Originally Posted by 32quarters
While reading Dick’s blog recently I came across his post (with link to the paper) for the Srini protocol and am in the early stages of testing it. The Srini protocol suggests a focused treatment (convex head) with 0.09 mj/cm2 at low frequency of 2Hz promotes better vascular stimulation, It also treats only one side of the penis (base, center and at the glans) plus both sides of the crura, each with 300 pulses 1500 total.
I’ve conducted three treatments in the last two weeks, so is early, but seems like it is a positive. The bang bang bang of the slower frequency is actually a little more uncomfortable than the faster 15Hz pace I had been using. Initially I used a condom on the treatment wand to keep the gel from getting in the head; now I use the blue caps that came with the kit and fit the largest treatment head perfectly. They do not fit the smaller treatment heads well but with effort can stay on.
FYI I characterize my ongoing eswt use as maintenance treatments. I dont believe there is a cure for ED but by continuing to treat it I can keep it at bay.
Think in my case that is right. However firstly I found doing PE has helped (eg using an extender and more so pumping) I have found dynamic pumping where you cycle the vacuum from high to low etc has really helped my EQ. Believe Dicklimpen’s doc got him to do something similar as an adjunct to Shockwave.