Shockwave Therapy for ED

Shockwave Therapy for ED & PSHOT offer a dual-action regenerative therapy for erectile dysfunction in men. Ultrasound studies show that if successive treatments are done, angiogenesis of the penile tissue improves to a degree that can improve erections.

Shockwave Therapy for ED

Shockwave therapy for ED uses acoustic waves to stimulate angiogenesis and tissue regeneration in erectile tissues.

Shockwave, also known as acoustic wave technology, has been used in medicine for several decades, with various applications and developments over time. Here are a few notable milestones in the development of acoustic wave technology in medicine:

  • Lithotripsy: One of the earliest and most well-known uses of acoustic wave technology in medicine is lithotripsy, a non-invasive procedure for breaking up kidney stones using shock waves. The first lithotripters were developed in the 1980s and used focused shock waves to break up stones from outside the body.

  • Extracorporeal shock wave therapy (ESWT): ESWT is a non-invasive treatment for various musculoskeletal conditions, including plantar fasciitis and tendinopathies. It uses shock waves to stimulate healing and reduce pain. ESWT was first used in the 1990s and has since been used in various clinical settings.

  • High-intensity focused ultrasound (HIFU): HIFU is a newer application of acoustic wave technology that uses high-intensity ultrasound waves to heat and destroy tissue, often used for the treatment of cancer. HIFU has been used in clinical trials since the 1990s and has since been approved for use in various countries for certain types of cancer.

Overall, acoustic wave technology has been developed and used in medicine for several decades, with new applications and advancements being made over time.

Over the past 10 years, it was used frequently in Europe for improving erectile dysfunction in men. More recently news of its benefits spread to the United States and other countries. It has become the first line of treatment for erectile dysfunction when oral medications don’t work well for the patient. 

Acoustic Wave Technology

We use a state-of-the-art dual handpiece machine that enables us to rotate treatment as we are performing the procedure. We can vary settings between the areas served without losing time. This helps to reduce treatment time for the patient. 

The procedure usually is finished in under 30 minutes. It also includes Platelet-rich Plasma therapy injections into the tissue to enhance tissue regeneration. 

  • Benefits:
  • New tissue generation.
  • Regeneration of old tissues.
  • Increase in girth over time.
  • Potential for stronger / harder erections. 
Shockwave Therapy for ED
Extracorporeal Shock Wave Therapy Machine

Platelet-rich Plasma / PSHOT

Platelet-rich plasma (PRP) is also processed and injected into the penile tissue. This promotes cell regeneration by concentrating growth factors to trigger cell regeneration. It promotes the healing and angiogenesis of new blood vessels. 

PRP is Platelet-rich-Plasma

Platelet-rich Plasma (aka PRP) consists of two components. These are the liquid portion of the blood – 1) plasma and 2) platelets. Platelets are a component of the blood responsible for healing throughout the body. Platelets contain the much-needed growth factors which regenerate cell damage during the healing process. 

Platelet-rich plasma therapy is a method of injecting growth factors into areas of the body to aid and support the regeneration process. It helps accelerate and improve tissue repair in patients. The medical practitioner typically takes 30cc to 66cc of the patient’s own blood, then places it into a centrifuge system to concentrate platelets and growth factors.  The goal of the procedure is to get a concentration of platelets of around 1 million to 1.5 million platelets per microliter. This has been found to offer the best regenerative outcomes using PRP. 

PRP includes 7 growth factors for regeneration and 1 angiogenic factor for vascularization. Your body already has all of these factors built in to rejuvenate tissues whenever they are damaged or diminished through normal wear and tear. However, scientists and doctors have found that better results can occur when we take these healing factors from the blood, concentrate them, and re-inject them into the body. 

The table below provides a complete list of the key growth factors contained within a platelet-rich plasma formulation. 

Table 1 - PRP Rejuvenating Components

PDGF - Platelet Dreived Growth Factor macrophage activation, angiogenesis, fibroblast chmotaxis, collagen synthesis, enhances proliferation of bone cells.
IGF-1 - Insulin Like Growth Factor 1 chemotactic for myoblast and fibroblasts and stimulates protein synthisis, mediator of growth and repair of skeletal muscle, enhances bone formation by proliferation and differentiation of osteoblasts.
TGF-B - Transforming Growth Factor B enhances proliferative activity of fobroblasts, stimulates biosynthesis of type I collagen and fibronectin, induces deposition of bone matrix, inhibits osteoclast formation and bone resorption, regulation in balance between fibrosis and myocyte regeneration.
PDEGF - Platelet Derived Endothelial Growth Factor promotes wound healing by stimulating the proliferation of keratinocytes and dermal fibroblasts.
PDAF Platelet Derived Angiogenic Factor Induces vascularization by stimulating vascular endothelial cells.
EGF - Endothelial Growth Factor cellular proliferation, differentiation of epithelial cells.
VEGF - Vascular Endothelial Growth Factor angiogenesis, migration and mitosis of endothelial cells, creation of blood vessel lumen, vasodilation indirectly through the release of nitrous oxide.
HGF - Hepotocyte Growth Factor stimulates hepocyte proliferation and liver tissue regeneration, angiogenesis, mitogen for endothelial cells, antifibrotic.

Platelet-rich Plasma Procedures

Because platelet-rich plasma is a natural healing enhancer through the concentration of growth factors, there are a number of applications for it. Many physicians and medical practitioners will use PRP to augment other procedures such as cosmetic surgery or will use it alone to help with natural tissue repair. 

Some common applications include:

  • Stimulated regrowth of hair loss
  • Treating wounds
  • Lower back pain
  • Managing chronic pain
  • ED (PSHOT)
  • Osteoarthritis
  • Tendonitis
  • Knee problems
  • Facial rejuvenation with micro-needling (Vampire Face Lift)

Mechanism of PRP

Once the preparation of platelet-rich plasma is completed, it will be injected into the damaged tissue area or to aid in healing for cosmetic purposes. In some cases, the practitioner will use an ultrasound to guide the injection into the specific injection location. This is done only if necessary as PRP growth factors will naturally migrate to the area of inflamation or trauma. 

Once the platelet-rich plasma growth factors are injected, the cascade of regenerative mechanisms will go to work for about 7-10 days. Generally, the number of platelets and growth factors in the area will determine to some extent the tissue healing rate. Since there are many factors in play, this is not an exact science. A lot will also depend on the overall metabolic health of the patient. 

PRP Versus Stem Cell Therapy

Platelet-rich plasma is not stem cell therapy. Although stem cell therapy is very similar in many respects, it is not a stem cell transplant. 

How Much Does PRP Therapy Cost?

Typical platelet-rich plasma therapy by board-certified doctors will range between $750 to just over $1,000 US dollars, depending on the complexity of the procedure. In some procedures, additional equipment or forms of additional scaffolding support may be required and may impact the procedure. 

Our regenerative state-of-the-art Platelet-rich Plasma therapies are performed by board-certified doctors. 

The purpose of Platelet-rich plasma, a near stem cell level protocol, is to concentrate the body’s own healing growth factors into a platelet-rich plasma. The PRP is then re-injected into the patient to help support soft tissue damage, accelerate healing, and even is now being used for ED.

PRP Therapy uses the patient’s own blood, so rejection and cross-contamination is not a concern with proper technique.

PRP is gaining popularity because of its low risk and potential for stimulating healing in difficult to heal areas of the body such as joints and tendons.

Platelet-Rich Plasma uses go far beyond soft tissue injury. It is now used for chronic conditions like erectile dysfunction for nerve and vascular support, stimulation of hair regrowth when combined with micro-needling and minoxidil treatment.  Many also use it for its aesthetic benefits with facial rejuvenation procedures from laser or microneedle therapy – often referred to as the Vampire Facelift.

Combine a practical rejuvenation therapy with PRP, laser treatment, fillers and Botox for combined minimally invasive procedures resulting in little or zero down-time

Human Growth Hormone Therapy

Human growth hormone is a regenerative therapy. The benefits of HGH are many. Many patients will elect to obtain an HGH prescription following the Shockwave / PSHOT therapy to promote cell regeneration. 

At our international treatment centers in Costa Rica and Mexico, we are able to offer HGH therapy at about 1/3 the cost in the United States. This reason alone is one of many why patients travel to our clinics for therapies. Most Shockwave Treatment centers in the USA do not offer this option. It is unique to our ED therapies.  

Learn about HGH Pricing and Download PDF

Norditropin HGH Price Updates | Anti-Age Costa Rica

You will get the updated pricing for real HGH (Norditropin HGH), plus any discounts offered. 

Anti-Aging and Wellness Center by Age Metrics Medical S. A.

The Anti-Aging & Weight Loss Center by Age Metrics Medical is part of the original Anti-Aging and Wellness Medical Clinic (Est. 2013). The clinic is one of the longest-running most successful anti-aging centers in all of Latin America for Weight Loss and Anti-Aging and Wellness therapies. Our doctors are US board-certified in Anti-Aging and Regenerative Medicine by the A4M.

Costa Rica Weight Loss Center

Board-Certified Anti-Aging & Regenerative Medicine A4M

Providing evidence-based Anti-Aging, Weight Loss, and Regenerative therapies. All of our treatment programs are supervised medically by Dr. Jeff Ugalde, MD. He has been part of the Anti-Aging and Wellness team since 2014 serving as its Medical Director. He is the most experienced doctor in Anti-Aging Medicine in Costa Rica. He has over 20 years of experience as a physician and is US board certified by the American Academy of Anti-Aging and Regenerative Medicine. 

Shockwave therapy doctor in Costa Rica
Dr. Jeff Ugalde, M.D.

Medical Experience & Certifications

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