Urology
July 18, 2026
5 min read

Diyabet ve Tansiyon Hastalarında Sertleşme Sorunu ve ESWT Çözümü

Op. Dr. Fettah Tosun

Op. Dr. Fettah Tosun

Üroloji Uzmanı

Dear patients and visitors to my website,

As a urology specialist, Op. Dr. Fettah Tosun, one of the most common issues I encounter in my clinic that deeply affects my patients' quality of life is, without a doubt, erectile dysfunction (ED). This condition is unfortunately more prevalent in individuals with chronic diseases such as diabetes and high blood pressure. In a significant portion of the patients who visit my clinic in Adana and the Çukurova region, I observe that these two diseases trigger ED. However, modern medicine offers promising solutions in this field, and one of them stands out as Low-Intensity Extracorporeal Shockwave Therapy (ESWT). Today, I will share my experiences on how diabetes and hypertension affect ED and how ESWT offers a scientific solution to this challenge.

Diabetes and Hypertension: Key Causes of Erectile Dysfunction

Erectile dysfunction typically arises from insufficient blood flow to the penis or impaired nerve transmission. Diabetes and high blood pressure are two significant factors that directly impact these mechanisms:

  • Diabetes (Sugar Disease): High blood sugar levels gradually damage the inner lining of blood vessels (endothelium), reducing their elasticity and causing narrowing. It can also lead to nerve damage in the penile nerve fibers, disrupting nerve transmission. This negatively affects the blood flow and nerve signals necessary for penile erection.
  • High Blood Pressure (Hypertension): Uncontrolled high blood pressure increases the risk of atherosclerosis, which leads to hardening and narrowing of the arteries. This condition also affects the blood vessels supplying the penis, preventing adequate blood flow. Furthermore, some medications used to treat high blood pressure can cause ED as a side effect.
  • In my clinic, I place great importance on thoroughly evaluating these relationships in patients from Mersin and the surrounding areas of Adana to accurately diagnose the underlying causes.

    What is ESWT (Low-Intensity Shockwave Therapy) and How Does It Work?

    ESWT, or Low-Intensity Extracorporeal Shockwave Therapy, is a revolutionary treatment method for erectile dysfunction. This therapy works by applying low-intensity sound waves to the penis. So, what do these waves do?

    • New Blood Vessel Formation (Neovascularization): The applied shockwaves stimulate the regeneration of existing blood vessels and the formation of new blood vessels (angiogenesis) in the penis. This increases blood flow to the penis, improving erection quality.
    • Tissue Regeneration: Shockwaves create micro-traumas in the penile tissue, activating the body's natural healing mechanisms. This helps repair damaged tissues and restore their functions.
    • This method is supported by international urology guidelines (EAU, AUA) due to its non-invasive nature and its ability to reduce reliance on medication. Particularly in cases of vascular-related ED due to diabetes and hypertension, the ESWT treatment I apply in my clinic yields very encouraging results.

      Advantages of ESWT for Diabetic and Hypertensive Patients

      The advantages offered by ESWT for diabetic and hypertensive patients are numerous:

      • Natural Mechanism: It improves the penis's own natural erection mechanism, reducing or eliminating dependence on medications.
      • Side Effect Profile: It carries a much lower risk of side effects compared to surgical or pharmacological treatments. Patients typically experience no pain during or after the application.
      • Lasting Effect: Thanks to new blood vessel formation and tissue regeneration, the improvement achieved after treatment is usually long-lasting.
      • No Drug Interactions: It has no negative interactions with diabetes and blood pressure medications, which is a significant advantage for patients with chronic diseases.
      • In my practice in Adana and Çukurova, I meticulously evaluate my patients' general health status and medications to determine if ESWT is the most suitable treatment option for them.

        My Treatment Approach and Process in My Clinic

        For every patient who consults my clinic, I first conduct a detailed urological examination and take a comprehensive medical history. For patients with a history of diabetes and hypertension, I may request additional tests (blood tests, Doppler ultrasonography, etc.) to understand the impact of these diseases on their erectile dysfunction. For patients deemed suitable for treatment, I determine a personalized ESWT protocol.

        • Sessions: I generally apply a treatment plan ranging from 6 to 12 sessions. Sessions are performed 1-2 times a week, and each session lasts approximately 15-20 minutes.
        • Comfort: The treatment is completely painless and does not require anesthesia. Patients can return to their daily activities immediately after the session.
        • Follow-up: I closely monitor my patients' condition during and after treatment, evaluating the results obtained and making additional recommendations if necessary.
        • Based on my experience, with proper patient selection and an appropriate protocol, ESWT is a highly effective and safe solution for erectile dysfunction in diabetic and hypertensive patients. I am pleased to offer this modern and evidence-based treatment to our patients in the Akdeniz region.

          Remember, erectile dysfunction is not something to be ashamed of; it is a treatable health condition. If you are experiencing this problem due to diabetes or hypertension, I am here at my clinic in Adana to offer you tailored solutions. Do not hesitate to take the first step towards a healthy and happy life.

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