PSHOT & SHOCKWAVE
Costa Rica Medical PSHOT and Acoustic Wave Therapy
What is PSHOT?
The PSHOT consists of injecting growth factors into the tissue of the penis. Growth factors are created from the patient’s own blood and is called platelet-rich plasma PRP.
By taking 30-60cc of the patient’s blood, the physician uses a centrifuge to isolate growth factors. The growth factors are injected into the penis using a small needle. The procedure takes approximately 30 minutes.
Male Erectile Dysfunction
- 52% of men suffer from some form of Erectile Dysfunction
- The incidence of Erectile Dysfunction increases with chronic diseases like diabetes, hypertension, dyslipidemia, cardiovascular disease, alcohol abuse, and smoking
- 57% of those who report Erectile Dysfunction are between 40-60 years old
- Most cases are underreported due to embarrassment
- The first line of treatment is usually PDE5 Inhibitors (i.e., sildenafil, tadalafil, vardenafil, etc.)
- When PDE5 inhibitors don’t work, the next course is PSHOT (PRP), Shockwave, TriMix vasodilator Injections, and surgical implants.
What is TriMix?
Trimix is a prescription medication used to treat erectile dysfunction (ED). It is a combination of three medications: alprostadil, papaverine, and phentolamine. These medications are injected into the base or side of the penis to help increase blood flow and produce an erection.
Trimix is typically used when other treatments for ED, such as oral medications or vacuum pumps, have not been effective. It is usually administered by a healthcare provider in a medical office or clinic setting.
It is important to note that trimix is not a cure for ED and should not be used as a long-term solution. It is also not suitable for everyone, and the potential risks and benefits should be carefully considered before starting treatment. It is always important to discuss treatment options with a healthcare provider to determine the most appropriate course of action. It is strongly encouraged to consider TriMix only after PSHOT and Shockwave therapy does not show improvement.
Shockwave & PSHOT Therapy for ED
Jeff Ugalde, M.D.
Medical Director
What is Shockwave Therapy?
Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT), is a treatment that uses high-energy sound waves to stimulate blood flow (angiogenesis) to the penis and improve symptoms of erectile dysfunction (ED). ED is a common condition that affects the ability to get and maintain an erection sufficient for sexual activity. It can be caused by a variety of factors, including underlying health conditions such as heart disease and diabetes, as well as lifestyle factors such as smoking and excessive alcohol consumption.
During shockwave therapy, a device is used to deliver high-energy sound waves to the penis through the skin. The sound waves stimulate the growth of new blood vessels in the penis, which can improve blood flow and help to restore normal erectile function. Shockwave therapy is generally considered safe and non-invasive, and it does not require the use of medications or injections.
Shockwave therapy is generally used as a second-line treatment after other treatments, such as medications and lifestyle modifications, have been tried. It is important to discuss all treatment options with a healthcare provider to determine the best course of treatment for your specific needs.
Shockwave therapy is commonly combined with the p-shot. Shockwave therapy stimulates angiogenesis and the p-shot delivers concentrated PRP growth factors to the area providing a dual-action therapy that has been used extensively in Germany for many years and more recently throughout North and South America.
Historically shockwave therapy has been used to treat a variety of musculoskeletal conditions, such as plantar fasciitis and tendinitis. Of course, more recently shockwave therapy has become popular for treating erectile dysfunction.
The sound waves are delivered to the penis through a device that is applied to the skin. As the sound waves penetrate the skin they help to stimulate the regenerative process by promoting blood flow and reducing inflammation. Shockwave therapy is done on an outpatient basis.
How does shockwave therapy work?
Shockwave or commonly referred to as Acoustic wave therapy works by creating microtrauma to the tissue. This microtrauma does not cause pain or damage to the tissue. However, it induces a regenerative healing response in the body promoting angiogenesis and improving blood flow. In the specific case of the penis, the shockwave treatment encourages angiogenesis within the penile tissue improving blood flow and leading to more frequent and stronger erections.
Platelet-rich Plasma PRP
Platelet-rich plasma (PRP) is a type of blood plasma that has a higher concentration of platelets than what is typically found in the blood. Platelets are a component of blood that helps with clotting, and they also contain proteins called growth factors that are important for tissue repair and healing. PRP is often used in the field of sports medicine to help accelerate the healing of injuries, such as muscle strains and ligament sprains. To prepare PRP, a sample of the patient’s blood is drawn and then placed in a centrifuge to separate the platelets from the other blood cells. The resulting PRP solution is then injected into the injured area to promote healing.
Platelet-rich plasma (PRP) therapy is used with shockwave therapy to improve outcomes. The PSHOT is when platelet-rich plasma growth factors are injected into the penile soft tissue. These growth factors improve the body’s healing response following shockwave therapy. The combined effect of these two procedures assists with rejuvenating erectile tissue.
How many Treatments do I need?
Combined platelet-rich plasma and shockwave therapy are done during the initial session. An additional 2-5 shockwave therapy sessions are recommended following the initial combined treatment. For medical tourists in Costa Rica for only a short time, we recommend scheduling your first session on a Monday or Tuesday, then returning every other day before for another session before departing the country.
How much does the PSHOT Cost?
PSHOT in Costa Rica is currently $875 USD at our medical facility in Costa Rica. This includes the kits used to spin up the growth factors and the doctor’s time to inject them. Each shockwave therapy session is $125 USD. The first shockwave session is included free during the PSHOT session.
How much is Shockwave Therapy?
Shockwave therapy for erectile tissue is $125 USD per session.
What can I expect after treatment?
After a therapy session, you may experience some redness for a few hours. Usually within 1-2 hours you can return to normal activity. The procedure is considered a no downtime procedure.
Does the PSHOT and Shockwave Improve ED?
Research studies report improvement. Shockwave therapy and PSHOT therapy, however, are not miracle cures. Research via ultrasound shows improved blood flow. Nerve sensitivity is also reported among those undergoing a full course of the procedure. Additional therapies such as testosterone replacement and human growth hormone replacement can help as well. We can check for hormone deficiencies and replace levels to the optimum.
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Costa Rica Shockwave & P-SHOT Therapy
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