Male Intimate Shockwave+PRP
Private treatment room · male physician · complete the full protocolMOHW-approved · TAAM-listed first-line option · ~75% average clinical satisfaction
Private treatment room · male physician · painless shockwave · near-painless PRP
EAU conditionally-supported · evidence accumulating · physician-evaluated case suitability · IIEF-5 quantitative tracking
Your Male Intimate Regenerative Treatment Includes
Private treatment room · male physician throughout
Low-energy shockwave · mechanical waves awaken repair
Painless shockwave · no anesthesia · evidence accumulating
Cavernosal PRP · autologous platelet growth factors
EAU conditionally-supported · suitable as part of combination therapy
IIEF-5 quantitative tracking · honest disclosure of efficacy range
※ Click any chip to view full scope and exclusion terms
From Inquiry to Follow-Up at a Glance
Submit Inquiry
Fill out the online form, or send photos via LINE
Personal Reply From the Doctor
After reviewing your details, the doctor shares an initial assessment and next steps
In-Person Evaluation
Palpation, ultrasound, and imaging — full recommendations given on the spot
Surgery Day
Local anesthesia — you go home the same day
Full Follow-Up
Suture removal, online wound care advice via photo upload anytime, and 3 follow-up visits — all part of the treatment
Want a faster appointment? Here are a few ways
Share one of our posts publicly, and stay flexible for a visit within two weeks
Add our LINE, follow us on IG/FB and share a post, while keeping your schedule open for two weeks. Send us the screenshot when you book — the moment another patient cancels, we’ll call you to fill the slot first
Willing to let your case (no name, no face shown) be used as patient education
Sign the consent form and we’ll prioritize your consultation — your privacy is fully protected throughout
How to use: Please tell our booking staff via LINE message which option(s) you’d like to use — LINE leaves a written record so both sides stay aligned. In person works too, but please follow up with a quick LINE confirmation.
Fair use: To keep things fair to other patients — once priority scheduling is activated, please honor the matching commitment at your consultation (post stays public until your visit, consent form signed as agreed, responsive to standby notifications). If priority is activated but not fulfilled, you’ll return to the standard queue and future use of this option will need to be reassessed.
※ All of the above are entirely voluntary — choose one, several, or none. It won’t affect your care
* Typical timeline; may vary by individual case
Want to know which path fits your situation? Either way works — pick whichever feels easier.
Liusmed Clinic — Cross-Specialty Core Principles
From skin tumors to male intimate care, we hold to "you can only treat what you can see." Ultrasound guidance grounds every needle, every shockwave on anatomical confirmation rather than tactile guesswork.
Privacy · Comfort · Completion
Treatment-Room Privacy
Only the male physician is with you inside the treatment room; no nursing staff inside. Other clinic services continue normally — this is room-level clearance, not whole-clinic shutdown.
Painless Shockwave · Near-Painless PRP
Low-intensity shockwave itself is painless and needs no anesthesia (standard Taiwan medical education phrasing). PRP injection combines local anesthesia with a refined buffering technique — most patients describe it as "barely noticeable." High clinical satisfaction supports completing the full protocol with confidence.
Complete the Full Protocol
A comfortable treatment experience lets you complete the 6–12 session protocol your physician plans — the practical key to optimal outcomes, and the premise behind the significant IIEF-5 (International Index of Erectile Function, 5-item)/EHS/QoL gains documented in Taiwan cohort research (Tzou 2021).
You Might Be Experiencing
Taiwan data estimate ED prevalence at 16–17% in men over 40, yet only ~10% seek care. Shame is the biggest barrier — we designed our workflow to lower it.
- Insufficient rigidity or difficulty maintaining erection
- Losing firmness mid-way, condom-related softening
- Reluctant to rely on oral ED (Erectile Dysfunction) medication long-term
- Stress-related performance or relationship impact
Share result to clinic LINE in one click. No real name required, data stays in your browser. Internationally validated, 2 minutes.
Why Shockwave × PRP Genuinely Rebuilds Vessels
At the heart of declining erectile function is aging cavernosal microvasculature and waning endothelial function. Oral medications (PDE5i) only amplify existing signals — they do not rebuild tissue. Shockwave × PRP takes a different path: working directly at the vessel level.
PRP α-Granules: Repair Toolkit
High-concentration platelets centrifuged from your own blood (i.e. PRP, Platelet-Rich Plasma) release α-granules upon activation — packed with PDGF (Platelet-Derived Growth Factor), TGF-β (Transforming Growth Factor Beta), VEGF (Vascular Endothelial Growth Factor), and EGF growth factors. Like precision-delivered "repair parcels," they recruit cavernosal microvessels to regrow, fibroblasts to resume work, and nerve endings to reconnect.
Shockwave Mechanotransduction: Waking Dormant Repair
Low-intensity shockwave (LI-SWT, Low-Intensity Shockwave Therapy) is not brute-force impact — it transmits acoustic waves that create microscopic shear stress in tissue, prompting endothelial cells to release nitric oxide (NO, the key vasodilator signal) and upregulate VEGF. In plain terms: it tells aging vessels "time to grow new ones" and recruits endothelial progenitor cells to build.
Shockwave × PRP: Demolition + Reconstruction
Shockwave alone is "demolishing old plumbing"; PRP alone is "delivering new materials." Combined, the tissue first enters a "repair-needed" state and then immediately receives a high-concentration repair toolkit. This is the biological basis behind Zhou 2025's meta-analysis showing combination therapy significantly outperforming monotherapy at 12–24 weeks.
What the Studies Say — What It Means for You
We surface the 4 most pivotal studies from the past 7 years, each with a "what it means for you" — translating academic numbers into the questions you actually bring to the clinic.
Combined vs Monotherapy vs Oral Medication
Each treatment has its place — there is no single "perfect solution." This table consolidates RCTs and meta-analyses (Lu 2018, Poulios 2021, Zhou 2025) so you and your physician share a common vocabulary.
| Item | Shockwave × PRP (Our Main Protocol) | LI-SWT Alone | PRP Alone | Oral PDE5i |
|---|---|---|---|---|
| Mechanism | Mechanotransduction + growth-factor vessel rebuild | Acoustic stimulation of endothelial NO/VEGF | Provides growth factors without repair trigger | Inhibits PDE5, amplifies existing NO signal |
| Tissue Repair | ★★★ (synergistic, advantage clear at 24 wk) | ★★ (steady accumulation) | ★★ (positive signal from Poulios 2021 RCT) | ✗ (does not repair tissue) |
| Time to Effect | 4–12 weeks, progressive | 8–12 weeks | 4–8 weeks (visible by 1 month in Poulios RCT) | 30–60 min (on-demand) |
| Duration | Long-term (6–24+ months, individual) | Long-term (depends on completion) | Mid-long term | Per dose: 4–36 hours |
| Common Side Effects | Mild bruising, brief sensitivity (< 5%) | Rare petechiae (< 3%) | Local soreness, bruising (< 10%) | Headache, flushing, dyspepsia |
| Best For | Mild-to-moderate vasculogenic ED; PDE5i non-responders; seeking long-term solution | Mild vasculogenic ED | Mild-moderate ED open to evolving regenerative therapy | Those who need on-demand quick effect |
Key Insight: Shockwave × PRP and oral medication are not adversaries — they are tools at different levels. Many patients land on a best combination: first 6–12 sessions of shockwave × PRP to rebuild vascular foundation, then retain PDE5i for as-needed use — like fixing a house foundation first, then deciding when to turn on the AC.
Why Liusmed Clinic Chose "Shockwave × PRP × Ultrasound Guidance"
We do not pitch a single "magic bullet" — literature long ago told us combination therapy significantly outperforms monotherapy in the mid-to-long term. The two axes behind our choice: literature support and clinical observations from the consultation room.
Literature Support
- ·Zhou 2025 (7-RCT meta): combination IIEF +1.97 at 12 wk (95% CI 0.15–3.79, p=0.03); advantage further widens at 24 wk (p=0.0004).
- ·Lu 2018 (10-RCT meta): LI-SWT improves IIEF-EF +3.97 (95% CI 2.09–5.84, p<0.0001), with concurrent objective PSV gain.
- ·Poulios 2021 double-blind RCT (PMID:33906807): 76% PRP improvement at 1 mo vs 25% placebo; MCID risk difference 42% (p<0.001).
- ·Tzou 2021 Taiwan cohort (n=69): IIEF-5/EHS/QoL significantly improved after 12 LI-ESWT sessions (p<0.001) — evidence closest to Taiwan patient physiology.
- ·Taiwan MOHW formally approved LI-ESWT for ED in 2015; TAAM lists it as a first-line option; EAU incorporated it into guidelines the same year.
Dr. Liu — Clinical Observations
- ·Ultrasound guidance aligns every shockwave with the corpus cavernosum without wasting energy, and lands every PRP needle precisely where vessels are sparsest — efficiency maximized. "You can only treat what you can see" is Liusmed Clinic's cross-specialty creed.
- ·Clinically, most PDE5i non-responders regain medication response after 12 weeks of combination therapy — a phenomenon recorded by Cohort 2022 (PMC9580815) and consistent with our consultation-room observations.
- ·Treatment-room privacy is not a marketing gimmick. When patients walk in carrying shame, "no nursing staff in the room" lowers the threshold for honest disclosure — letting them tell me their psychological worries, partner-relationship dynamics, and past treatment failures in full, which is critical for individualized planning.
- ·We track outcomes with the IIEF-5 scale, not subjective "feels better." Five questions, two minutes per visit, updated each follow-up — turning progress into clear numbers, which patients themselves end up valuing most.
- ·For post-prostatectomy, diabetic, or severe vascular disease patients, we do not promise a single course solves everything — but we transparently lay out "the best currently possible": how many sessions, expected response range, how to integrate with oral medication. Honesty is the foundation of long-term trust.
We did not pick the "newest, flashiest therapy" — we picked the combination with the strongest current evidence, alignment with our cross-specialty philosophy, and the highest chance you complete the full protocol.
Treatment Process
From anonymous inquiry to scale-based follow-up, five stages protecting privacy and quality
LINE Anonymous Inquiry
Ask 3 anonymous questions
Clinic Evaluation
Vascular/psychogenic subtyping, IIEF-5, informed consent
Room Clearance Scheduling
Dedicated slot with private route
Treatment (15–30 min)
Shockwave + PRP per evaluation
IIEF-5 Follow-Up
Adjust cadence via validated scale
Three-Stage Treatment-Room Privacy Protocol
Treatment-room clearance ≠ whole-clinic shutdown: only the male physician is with you inside the treatment room; other clinic services run as normal.
① Online Anonymous Inquiry
Start with 3 anonymous questions via LINE — no real name or ID required. We confirm fit before any booking step.
② Private Entry Route
On arrival, you are guided directly into the consultation room without passing through the general waiting area — minimizing encounters with other patients.
③ Treatment-Room Clearance
During evaluation and treatment, only the male physician is inside the treatment room; no nursing staff enters — reducing discomfort and privacy concerns.
Clinical Evidence & References
LI-SWT was approved by Taiwan MOHW in 2015 and listed by the Taiwan Andrological Association as a first-line ED option or adjunct, with EAU incorporating it the same year. Taiwan cohort data (Tzou 2021) show significant IIEF-5/EHS/QoL improvement (p<0.001). Poulios 2021 RCT (PMID:33906807) and Zhou 2025 meta-analysis continue to strengthen the evidence base for PRP × LI-SWT combination therapy. We track outcomes objectively with IIEF-5 to deliver consistent, high-quality care.
- [1]OCEBM G2015
衛生福利部 / Taiwan MOHW. 低能量體外震波（LI-ESWT）正式核准為勃起功能障礙適應症. Ministry of Health and Welfare, Taiwan.
In 2015, Taiwan MOHW formally approved LI-ESWT as an indicated treatment for erectile dysfunction, establishing its lawful clinical use in Taiwan.
- [2]OCEBM G2015
台灣男性醫學會 / Taiwan Andrological Association (TAAM). 低能量震波治療列為勃起功能障礙第一線治療選項或口服藥輔助療法. Taiwan Andrological Association Position.
In March 2015, the Taiwan Andrological Association formally listed LI-ESWT as a first-line treatment option or adjunct to oral medication for ED in Taiwanese men, affirming its safety and clinical value.
- [3]OCEBM 1b2021
Poulios E, et al.. Platelet-rich plasma intracavernosal injection for the treatment of erectile dysfunction: A double-blind, randomized, placebo-controlled trial. Journal of Sexual Medicine.
Double-blind placebo-controlled RCT (Randomized Controlled Trial): 76% of PRP arm improved at 1 month vs 25% placebo; 69% vs 39% at 3 months. Baseline-adjusted IIEF-EF between-group difference +3.9 (95% CI (Confidence Interval) 1.8–5.9); MCID (Minimal Clinically Important Difference) risk difference 42% (p<0.001).
PMID: 33906807 - [4]OCEBM 1a2018
Lu Z, et al.. Low-Intensity Extracorporeal Shock Wave Treatment Improves Erectile Function: A Systematic Review and Meta-Analysis. Urology.
Meta-analysis (statistical pooling of multiple studies) (10 RCTs, n=873): LI-SWT improved IIEF-EF +3.97 (95% CI 2.09–5.84, p<0.0001), PSV +4.12 (95% CI 2.30–5.94, p<0.00001). Best parameters: 0.09 mJ/mm², 1500–2000 pulses.
PMID: 30664671 - [5]OCEBM 1a2025
Zhou Y, et al.. The efficacy of platelet-rich plasma (PRP) alone or in combination with low intensity shock wave therapy (Li-SWT) in treating erectile dysfunction: a systematic review and meta-analysis of seven randomized controlled trials. Aging Male.
Meta-analysis (7 RCTs): PRP+Li-SWT combination at 12 weeks IIEF between-group +1.97 (95% CI 0.15–3.79, p=0.03), 24 weeks p=0.0004, PSV p<0.00001; subgroup adding PRP vs Li-SWT alone p<0.0001.
DOI: 10.1080/13685538.2025.2472786 - [6]OCEBM 2b2021
Tzou KY, et al.. Efficacy of Penile Low-Intensity Shockwave Therapy and Determinants of Treatment Response in Taiwanese Patients with Erectile Dysfunction. Biomedicines 9(11):1670.
Taiwan prospective cohort (n=69): after 12 LI-ESWT sessions, IIEF-5, EHS and QoL improved significantly (p<0.001) at all follow-up points.
PMID: 34829899 - [7]OCEBM G2024
Salonia A, et al.. EAU Guidelines on Sexual and Reproductive Health — Erectile Dysfunction. European Association of Urology.
EAU (European Association of Urology) has listed LI-SWT as an option for mild vasculogenic ED since 2015; evidence for PRP in ED continues to accumulate, with use recommended under clinical evaluation and case-by-case discussion.
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Our Commitment to Honest Disclosure
Every procedure deserves your full understanding before deciding. The following summarizes common considerations and current research context; individual applicability is evaluated by the physician so you can proceed with confidence.
Contraindications
- •Severe coagulopathy or anticoagulant therapy
- •Active local infection
- •Penile implants, Peyronie disease, chronic cavernosal pathology
- •Active malignancy
Common Side Effects
- •Transient bruising and mild pain at treatment site
- •Post-shockwave skin redness or sensitivity
- •Transient local discomfort post-injection
- •Rare allergic reaction or infection
Research Status & Clinical Observations
- •LI-SWT was formally approved by Taiwan MOHW for ED in 2015; the Taiwan Andrological Association lists it as a first-line option or adjunct to oral medication, and EAU incorporated it into treatment guidelines the same year. Average clinical satisfaction in Taiwan is around 75%.
- •Tzou et al. 2021 Taiwan cohort (n=69): significant improvement in IIEF-5, EHS and QoL after 12 LI-ESWT sessions (p<0.001). Poulios 2021 RCT (PMID:33906807) demonstrates a clear improvement signal for PRP in mild-to-moderate ED.
- •Our core logic: a comfortable treatment experience → completing the 6–12 session protocol → best clinical results. You focus on finishing the full course; we track objectively with validated scales.
Transparent Pricing Ranges
| Item | Price Range | Notes |
|---|---|---|
| Initial evaluation (incl. IIEF-5) | From NT$ 600 | — |
| Single LI-SWT session | NT$ 6,000 | 6-session packages may have bundled pricing |
| Single PRP injection | From NT$ 9,000 | Preparation/dose per symptoms and clinical judgment |
| VIP treatment-room clearance | Premium quoted per case | Reflects additional staffing and scheduling logistics |
Actual pricing depends on individual symptoms, treatment count, and custom formulation — quoted after physician evaluation. We commit to transparent pricing with no pushy upselling.
FAQ
Does shockwave treatment hurt?
Is PRP injection painful?
How many sessions are typical?
Why add PRP if shockwave alone works?
Where do PRP injections stand regulatorily for ED?
How long do results last?
Will it affect fertility?
When can I resume exercise or sex?
Is it for vasculogenic or psychogenic ED?
Can prostate cancer patients receive shockwave?
Can I book anonymously?
Dr. Ta-Ju Liu
Director, Liusmed Clinic · Over 20 years in minimally-invasive treatment
- Former attending dermatologist, Chang Gung Medical Center & Cosmetic Center
- Board-certified dermatologist · minimally-invasive surgery focus
- Advanced ultrasound-guided procedures · filler complication repair · complete apocrine gland clearance
"You can only treat what you can see" is the core belief running through every procedure I do. The subcutaneous world is intricate; what used to depend on experience and palpation now has a more reliable lens — advanced ultrasound. Seeing vessels, nerves, capsules, and glands first, then deciding where and how deep to cut — that is the standard every patient deserves.
Ask 3 Anonymous Questions on LINE — No Real Name Required
We understand how hard it can be to speak up. Start with 3 anonymous questions on LINE — no real name or ID. We confirm fit before any clinic visit.
VIP Private Appointment
Treatment-room clearance · male physician · no nurse inside the treatment room
- Male physician only inside room
- Private route, no patient encounters
- Transparent pricing, no hidden fees
Don't Let Shame Steal More Years — Start with an IIEF-5 Self-Assessment
LINE anonymous chat, IIEF-5 self-assessment, treatment-room clearance — three layers of privacy protection. You only need to take the first step. We will be here.