Low Intensity Shock Wave Therapy in the Management of Erectile Dysfunction

Inclusion Criteria: * The patient must have given his informed and signed written consent * The patient is a male * Between 40 to and including 55 years of age * The patient has ED for longer than 1 year but less than 5 years. * The patient is PDE5i responsive, meaning he is able to achieve and maintain an erection under the effect of the maximal dosage of PDE5i * IIEF-EF Domain score of 17-20 * Evidence Based Criteria: Doppler Clinical Exam Exclusion Criteria: * The patient is participating in another study that may interfere with the results or conclusions of this study * History of radical prostatectomy or extensive pelvic surgery * Past radiation therapy of the pelvic region within 12 months prior to enrollment * Recovering from cancer within 12 months prior to enrollment * Neurological disease which effects erectile function * Psychiatric disease which effects erectile function * The patient is taking blood thinners * History of Diabetes Mellitus * History of Coronary Artery Disease * Evidence Based Criteria: Doppler Clinical Exam * Severe erectile dysfunction with IIEF-EF domain score \< 16