Men’s Health
Restore Confidence. Reclaim Vitality.
FDA-cleared technology, drug-free, surgery-free. Non-invasive focused shockwave therapy (ESWT) for erectile dysfunction — backed by clinical research and trusted by urologists worldwide. Available at our Manhattan and Great Neck offices.
You’re Not Alone
You’re Not Alone — And There Are Real Solutions
Erectile dysfunction affects over 30 million men in the United States. It can be caused by reduced blood flow, nerve damage, hormonal changes, stress, or a combination of factors. Whatever the cause, ED is a medical condition — not a reflection of who you are.
At City Integrative Rehabilitation in Midtown Manhattan, we offer a cutting-edge, non-invasive treatment using focused extracorporeal shockwave therapy (ESWT) — the same technology trusted for musculoskeletal healing, now clinically validated for restoring natural erectile function. Our NYC clinic provides shockwave therapy for erectile dysfunction with experienced specialists who understand the unique needs of men’s health.
The Science
How Focused Shockwave Therapy Works
Focused shockwave therapy delivers targeted acoustic energy to the treatment area, stimulating your body’s natural healing response at the cellular level. The result is improved blood flow, new blood vessel formation (angiogenesis), and tissue regeneration — addressing the root cause of ED rather than just masking symptoms.
Stimulates New Blood Vessels
Promotes angiogenesis — the formation of new blood vessels — to restore healthy circulation where it matters most.
Activates Growth Factors
Triggers the release of VEGF and other growth factors that support tissue repair and regeneration at the cellular level.
Breaks Down Plaque
Helps break down micro-plaque in blood vessels, improving natural blood flow and supporting stronger, more reliable function.
Why CityIR
Why Men Choose Focused Shockwave at CityIR
No Pills. No Injections. No Surgery.
Focused ESWT treats the underlying cause of ED — not just the symptoms. Unlike medications that offer a temporary fix, shockwave therapy works to restore your body’s natural function over time.
Quick, Comfortable Sessions
Each session takes about 15–20 minutes. There’s no downtime, no anesthesia, and you can return to your normal routine immediately.
Clinically Proven Results
Published research shows that focused shockwave therapy can significantly improve erectile function, with many patients reporting lasting results after a full treatment course.
Discreet, Professional Environment
We understand this is personal. Our team treats every patient with the utmost discretion and respect in a comfortable clinical setting.
The Difference
Not All Shockwave Is Created Equal
If you’re researching shockwave therapy for ED, it’s important to understand that not all devices deliver the same results. Many clinics use radial or acoustic wave devices, which generate pressure waves that spread out and lose energy at the surface. These devices were originally designed for aesthetic treatments and do not deliver true shockwaves to deep tissue.
At CityIR, we use focused extracorporeal shockwave therapy (ESWT) — the same technology used in peer-reviewed clinical studies. Focused shockwaves penetrate to a precise depth, delivering concentrated energy directly to the erectile tissue where it’s needed most.
Focused ESWT
Reaches deep tissue up to 12 cm. Clinically studied for ED. Stimulates true angiogenesis and tissue regeneration. The type supported by peer-reviewed research.
Radial / Acoustic Wave
Energy disperses at the surface. Not a true shockwave. Limited clinical evidence for ED treatment. Originally designed for aesthetic applications.
When comparing providers, ask what device they use. The distinction matters.
The Process
What to Expect
Consultation
A private conversation with your provider to discuss your goals, medical history, and whether ESWT is right for you.
Treatment Sessions
The typical recommended protocol is 7 sessions over 6 weeks, with each session lasting 15–20 minutes. Some patients may need additional sessions (the full clinical range is 6–12) based on individual response. Sessions are scheduled 1–2 times per week.
No Downtime
Walk in, walk out. There is no recovery period, no anesthesia, and no restrictions on activity after your session.
Progressive Results
Most patients begin noticing improvements within weeks, with optimal results developing over 1–3 months as new blood vessels form.
Focused shockwave therapy at CityIR — a quick, non-invasive in-office procedure with no downtime.
Candidates
Is This Right for You?
Focused shockwave therapy for ED may be a great fit if you:
- Have mild to moderate erectile dysfunction
- Want to reduce or eliminate reliance on ED medications
- Are looking for a long-term solution rather than a quick fix
- Have vasculogenic ED (related to blood flow)
- WAnt a non-invasive, drug-free treatment option
During your initial consultation, we’ll evaluate your specific situation and let you know if ESWT is the right path forward.
Beyond Treatment
Not Just for ED — Optimize Your Performance
Focused shockwave therapy isn’t only for men experiencing erectile dysfunction. Men who want to maintain peak sexual performance, improve firmness, or enhance sensitivity can also benefit from ESWT as a proactive wellness treatment. Think of it as maintenance for your vascular health — keeping blood flow strong before problems develop.
We also see younger men in their 20s and 30s dealing with ED after cancer treatment, pelvic surgery, or medication side effects — men who never expected to face this challenge at their age. If that’s you, know that you’re not alone, and there’s no reason to feel embarrassed. This is a medical condition with real, effective solutions.
Also Treating
Peyronie’s Disease
Peyronie’s disease is characterized by the development of fibrous scar tissue (plaque) inside the penis, causing curved, painful erections. It can significantly impact sexual function, confidence, and quality of life.
Focused shockwave therapy (ESWT) has emerged as a promising non-invasive treatment option for Peyronie’s disease. The acoustic waves help break down fibrous plaque, reduce pain, and may improve curvature over a series of treatments — all without surgery or injections.
Common symptoms we address:
- Penile curvature or bending during erection
- Painful erections or discomfort
- Palpable plaque or hardened tissue
- Difficulty with intercourse due to curvature
- Associated erectile dysfunction
Chronic Pelvic Pain Syndrome (CPPS)
Chronic Pelvic Pain Syndrome (CPPS), sometimes called chronic prostatitis, is one of the most common — yet underdiagnosed — conditions affecting men. It involves persistent pain in the pelvic region, often accompanied by urinary symptoms and sexual dysfunction, without a clear bacterial infection.
Focused shockwave therapy offers a non-invasive, drug-free approach to managing CPPS. By improving blood flow, reducing inflammation, and promoting tissue healing in the pelvic region, ESWT has shown promising results in clinical studies for reducing pain and improving quality of life.
Symptoms we can help with:
- Chronic pelvic or perineal pain
- Pain during or after urination
- Discomfort during or after ejaculation
- Lower abdominal or groin pain
- Urinary frequency or urgency
- Associated erectile dysfunction
Many men suffer with CPPS for years before finding effective treatment. If you’ve been told “nothing is wrong” but still experience pelvic pain, we can help.
Additional Applications
Other Conditions We Address
Post-Prostatectomy Erectile Rehabilitation
Men who have undergone radical prostatectomy for prostate cancer often experience erectile dysfunction due to nerve and vascular damage during surgery. Focused shockwave therapy has shown promise as part of a penile rehabilitation program, helping to preserve erectile tissue, prevent fibrosis, and support the return of natural function during the recovery period.
Clinical studies suggest that early intervention with ESWT after prostatectomy may improve long-term erectile outcomes. The sooner treatment begins, the better the chance of full recovery.
Hard Flaccid Syndrome
Hard flaccid syndrome is a distressing condition characterized by a rigid, semi-erect flaccid state of the penis, often accompanied by reduced sensation, pelvic floor tension, and difficulty achieving full erection. While the condition is not yet well understood, emerging evidence suggests that focused shockwave therapy may help by improving blood flow, reducing tissue tension, and addressing neurovascular dysfunction in the penile and perineal tissues.
Penile Sensitivity and Sensation Loss
Reduced penile sensitivity can result from aging, diabetes, cycling injuries, or nerve compression. Focused shockwave therapy may help restore sensation by promoting nerve regeneration (neurogenesis) and improving microvascular blood flow to the penile tissue. While research is ongoing, early clinical evidence supports improved sensitivity as a secondary benefit of ESWT treatment for ED.
Real Results from Real Patients
Verified reviews from men treated at our Manhattan and Great Neck offices.
“I was very embarrassed about having ED at such a young age. Taking medication in my early 20s just didn&rsquo0t sit right with me, and it destroyed my confidence. I stopped socializing, which really affected me. I had shockwave done for other issues, and when I spoke with Dr. Katz, he mentioned how it could help me — and it did. I’m back. It has changed my life, and I’m so grateful.”
“I struggled with moderate ED for 8 years. For me, this was a major issue. My wife and I had gone to multiple urologists hoping to find real help. She ended up finding Dr. Katz, and this procedure changed my life in under two months. I was a little skeptical, but I was willing to try anything. I highly recommend this to any man who is having issues.”
“I tried shockwave to help with my Peyronie’s disease. I was having a lot of pain and needed help. I found shockwave through a Google search and decided to give it a try. It helped me immensely. I’m out of pain, and the curvature has returned to more normal.”
Individual results vary. Testimonials reflect the experiences of specific patients and are not a guarantee of specific results. Treatment plans are customized based on your individual evaluation and response to care.
Investment
Investment in Your Health
Transparent pricing, discussed in private. Shockwave therapy for ED is typically a cash-pay service — we’ll walk you through pricing and package options during your consultation, in private, before any commitment.
In-house financing available — no credit check. For patients who want to spread treatment costs over time, we offer flexible in-house payment plans with no credit check required. Make treatment accessible on terms that work for your budget, without third-party lenders or application hurdles.
No pressure, no obligation. Your initial consultation is a private conversation about whether this treatment is right for you. If it’s not the right fit, we’ll tell you. Either way, you leave with answers and a clear next step.
Questions & Answers
Frequently Asked Questions
Is the treatment painful?
Most patients describe the sensation as a mild tapping or tingling. The treatment is generally well-tolerated, and no anesthesia is needed.
How many sessions will I need?
The typical recommended protocol is 7 sessions over 6 weeks. Some patients respond fully in fewer sessions, while others benefit from additional sessions — the full clinical range is 6–12. Your provider will outline a specific plan after your initial evaluation. Sessions are usually scheduled 1–2 times per week.
When will I see results?
Some patients notice improvements within the first few weeks. Optimal results typically develop over 1–3 months as the body continues to build new blood vessels and heal tissue.
Are the results permanent?
Many patients experience long-lasting improvement. Because the treatment addresses the root cause — blood flow — results tend to be more durable than medication-based approaches. Some patients opt for periodic maintenance sessions.
Can I still use ED medication during treatment?
Yes. Many patients continue their current medications while undergoing shockwave therapy. Your provider will discuss the best approach during your consultation.
Is this FDA-approved?
Focused shockwave therapy is FDA-cleared for various medical applications. Its use for ED is supported by a growing body of peer-reviewed clinical research and is widely practiced in urology and men’s health clinics worldwide.
What’s the difference between focused and radial shockwave therapy?
Focused shockwave therapy (ESWT) delivers concentrated acoustic energy deep into tissue at a precise focal point. Radial or acoustic wave therapy disperses energy at the surface and does not penetrate deeply enough to effectively treat erectile tissue. At CityIR, we exclusively use focused ESWT — the type supported by clinical research for ED treatment.
What causes erectile dysfunction?
ED is most commonly caused by reduced blood flow to the penis (vasculogenic ED), which can result from aging, diabetes, high blood pressure, high cholesterol, smoking, or cardiovascular disease. Other causes include nerve damage, hormonal imbalances, pelvic floor dysfunction, psychological factors, or medication side effects. In many cases, multiple factors contribute.
Can shockwave therapy help with Peyronie’s disease?
Yes. Focused ESWT has shown benefit for Peyronie’s disease, particularly in reducing pain associated with the condition. Clinical studies also suggest potential improvement in plaque-related curvature over a course of treatment. We address Peyronie’s as part of our men’s health program.
Is shockwave therapy safe?
Focused shockwave therapy has an excellent safety profile. It is non-invasive, requires no anesthesia, and has minimal to no side effects. Some patients may experience mild tingling or redness in the treatment area, which resolves quickly. There is no downtime after treatment.
Can younger men benefit from shockwave therapy?
Absolutely. While ED is more common with age, younger men can also experience erectile difficulties due to pelvic floor dysfunction, performance anxiety–related vascular changes, cycling injuries, early-stage vascular issues, or as a side effect of cancer treatment. We see many men in their 20s, 30s, and 40s who are navigating ED while planning to start a family or build a relationship — and who want a drug-free solution that won’t interfere with fertility. Shockwave therapy can benefit men of all ages by improving blood flow and tissue health, without the need for daily medication.
How does shockwave therapy compare to ED medications like Viagra or Cialis?
ED medications work by temporarily increasing blood flow during arousal — they treat the symptom but not the cause. Shockwave therapy works differently: it stimulates the growth of new blood vessels and repairs existing tissue, addressing the underlying vascular problem. Many patients are able to reduce or eliminate their reliance on medication after completing a treatment course.
Take the First Step
Book Online or Call for a Private Consultation
Two easy ways to start: book an appointment online, or call our office directly to speak with our team in private. No obligation — just an honest conversation about your options.