Observation Drive, Suite # 102.

Germantown, MD 20876, USA 20410

Phone: 301.944.1575
Fax: 301.972.6098
marketing@medispec.com

The Sound Alternative to Surgery

Frequent Asked Questions

General
What is the ED1000?
The ED1000 is a paradigm shift in the treatment of vascular origin Erectile
Dysfunction utilizing Extracorporeal Shockwaves.
Who can use the ED1000?
The ED1000 should be used by a trained Personal. This could be an Urologist or a nurse
with the supervision of an Urologist. All users should undergo training by Medispec or
its local authorized representative to operate the ED1000.
What are Shockwaves?
Shockwaves are acoustic waves, similar to ultra-sound waves that are generated by an
underwater high-voltage spark. Shockwaves are single pulse waves with high-pressure
amplitude, small pulse width and a short rise time. Shockwaves are delivered noninvasively, focused by a special ellipsoid reflector.
What are the inclusion criteria for treatment?
Patients with documented vascular related ED and No hormonal, neurologic or
psychological pathology
What are the exclusion criteria for treatment?
Patients with the following conditions:

Any cause of ED other than vascular etiology

Any unstable medical or psychiatric condition, spinal cord injury, penile
anatomical abnormalities including Peyrones disease
Clinically significant chronic hematological disease
Cancer within the past 5 years in the treated area

Is the treatment being conducted in a discreet manner?

The Urological clinics are by nature discreet, during the treatment only the
treatment administrator is present and the treatment is held in a private room

www.medispec.com

Observation Drive, Suite # 102. Germantown, MD 20876, USA 20410

Phone: 301.944.1575
Fax: 301.972.6098
marketing@medispec.com

The Sound Alternative to Surgery

Is it necessary to hospitalize the patient?

There is no need to hospitalize the patient before or after the treatment; the treatment is a
non-invasive painless and the patient is able to return to his daily routine.
I have heard that the shock wave applicator (lithotripter) in the Urology
department is noisy and there is a need to wear ear protection. Is it required
during ED treatment?
No. Unlike Urologic applications, ED treatment with shock wave requires less powerful
shock waves (1/10th of Lithotripsy). For that reason the ED1000 is fitted with a smaller
generator, producing less intense electrical sparks thus generating significantly less noise.
There is no need to wear ear protection during treatment.
Is there a significant difference between Erectile Dysfunction Shockwave
Therapy and other ED treatment option?
Shockwave Therapy is a non invasive therapy where we trigger natural mechanism in the
patient body to address vascular problems that cause Erectile Dysfunction and not only
treat the symptoms.
In other therapies treatment can involve either pharmaceutical therapy using PDE5-I that
have systematic load on different organs and can be accompanied with different reported
side affect or using Vacuum pumps to induce a mechanical erection.
Other treatments options offer temporary solution that treat the symptom of ED but not
the cause
Why should I prefer this treatment instead of PDE5-I that I take today ?
Although there is no doubt on the impact that PDE-5 inhibition medication has on the
field of sexual medicine, there is a growing realization that pharmacotherapy is not
sufficient, especially in such delicate and complex matter as the male sexuality. When it
comes to the male sexuality, we have to attribute physiological as well as emotional
factors that concern the treatments of ED and have not been solved by PDE-5 inhibitors,
such as spontaneity in sexual intercourse and mainly the self esteem that is damaged by
the dependency on medication in order to be bale to have sexual intercourse. The
ED1000 is able to address these issues and also treat the cause of the problem not just
manage the symptoms and without the systematic load that we have with
pharmacotherapy.

www.medispec.com

Observation Drive, Suite # 102. Germantown, MD 20876, USA 20410

Phone: 301.944.1575
Fax: 301.972.6098
marketing@medispec.com

The Sound Alternative to Surgery

Pre Treatment
Is there a need for special pre treatment procedure?
There is no need for any special pre treatment procedure
What are the reasons behind choosing the suggested protocol?
This protocol was chosen based on our extensive clinical proven experience in treatment
of cardiovascular ischemia, in order to maximize the effect of shockwaves on the
development of collaterals. Collaterals develop usually within 2-3 weeks, which is the
reason for the chosen intervals between treatments. In addition, animal studies found that
maximal expression of angiogenic factors occur after 4 weeks.

During Treatment
Is the treatment painful?
The treatment is not painful and there is no need to use any kind of sedation
during treatment
What does the patient feel during treatment?
The patient sometimes feels a tickling sensation in the treatment area during treatment.
This effect passes immediate or shortly after the treatment is stopped.

Post Treatment
Is there any side effect of the treatment?
No. There were no reports of side effects during, immediately after or post treatment.
Is it possible to undertake repeated sessions?
Yes. Shockwaves could be delivered as long as there is a clinical need for ED therapy.
Is there a need for special post treatment procedures?
No, there is no need for any post treatment procedures
Can the patient engage in sexual activity after each session?
There is no restriction of sexual activity before or after treatments

www.medispec.com

Observation Drive, Suite # 102. Germantown, MD 20876, USA 20410

Phone: 301.944.1575
Fax: 301.972.6098
marketing@medispec.com

The Sound Alternative to Surgery

How soon after treatment protocol initiation shall I feel any difference in sexual
performance?
Some of the patients have reported an improvement after 6 treatments already (3
weeks from initiation of therapy)
Can PDE5-I be used until I feel clinical improvement with EDSWT treatment?
PDE5-I are permitted to use until reaching satisfying improvement
How long does the treatment effect last?
There is clinical evidence that treatment effect is lasting from 6 months and up to
18 months
Is there a change in the intake of medication after treatment?
Yes. There is a reduction in the consumption of PDE5-I after completion of all treatments
sessions.

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