TOPIC: Can I get shockwave therapy for ED after PMMA?

I have had my PMMA filler for about five years now, very very happy with it. I was considering getting shockwave therapy in hopes of firmer erections. Is this safe with the PMMA in place?

@Dr_Tsay

@jacknimble

Shockwave therapy after PMMA penile injections is not recommended in the early post-procedure period because shockwaves can interfere with the inflammatory and collagen-encapsulation process required for PMMA stabilization, increasing the risk of filler migration, nodules, asymmetry, or chronic inflammation. In the late post-PMMA phase (generally ≥3–6 months), shockwave therapy may be considered only cautiously and selectively, primarily for erectile function rather than tissue remodeling, and only if the PMMA is fully stable with no pain, nodules, or inflammatory changes present. Even then, treatment should use low-energy settings, avoid PMMA-dense areas, and never be intended to soften or redistribute PMMA, as this can be unpredictable and potentially harmful. Overall, PMMA and shockwave therapy are not a routine or ideal combination, and if used at all, should be approached conservatively with clear patient counseling and informed consent.

Hope this helps.
Dr. Tsay
www.ageless-md.com/penis-enlargement/