tissue elasticity, and promotes nerve regeneration. The new protocol adds treatment of the bulbocavernosus and ischiocavernosus muscles (pelvic floor muscles), which are responsible for erection support, orgasm intensity, ejaculation, and bladder control. Dr. Truong also provides a Kegel exercise progression for strengthening these muscles and distinguishes focused shockwave from radial shockwave, noting that all published ED research has used focused devices.
Key Points
- Focused shockwave creates shear stress and endothelial microtrauma that triggers neoangiogenesis and tissue regeneration
- ESWT reverses fibromuscular changes in penile tissue, restoring muscle elasticity and blood flow capacity
- All published ED research has used focused shockwave, not radial devices
- New protocol adds pelvic floor muscle treatment targeting bulbocavernosus and ischiocavernosus muscles
- Pelvic floor muscles control erection support, orgasm intensity, ejaculation force, and bladder control
- Shockwave also promotes Schwann cell-mediated nerve repair and regeneration
- Daily Kegel exercises strengthen pelvic muscles and complement shockwave treatment
Key Moments
Cellular mechanism of focused shockwave for ED explained
Dr. Truong details how focused shockwave creates shear stress in microtubules, triggers endothelial microtrauma and repair, stimulates neoangiogenesis, and reverses fibromuscular changes to restore penile muscle elasticity and blood flow.
"It also stimulates a neoangiogenesis, which is new blood vessel formation, which then improves blood flow to the penis."
All ED research uses focused shockwave, not radial
Dr. Truong clarifies that all published research on shockwave for ED has used focused devices, not radial shockwave, and introduces a new protocol that also targets pelvic floor muscles for improved orgasm, ejaculation, and bladder control.
"all the research that has come out in the last 10 years about shockwave has been on focused shockwave. There has been no study that has shown that radio shockwave or shockwave that you hear like Gaines wave or the other pulse shockwave has been helpful for ED in research published study."
Pelvic floor muscles as the missing piece in ED treatment
The new protocol targets bulbocavernosus and ischiocavernosus muscles that control erection angle, orgasm intensity, and ejaculation force. Daily Kegel exercises complement shockwave by strengthening these often-neglected muscles.
"these muscles are responsible for holding the penis up a little bit straighter, responsible for orgasm, the intensity of the orgasm, and these muscles are responsible for ejaculation,"
