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Erectile dysfunction (ED) is a common sexual function problem that is experienced by up to 20 percent of all adult males. The older you get, the more likely you are to suffer from ED: 1 in 5 men under age 50 have it, but 1 in 3 men get it by age 60 and over half of men aged 70 and up have it. When you are suffering from ED, it can be difficult to find an ED doctor you can trust. At Low T Guru in Frisco, TX, Dr. Buch offers therapies such as GAINSWave® and treats patients confidentially and effectively so that they can feel confident being intimate with their partner again.

ED causes and treatments

Younger men who have ED are often suffering from low testosterone (low T), and correcting that issue can also treat ED. However, in many men, ED can persist even after low T treatment. In these cases, there may be a physical cause preventing the penile erection cylinders (corpora cavernosa) from keeping the blood in the penis, giving it the erectile “backbone.” Several issues can lead to ED symptoms, including, among others:

  • High blood pressure
  • High cholesterol
  • Atherosclerosis
  • Metabolic syndrome
  • Diabetes
  • Obesity
  • Depression, anxiety, and low self-esteem
  • Stress
  • Parkinson’s disease
  • Chronic kidney disease
  • Traumatic injury
  • Certain medications

Fortunately, effective treatments are available to help you achieve better erections. Dr. Buch can discuss the options that are appropriate for you based on a comprehensive evaluation and discussion of your symptoms and medical history.

  • Testosterone replacement therapy
  • Lifestyle changes such as losing weight and reducing alcohol consumption or smoking
  • ED medications, such as Viagra, Levitra, Cialis or Stendra, can be effective in treating many ED cases with few side effects
  • Penile injection therapy to get higher concentrations of medication to the area where it is needed
  • Vacuum constriction devices to pull blood into the penis
  • ED surgery to place an inflatable/deflatable penile prosthesis in the penile erection cylinders—in patients where other treatments have failed, satisfaction rates are over 90 percent

We are excited to offer a novel therapy called GAINSWave® to our ED patients as well. This is an all-natural and clinically proven extracorporeal shockwave therapy that is non-invasive and treats the underlying cause of ED.

GAINSWave therapy

Since starting GAINSWave therapy in our practice in January of 2018, we can report that more than two-thirds of men undergoing GAINSWave therapy with Dr. Buch are pleased with their results. Although most are still requiring at least some use of oral ED pills, some are not requiring the pills any longer and some men who were only responding to penile injection therapy are now responding to the pills once again. We have predictive data to indicate that the most rapid responses to the initial six weekly treatments are from men with milder ED and cases with shorter history of ED (75 percent positive results in this group), but even in many men with long-standing severe ED, including diabetics, we are seeing results. In the more severe and longer history of ED cases, more time and more treatments than the initial six weekly treatments are needed to achieve maximal results. In these cases, we continue with six monthly treatments at half price. Additional improvements have been achieved with adding PRP (platelet rich plasma) and stem cell injections of the penis to the protocol. We have been using PRP and stem cells combined since January of 2019, with further increases in our positive results.

How GAINSWave works

GAINSWave therapy employs low intensity shock waves, a much toned-down version of the technology originally used to “break up” kidney stones inside the body without surgery. It is not painful, and it has no worrisome side effects. There is no need to pre-treat with penile numbing creams. It works by virtue of stimulating a “healing inflammatory response” inside the penile cylinders that give a blood-filled backbone to a man’s erection. In cases of Peyronie’s Disease (PD), which is characterized by firm calcium deposits (plaques) within the penile cylinders that cause penile curvature with or without ED, we are also seeing a two-thirds response rate in terms of softening and reducing the size of the penile plaques (calcium deposits/scar reaction) and improving erections, especially when combined with PRP/stem cell injections.

PRP contains growth factors that stimulate a healing response from the cells in the penile erection cylinders that stimulate new blood vessel development and healing of “leakage” from the penile cylinders to yield a firmer erection. These effects are further enhanced by the stem cell chemical signals to the healing cells within the penile cylinders. The source of stem cells that we use is from the umbilical cord of newborn babies. Since the umbilical cord connects mom and baby with different immune systems, it will not create an immune reaction in any other person. The stem cells are frozen, so that both mom and baby can be tested and re-tested 6 months after freezing the stem cells to verify absence of communicable diseases such as HIV and hepatitis. We purchase the stem cells from highly regulated and FDA-compliant tissue banks. This is a richer and more potent source of stem cells than what is achieved from harvesting your own fat or bone marrow. Harvesting your own fat or bone marrow for stem cells can cause you discomfort as well.

Complementary protocols to achieve optimal results

Our program also involves assessment of testosterone levels and treatment of low T, when present, to maximize results in treating your ED. Patients have also reported improved penile sensation, stronger sensation of orgasm, and regaining of lost penile length and girth with our treatment. We employ the home use of penile vacuum devices and the use of low dose ED pills to assist with the healing process by virtue of increasing penile oxygen and blood flow levels even when the penis is in the soft state.

Once results have been maximized, it is usually necessary to continue GAINSWave treatments 2-4 times per year at half price of the initial treatments. We are now promoting the use of GAINSWave therapy along with PRP/stem cell injections at earlier and milder levels of ED in order to prevent progression to more severe levels of ED over the course of a man’s lifetime. We anticipate that this may become the future standard of care for ED.

If the symptoms of ED are affecting your intimate relationship, please feel free to ask Dr. Buch in Frisco, TX whether GW therapy or other ED treatments may be right for you. Call us at (972) 430-4554 to schedule an appointment.

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