Improve your life with Shock Wave therapy

Platelet-Rich Plasma (PRP) now available in our clinic.

ED Clinic

ED Clinic (Erectile Dysfunction Clinic) is part of the Harold's Cross Surgery based in Harold’s Cross Road, Dublin 6W

It is privately run by one of Ireland’s most highly regarded experts in the field of sexual health, Dr James (Shay) Keating who also runs one of the most respected and well known STD/STI clinic in Dublin.

Together with his colleagues Dr Keating is dedicated to improve lives of the patients with erectile and sexual dysfunction.

USEFUL KNOWLEDGE

What is Erectile Dysfunction?

Erectile dysfunction, also known as ED or impotence, is a concern for millions of men around the world. The health problem affects men of all ages, but is more common with increasing age. But what is the best way to treat the frustrating sexual dysfunction?

The good news is that erectile dysfunction is treatable. Depending on the cause of the condition, several possible options are available. Extracorporeal shock wave therapy (ESWT) is a relatively new and innovative treatment. The clinically proven method has been used for the treatment of various medical conditions for more than 30 years.

On this website, you can find out more about the treatment of erectile dysfunction with shock waves.

If you are concerned about erectile dysfunction, talk to your doctor even if you are embarrassed. However, the fact is that ED is a lot more common than men and women realize and it affects men of all ages. Today, medication for ED has proven very effective in treating the symptoms for many men. Nevertheless, it does not work for everyone and in some cases medicine is just not an option. The good news is that researchers have been investigating a novel treatment for ED: Extracorporeal shock wave therapy (ESWT). Despite its somewhat startling name, it is completely safe, reduce the symptoms and improves the function.

Erectile dysfunction:

what partner need to know

Erectile dysfunction (ED) usually affects not only the men but their partners as well. It can have a devastating effect on a relationship. Men affected by ED often avoid intimacy and sex with their partner. Suffering in silence is not a good solution and can make things even worse.

Talking about ED isn’t easy and may be embarrassing, but it’s worth the effort and helps to avoid misunderstandings.

Together, you can deal with the issue effectively and discuss the next steps. ED can have many different causes and can also be an indicator of other health problems. Therefore, it is essential that your partner consults a physician. You should encourage and support him in this situation. ED can be treated in many ways. Depending on the cause of the condition, several possible options are available.

TREATMENTS

What are shock waves?

Shock waves are audible high-energy sound waves. In the medical world, shock waves have been used successfully for the treatment of various medical conditions since around 1980.

For example, shock waves are used in orthopaedics for the treatment of painful insertional tendinopathies and non-healing bone fractures. In urology, they are used to disintegrate kidney stones and to treat vascular erectile dysfunction (since 2010). Depending on the area of application, low-energy or high-energy shock waves are applied.

Extracorporeal shock wave therapy has been used for the treatment of vascular erectile dysfunction since 2010. During treatment, low-intensity shock waves are applied to different areas of the penis. This stimulates the creation of new blood vessels in the cavernous bodies and improves blood flow in the penis (and the ability to achieve an erection).

The simple and painless treatment is performed by a specialist. Many patients report a noticeable improvement of their ability to achieve an erection within a few weeks

Erectile Dysfunction

Erectile dysfunction (ED) is a sexual dysfunction that is increasingly prevalent with age. Men affected by ED are unable to develop or maintain an erection sufficient for sexual intercourse despite being sexually stimulated. Most ED cases are of vascular origin, which is restricted blood flow to the penis – the amount of blood in the cavernous bodies may then not be enough to cause an erection

When treating ED with shock wave therapy, low-intensity shock waves are applied to different treatment zones on the penis and on the perineum.

Induratio Penis Plastica

Induratio penis plastica (IPP), also known as Peyronie’s disease, is an acquired and generally progressive condition of the penis. Most men notice the presence of the disease when they feel thickened nodules (so-called plaques) under the skin of the penis. As the disease progresses, pain may occur with or without an erection and the penis becomes curved during an erection, which can make it difficult or impossible to have sexual intercourse. When treating IPP, the pain points in the penis are treated with extracorporeal shock waves.

Chronic Pelvic Pain Syndrome

Chronic pelvic pain syndrome (CPPS) is characterized by pain in the region of the pelvic floor. Further symptoms are micturition problems without evidence of urinary tract infection. Some patients experience erectile dysfunction. Extracorporeal shock wave therapy is performed using a perineal approach, treating the prostate and the pelvic floor.

Focused shock wave therapy

Li-ESWT is effectively applied for the treatment for Erectile Dysfunction [1,2,3] (ED) of vascular origin, Induratio Penis Plastica [4,5] (IPP) and Chronic Pelvic Pain Syndrome [6,7] (CPPS). Scientific studies have proven the healing success of focused shock waves for these indications.

The effectiveness of this modern shock wave equipment is determined by the individually selectable, dynamic and powerful energy range and the therapeutic depth of focus that can be chosen. Deep-lying areas can be treated easily. With its large focus zone it is easy to access these areas with a high degree of accuracy. These technical features also demonstrate the superiority of the treatment in comparison with other ESWT machines: due to the depth of focus, shock waves only have to be applied on one side of the penis.

Advantages

Therapies without medication or surgery
Short treatment sessions
No anaesthesia required

PRP Platelet-Rich Plasma

PRP (Platelet Rich Plasma) it is a process to incorporate injections of a patient’s own platelet-rich plasma to help treat erectile dysfunction.

PRP is derived from the patient's own blood (autologous) through a process of centrifugation.

Main benefits are to rejuvenat the penis and stimulating new tissue growth.

It is resulting in improved erections that are larger, firmer and more frequent.

How it works

This video illustrates the application of shockwave therapy by Dr Lars Lund.

Age restricted video requires to sign in.

ABOUT US

Dr James Keating

BA Mod, MB, PhD. MRCP, Dip GUM, Dip Occ Med.

Employment Summary

Dr Keating is currently employed in The Genitourinary, Infectious Diseases Executive (GUIDE) Clinic in St. James’s Hospital as a Specialist in Genitourinary Medicine. He sees, evaluates, and treats all who present for Sexual Health review and HIV care. The unit has a very proactive research and education ethos in which he is involved.

“We offer full sexually transmitted infection screening, hepatitis vaccination, and HIV post sexual exposure HIV infection prophylaxis”.

Dr Keating has been employed as Medical Officer to the 550 clients attending the National Drug Treatment Centre since 1996. This addiction service is the largest of its kind in the country.

At the National Drug Treatment Centre, Dr Keating also has a large research and teaching commitment. He completed the British Diploma in Occupational Medicine, and established an Occupational Health Department for the 140 staff members of the National Drug Treatment Centre.

Dr. Keating explains:

“I established a private general practice in 1995. My patient cohort is predominantly, though not exclusively, adult male, and my particular interest is Men’s Health. I run clinics four evenings a week and provide primary care to many HIV-positive patients. I also offer primary care to many not infected with HIV. I also deliver full specialist STI testing, including on-site microscopy, and rapid HIV testing: 10 minute turn around. I perform radiosurgical genital wart and molluscum contagiosum removal, and also perform botulism toxin injection for excessive underarm perspiration.”

Current Employment

Medical Practitioner with special interest in Men’s Health, Sexually Transmitted Infections and Addiction

Specialist in Genitourinary Medicine, GUIDE Clinic, St. James’s Hospital, Dublin 8

Medical Officer in the National Drug Treatment Centre, Pearse Street, Dublin 2

Occupational Health Physician to the National Drug Treatment Centre, Pearse Street, Dublin 2

Teaching Commitments

“I am currently active in teaching in the National Drug Treatment Centre, the HSE and the Prison Service, to doctors, nurses, counselors, outreach workers, pharmacists and prison officers".

In addition, Dr Keating lecture in Trinity College Dublin, University of Maynooth, and Dublin City University to the students in addiction studies. His lecture topics include Hepatitis C, with particular reference to intravenous drug users, HIV, vaccination and Sexually Transmitted Infections. DR Keating lecture twice a year on the Sexually Transmitted Infection Foundation (STIF) course, held in St. James’ Hospital by the GUIDE Clinic. He have also recently acted as medical advisor to ‘community response’ in the production of their videos on Hepatitis C and pregnancy, modes of transmission and treatment titled ‘Hidden Voices’.

"I contribute to the publication ‘Happiness is Vital’ by AIDS WEST. My column is titled ‘Discuss with Dr. Shay’ and I have covered such topics as syphilis infection, lymphogranuloma venereum infection, post exposure prophylaxis, pneumocystis jiroveci pneumonia, human papilloma virus and hepatitis C. I also write a monthly article on sexual health for EILE Magazine, as well as contributing monthly to ‘The Cosmo’ on RTÉ Pulse digital radio.”

Link to Harold's Cross Surgery - STD Clinic

Publications

1 Yee, C.-H.; Chan, E. S.; Hou, S. S.-M. & Ng, C.-F., Extracorporeal shockwave therapy in the treatment of erectile dysfunction: A prospective, randomized, double-blinded, placebo controlled study, International Journal of Urology, Wiley Online Library, 2014.

2 Chung, E. & Cartmill, R., Evaluation of clinical efficacy, safety and patient satisfaction rate after low-intensity extracorporeal shockwave therapy for the treatment of male erectile dysfunction: an Australian first open-label single-arm prospective clinical trial, BJU international, Wiley Online Library, 2015, 115, 46-49.

3 Olsen, A. B.; Persiani, M.; Boie, S.; Hanna, M. & Lund, L., Can low-intensity extracorporeal shockwave therapy improve erectile dysfunction? A prospective, randomized, double-blind, placebo-controlled study, Scandinavian journal of urology, Informa Healthcare Stockholm, 2014, 1-5.

4 Michel, M. S.; Ptaschnyk, T.; Musial, A.; Braun, P.; Lenz, S. T.; Alken, P. & Köhrmann, K. U., Objective and subjective changes in patients with Peyronie‘s disease after management with shockwave therapy, Journal of endourology, Mary Ann Liebert, Inc., 2003, 17, 41-44.

5 Palmieri, A.; Imbimbo, C.; Longo, N.; Fusco, F.; Verze, P.; Mangiapia, F.; Creta, M. & Mirone, V.,

A first prospective, randomized, double-blind, placebo-controlled clinical trial evaluating extracorporeal shock wave therapy for the treatment of Peyronie‘s disease. European Urology, Elsevier, 2009, 56(2), 363-370

6 Vahdatpour, B.; Alizadeh, F.; Moayednia, A.; Emadi, M.; Khorami, M. H. & Haghdani, S., Efficacy of Extracorporeal Shock Wave Therapy for the Treatment of Chronic Pelvic Pain Syndrome: A Randomized, Controlled Trial, ISRN urology, Hindawi Publishing Corporation, 2013, 2013, 1-6.

7 Zimmermann, R.; Cumpanas, A.; Miclea, F. & Janetschek, Gü., Extracorporeal shock wave therapy for the treatment of chronic pelvic pain syndrome in males: a randomised, double-blind, placebo-controlled study, European urology, Elsevier, 2009, 56, 418-424.

8 Eleni Anastasiadis,corresponding author, Razna Ahmed, Abbas Khizar Khoja, Tet Yap, Erectile dysfunction: Is platelet-rich plasma the new frontier for treatment in patients with erectile dysfunction? A review of the existing evidence

PRICE LIST

ED Consultation

120,00 €

Initial/review consultation.

Performance score/prescription.

Blood tests with testosterone, hormones level and PDE5 inhibitors.

Li-ESWT Therapy

250,00 €

One session with Extracorporeal shock waves (Li-ESWT)exclusively for our patients qualified for the therapy. Initial consultation with test is recommended

PRP Therapy

500,00 €

One session of Platelet-Rich Plasma, exclusively for our patients qualified for the therapy. Initial consultation with blood test is required

Peyronie's Therapy

750,00 €

One session of ESWT and PRP combined Therapy, exclusively for our patients qualified for the therapy. Initial consultation with tests is required

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