Treatment Overview
Shockwave therapy for perineal pain is an adaptation of a technology that has existed for many years in different areas of medicine. In urology, high-intensity devices are used to fragment kidney stones. In orthopedics, lower-intensity devices are used to break up calcifications in certain tendons.
How Does Shockwave Therapy Work?
Shockwaves are acoustic pulses—energy vibrations—that penetrate the tissues of the corpora cavernosa in the penis. These microtraumas trigger repair mechanisms and the formation of new blood vessels. As a result, the therapy may have an anti-inflammatory effect on the tissues surrounding the prostate and pelvic floor. The goal of the treatment is to significantly reduce perineal and pelvic pain.
How Is Shockwave Therapy for Pelvic Pain Performed?
The medical objective of this treatment for men with chronic pelvic pain syndrome is to provide significant relief from perineal pain, allowing them to return to a normal life.
Shockwave therapy involves applying a probe that emits low-intensity shockwaves to at least two sites on the perineum, on either side of the prostate, over multiple sessions. The treatment is painless, brief, and does not require analgesia.
How to Prepare for Shockwave Therapy?
The treatment is performed in-office and requires no special preparation. Side effects are minimal, with the most common being skin bruising.
The procedure is carried out by a nurse. The first appointment includes an evaluation and explanation of the procedure with Dr. Marois, the initial shockwave treatment, and home care advice. A home protocol using a TENS device on the perineum may be recommended alongside the therapy.
How Many Treatments Are Required?
An initial series of four shockwave sessions is performed, once per week. Each session lasts about 30 minutes. Afterward, a second evaluation is conducted by Dr. Marois to assess the effectiveness of the treatment.
Who Are the Candidates for Shockwave Therapy for Chronic Pelvic Pain Syndrome?
Shockwave therapy is particularly suitable for patients experiencing severe and recurrent pain despite medical treatments.
This therapy is also recommended in combination with daily 5 mg Tadalafil to support pelvic recovery and rehabilitation.
How Long Do the Effects Last?
The pain relief effects are long-lasting. However, patients with recurrent or acute prostatitis may require additional treatments.
Which Devices Are Used for Shockwave Therapy?
The Duolith SD1 and Zimmer devices are specifically designed for this type of treatment.