LiSWT for Nerve Sparing Radical Prostatectomy ED

Inclusion Criteria: * Provide signed and dated informed consent form * Willing to comply with all study procedures and be available for the duration of the study * Men aged 18-80 diagnosed with localized prostate cancer * Score 12 or higher on the pre-operative International Index of Erectile Function (IIEF) assessment * Undergo the nerve-sparing radical prostatectomy procedure * Be taking PDE5i medication for the entirety of the study (normal course of care) * Be in a sexual relationship with a partner for at least 3 months * Be willing to attempt sexual activity during the screening period and before each follow-up visit * Be willing to stop all erectile aids (e.g. prescription and non-prescription erectile medications not part of this study, penile injections, vacuum erection devices, constriction rings) during the screening and study period Exclusion Criteria: * • Subject does not speak or understand English * Subject has been treated with acoustic wave previously * Subject has had prior penile surgery * Patients with pacemakers or implantable defibrillators * Patients who are using devices which are sensitive to electromagnetic radiation * Patients who are found to have metastatic disease and require radiation/hormone therapy before initiation of shockwave/sham treatments * Subject has lesions or active infections on the penis or perineum * Subject is unwilling to remove piercings from the genital region * Subject has a history of substance abuse with…