Providing the therapy involves using an FDA cleared device with “genuine” shock waves, according to Irwin Goldstein, MD, a urologist who practices sexual medicine in San Diego and and is director of the nonprofit Institute for Sexual Medicine (SexualMed.org). “There are a lot of imitation non-shock wave acoustic sound waves that are being scammed and sold to patients who are desperate,” said Dr. Goldstein, who uses a device known as the UroGold 100. “Real shock wave therapy has been shown to activate endogenous cells. This specific device is FDA cleared now in the U.S. for increasing blood flow, connective tissue activation, and amelioration of pain, and the FDA has classified this device a non-significant risk (NSR) to humans.”