Medically reviewed by Dr. Robert Rubin, MD. Last reviewed August 2026.
Dr. Robert Rubin offers shockwave therapy for erectile dysfunction at two locations in Florida:
Shockwave Therapy in Naples Shockwave Therapy in Tampa
Telemedicine consultations are available for patients across Florida, including the Tampa Bay Area, South Palm Beach, and North Broward.
Erectile dysfunction is more common than most men realize. It affects approximately 30% of men under 40, roughly 40% of men by age 40, and about 70% of men by age 70. Global estimates project over 320 million men will experience ED by 2025. The conventional approach — oral medications — manages symptoms. Shockwave therapy is different: its goal is to restore the natural erectile mechanism so that spontaneous erections return without ongoing medication.
Also known as Low-Intensity Extracorporeal Shock Wave Therapy (LI-ESWT), shockwave therapy has been used in orthopedic medicine for nearly 50 years to speed tissue repair, relieve pain, and treat injuries to bone, tendons, cartilage, and ligaments. Its application to erectile dysfunction was first explored in 2010, and the results established it as one of the most promising regenerative approaches in men's sexual health.
During treatment, Dr. Rubin passes a soundwave-generating device over the penis to deliver low-intensity acoustic waves to the affected tissue. Each session takes approximately 15 minutes. Most patients report no pain or discomfort at all.
The acoustic waves cause controlled micro-injuries to penile tissue, triggering the body's natural healing cascade. Specifically, shockwave therapy stimulates:
The cumulative effect is measurably improved blood flow and tissue quality in the penis — the physiological basis of spontaneous erection, restored from within rather than chemically induced.
Not all cases of erectile dysfunction are appropriate for shockwave therapy. It is most effective for vasculogenic ED — dysfunction caused by reduced blood flow — and produces the strongest results in mild to moderate cases. Shockwave therapy is generally not appropriate when ED is caused by:
Severe ED, particularly in patients with diabetes, is less likely to maintain improvement over time. Ongoing monitoring and treatment of any underlying conditions — diabetes, cardiovascular disease, hormone imbalances — is an essential part of sustained sexual health.
Dr. Rubin determines candidacy through a functional medicine evaluation before recommending shockwave therapy. If your ED has a hormonal component, Bioidentical Hormone Replacement Therapy (BHRT) may be incorporated alongside shockwave therapy. If weight or metabolic health is a contributing factor, medical weight loss may also be part of the plan. Where appropriate, combining shockwave therapy with the P-Shot produces greater results than either treatment alone.
Research shows that 12 sessions twice per week produces better outcomes than 6 sessions once per week. Treatment can be repeated up to 18 sessions total. Follow-up treatments at six months may provide additional benefit. Dr. Rubin will outline the appropriate protocol at your consultation based on the severity of your ED.
Mild to moderate cases of ED typically show continued improvement two years after completing treatment. Severe ED, particularly where diabetes is involved, is less likely to maintain long-term results. Regular consultations at Improving Your Health allow Dr. Rubin to monitor your progress and intervene early if erectile function begins to decline again.
The majority of patients report no pain or discomfort during the procedure. Each session lasts approximately 15 minutes and requires no anesthesia or recovery time.
ED medications like sildenafil (Viagra) or tadalafil (Cialis) work by temporarily increasing blood flow — they treat the symptom in the moment but don't change the underlying tissue. Shockwave therapy aims to restore the erectile mechanism itself through angiogenesis and tissue regeneration, so that spontaneous erections become possible again without ongoing medication.
Yes. Shockwave therapy stimulates new blood vessel formation; the P-Shot delivers concentrated growth factors that support cellular regeneration. The two treatments address ED through complementary mechanisms and are commonly used together for men with more significant dysfunction or those seeking maximum results.
Dr. Rubin is an Advanced Fellow in Sexual Health by the American Academy of Anti-Aging Medicine, and ABIM Board Certified in Internal Medicine and Geriatrics Medicine. He has extensive experience treating men with erectile dysfunction and other sexual health conditions at his clinics in Naples and South Tampa.
He spent the first 25 years of his career in internal and geriatric medicine, earning recognition from Castle Connolly Medical as one of the "Top Doctors" in South Florida for four consecutive years. After completing a fellowship in anti-aging and regenerative medicine, he transitioned to functional medicine — building a practice grounded in evidence-based care that identifies and treats the root causes of sexual dysfunction rather than managing symptoms indefinitely.
Private consultations are available at both clinics. All sexual health appointments are handled with complete discretion.
Naples
840 111th Avenue North, Suite 5, Naples, FL 34108
(239) 977-9220
Shockwave Therapy in Naples →
South Tampa
405 N. Reo St., Suite 162, Tampa, FL 33609
(813) 499-1440
Shockwave Therapy in South Tampa →
