Clinical Lead
Meva Clinic Clinical Care Team
ESWT Shockwave Therapy
Meva Clinic Clinical Care Team
Meva Clinic Clinical Care Team
Patient Care Information
Patient Care Information
"Our clinical approach prioritizes patient safety, individualized treatment planning, realistic expectations, and long-term follow-up throughout the international care journey."
About This Procedure
Why Choose Meva Clinic?
Meva Clinic Clinical Care Team
Meva Clinic Clinical Care Team
Patient Care Information
Meva Clinic Clinical Care Team
Clinical Governance & Specialist Pathway Standards
This content is maintained by Meva Clinic’s Clinical Care Team for patient guidance and clinical transparency. Final treatment suitability, operating physician assignment, surgical planning, and medical decisions are confirmed only after medical history review, in-person consultation, diagnostic tests, anesthesia evaluation, and doctor availability.
Is This Treatment for Me?
Mild to moderate ED caused by reduced blood flow
Men who prefer a non-invasive, drug-free option
Men who want to avoid surgery and anaesthesia
Comprehensive International Patient Care Plan
Private airport transfer according to the confirmed care plan
Bosphorus-view partner hotel, according to the confirmed care plan
Dedicated patient support during the confirmed care pathway
Aftercare guidance or materials according to the confirmed treatment plan
Follow-up guidance according to individual medical recommendations
The Clinical Procedure
Acoustic pulse application (6 sessions).
Confidential Assessment
Review of ED history, medications and risk factors such as diabetes or high blood pressure, to judge whether a blood-flow cause is likely.
Preparation
A conductive gel is applied to the penis; no anaesthesia or fasting is needed.
Shockwave Session
Low-intensity acoustic pulses are applied along the shaft with a handheld probe. A course is usually about 6–12 sessions, once or twice a week, not daily.
Course Planning & Review
Tolerance is checked after each session. The course can be completed in one longer stay, split across visits, or booked as single sessions, and response is reviewed after it ends.
Recovery & Transformation Journey
Phase 1: First Session
Usually well tolerated, with no anaesthesia needed. Daily routines resume straight after the outpatient session.
Phase 2: Weeks 1–6, Treatment Course
About 6–12 sessions, once or twice a week, spaced rather than daily. They can be completed during a longer stay or split across visits. Any change is gradual.
Phase 3: 1–3 Months After the Course
Response is assessed with the IIEF erectile-function questionnaire, the same one used at the start. Not every man responds.
Phase 4: Around 6 Months
A remote review checks whether any improvement is maintained. A repeat course, which further improved function in some men in a randomised trial, or another option can be discussed.
The Meva Advantage
Medical-grade low-intensity shockwave device.
Medical Guidelines & Safety Protocols
Hospital-based procedures are coordinated through accredited partner hospitals, including JCI-accredited institutions where clinically appropriate. Below are the clinical guidelines, safety protocols, and medical reference documentation for this procedure.
Indicated / Suitable For
- Men with mild to moderate erectile dysfunction in whom reduced blood flow (vasculogenic ED) is the likely main cause.
- Men who respond only partly to erection tablets and want to support blood-vessel function, or who prefer a drug-free, non-invasive option.
- Men with vascular risk factors such as well-controlled diabetes, high blood pressure or raised cholesterol, after their general health has been reviewed.
- Men who can attend the full course of six outpatient sessions as scheduled in their care plan.
- Men who accept that improvement, if it occurs, is gradual, that not every man responds and that the effect may fade over time.
Contraindications / Not Suitable
- Severe erectile dysfunction, or ED with a mainly neurological, hormonal or psychological cause, where other treatments are more likely to help.
- A penile prosthesis already in place, or active infection, open wounds or skin disease on the penis.
- Uncontrolled bleeding disorders, or anticoagulant treatment that has not been reviewed by the doctor before sessions start.
- New, unexplained erection problems together with chest pain, breathlessness or uncontrolled cardiovascular disease, which need cardiological assessment first.
- Recent pelvic radiotherapy or active cancer in the treatment area, unless the treating specialist has cleared the treatment.
Pre-Operative Evaluation & Diagnostic Checks
Confidential Erectile Function Assessment: History of the erection problem, response to tablets and a validated score such as the IIEF-5 to grade severity and track change.
Cardiovascular Risk Review: Blood pressure, blood sugar (HbA1c) and cholesterol, since ED can be an early sign of vascular disease that deserves its own care.
Hormonal Check Where Indicated: Morning testosterone and related tests if symptoms suggest a hormonal contribution.
Penile Doppler Ultrasound When Needed: Measures blood flow in the penis to confirm a vascular cause when the history is unclear.
Potential Risks & Complications
In compliance with transparent clinical reporting, Meva Clinic ensures patients are fully informed of the physiological risks associated with surgical procedures through accredited partner-hospital safety protocols where clinically appropriate.
A tapping or tingling sensation is usual; the intensity is low, no anaesthesia is needed and the settings can be adjusted if it feels uncomfortable.
Brief redness or pinpoint bruising (petechiae) along the shaft can appear, mainly in men taking blood thinners; it fades within days.
Some men notice mild tenderness or a heavy feeling after a session; it usually settles within a day, and daily routines continue.
Recent systematic reviews report mixed results, and many trials fall short of a clearly meaningful improvement; progress is measured after the course so another option can be discussed early.
In men who respond, the benefit may lessen over the following months; remote follow-up tracks this, and a repeat course or combination with tablets can be considered.
ED can signal heart or blood-vessel disease; that is why cardiovascular risk is reviewed first, and shockwave therapy never replaces that assessment.
Realistic Expectations & Outcomes
Meva Clinic Clinical Care Team
Revision & Follow-Up Policy
Follow-up continues remotely through your coordinator, with reviews at around 1, 3, 6 and 12 months that repeat the erectile-function questionnaire. If there is no response, the doctor may suggest combining shockwave therapy with tablets or moving to another option. If a good early response fades, a repeat course can be discussed. Any further treatment is planned individually after assessment. For 12 months after your treatment you can also send photos to the medical team whenever you wish and receive their feedback, and your questions are answered remotely.
Authoritative Medical References & Studies
- [1]Clavijo RI, Kohn TP, Kohn JR, Ramasamy R. Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis. J Sex Med. 2017;14(1):27-35.View Source
- [2]You CH, Kang YN, Wen YC, et al. A close look at the evidence on low-intensity shockwave therapy in erectile dysfunction: a systematic review and meta-analysis of randomized controlled trials. J Sex Med. 2026;23(4).View Source
- [3]Kohn T, El-Sakka A, Facio F, et al. Systematic review on the safety and effectiveness of restorative therapies for erectile dysfunction. J Sex Med. 2026;23(7).View Source
- [4]Hayon S, Panken EJ, Bennett NE. Variations in Low Intensity Shockwave Treatment Protocols for Erectile Dysfunction: A Review of the Literature and Guide to Offering Treatment. World J Mens Health. 2024;42(2):283-289.View Source
- [5]Kalyvianakis D, et al. Low-Intensity Shockwave Therapy for Erectile Dysfunction: A Randomized Clinical Trial Comparing 2 Treatment Protocols and the Impact of Repeating Treatment. J Sex Med. 2018;15(3):334-345.View Study
Medical Disclaimer: Meva Clinic Clinical Care Team
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Procedure Details
Hospital Stay
None
Hotel Package
Flexible (per session or course)
Return to Work
Immediate
Anaesthesia
None