Mens health Course Copenhagen, here are some pictures and takehomes from a fantastic weekend teaching in the clinic. And a little bit of what is next from my end on education. Thank you to all of you guys flying and driving in; you rock 💙

What I like about this course is the low number of attendees making time for good discussions of technology, science, protocols, and all the difficult things we face in the clinics. 🤔

I enjoyed all the people coming in from the UK, Netherlands, Norway, and Denmark to spend time with me and listen to the concept I have developed for men's health in my clinic. 💪

I am now even more motivated to create a more comprehensive workshop for next time that will be put on another level in practical and theoretical application. 👌

This time, we covered erectile dysfunction, Peyronies, and CPPS as the main topics.

The next one-day course will focus only on erectile dysfunction, with an expanded session on psychological factors and roleplay so that you can handle the talks with the clients even better. And not just be a Top-Gun clinician.
For this one, we will also add more time for doing the ultrasound scanning of the penis so that you can add another skill to your toolbox.

👉👉 The next course will be 11th of May 2024 👈 👈

We need more time for Peyronies, CPPS, and incontinence, so that will be a day on its own. I will start working on a more extensive course so that no one has any doubt about how to handle these cases in the future.

This week, I will also reveal a new project I hope many of you ESWT practitioners will support. It will significantly affect how we look at shockwaves across countries and protocols within men's health. 🚀

❤️ This weekend, the team pulled off a fantastic Masterclass with The Academy of Shockwave Excellence. I am incredibly proud of the team effort, starting with workshops on Thursday and continuing until Sunday.

Here are some of the highlights from my side.
🙌 Forty-three participants for levels 1 and 2, with some of the best engagement I have experienced. The representation of users of different focused shockwave technologies gave rise to some great debate.

💪 The highly practical and hands-on sessions are second to none.

😍 I just had fun teaching shockwave and EMTT, making the complex content simple and understandable for the attendees.

🙏 People who have been working in practice for more than 20 years say it is some of the best education they have ever attended.

"This, by far, was one of the best training and informative classes I have attended in years."

"One of the best trainings I’ve ever attended. Looking forward to the future training."

I am already looking forward to the workshop in April, where we have level 1 and 2 and a workshop on Assessment.
And then there is a little workshop surprise for April that will be announced later this week 😉

Thank you to our Gold Sponsor, Kinas Medical , for supplying the equipment for the workshop.

I love what I do around shockwave and the clinic, and yesterday I had a Shockwave expert meeting in mens health.

I'm back in the clinic after visiting Yves De Vos and Gerard Greene for their Advanced Men's Health course with Venn Healthcare this weekend in Liverpool. They had put together a very sensible course that gave a good introduction to the treatment of erectile dysfunction, pelvic pain and peyronies.

It was a pleasure to speak with the talented gentlemen again, listening throughout the day and having the pleasure of presenting some of the more advanced penile ultrasound scans that I perform in the clinic to the attendees of the Mens health course Liverpool. The scans I perform in the clinic are not seen in many parts of the world, so I hope I may have inspired the participants to make a little more effort to consider ultrasound as an important part of their diagnosis.

It's always great to reconnect with old friends and meet new ones within the pelvic floor health network.

Back from an incredibly enriching trip to Barcelona, where I engaged in internal training for STORZ Medical Ibérica with their outstanding team.

During our stay, we explored a wide range of options in urology, wound care and orthopedic treatment, diving into how the most optimal results can be achieved through thorough training and a combination of shockwave and EMTT (Electromagnetic Therapy) technologies. These cutting-edge technologies have proven to deliver remarkable results and it was a pleasure to share my knowledge with the dedicated staff at Storz Medical Spain.

In addition, we discussed many other exciting aspects of medical practice and the latest advances in treatment methods. It's clear that the proper application of shockwave technologies can not only improve patient outcomes, but also help optimize the efficiency of medical procedures.

I am deeply grateful for the kind invitation to participate in this educational event and look forward to continued collaboration in the future. Besides the professional aspect, I also had the opportunity to enjoy the charming city of Barcelona and get to know the local cousins, which was extra enjoyable considering the somewhat unstable weather we are currently experiencing in Denmark.

We ran a fantastic extended level 3 masterclass in shockwave combined with ultrasound this weekend for The Academy of Shockwave Excellence with support from Kosmos by EchoNous.

I had the pleasure of teaching the class with Mike from the UK and the dynamic we had with the participants during the different presentations, especially the new casework session, was remarkable.

Usually on courses like this you are given the recipe for the entire treatment, but on this one we gave the ingredients. Participants then had to use their clinical reasoning and knowledge of shockwave to develop a specific plan supported by the instructors.

This improved the learning outcome and took it to a new level in shockwave training, which we as a team are very happy with.

We also integrated ultrasound into the workshop, providing an even greater understanding of anatomy and the application of shockwaves.

It's something I look forward to continuing to work on from a teaching perspective in the future. So again, thank you to Penny Hall, RDCS, and the team for the support and I look forward to continued collaboration in the future.

This also concluded my teaching in the US for this year, which has been truly amazing and I'm looking forward to returning in January for the next Level 1 and 2 courses.

Venn Healthcare Innovation 2023 shockwave conference in London.

Did you have a morning erection today?

Sometimes you just have to have fun, so I popped that question, about 2 minutes into my keynote speech in urology

It was a delightful pleasure to present the options with shockwave and EMTT, in erectile dysfunction and Peyronies. Which elements to to put focus to, if you want successful outcomes.

But also to present one of my latest breakthroughs in non-invasive treatment of incontience. Which is really mindblowing.

I also learned a lot by all the talks during breaks and at the social dinners. Where we discussed new options with EMTT with the godfather of EMTT Ludger Gerdesmeyer.

Thankyou all participants and to Jonny, Sarah, Jenny, James, Thomas and rest of the team for making such a great event.

Gerard and Yves, see you soon in Liverpool for some good talks on how to bring shockwave and EMTT to the next level.

Benoy, Helen, stuart it was a pleasure finally meeting you.

Positive studies:

LI-ESWT is safe and effective for treating ED in PDE5I-R and PDE5I-NR groups. (Vinarov, 2019)

LIESWT can improve sexual and erectile function in patients with ED after RARP.
LIESWT may be a new option for penile rehabilitation (Hinati, 2023)

The IIEF-5 score and EHS improved in patients who underwent the procedure, with results maintained at 12 months of FU. (Cocci, 2023)

Differences regarding the EFD
Increasing energies may yield better results (Porst, 2020)

57% of the men who suffered from erectile dysfunction had an effect from LI-ESWT 5 treatment (Lund, 2013)

What to be aware of:
Li-ESWT is a valid but often short-lived treatment option for ED, especially in men with cardiovascular risk factors or controlled hypertension. (Sikic, 2022)

Conclusion:
ESWT for erectile dysfunction works for both vascular and neurogenic conditions, but lifestyle, comorbidities, and medication need to be taken into account for the total solution, which can include:

Intensity / Sessions depending on severity
PDE-5Inhibitors
Nutritional supplements
Vacum-devices
Pelvic floor exercise
Exercise
Smoking/alcohol reduction
Psychology approach/education
EMTT

The results will be similar to the customer's tissue quality and motivation to work hard to change the lifestyle.