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At our clinic we have one of the greatest experience with the treatment of erectile dysfunction (ED) by low intensity focussed shock waves, not only within the Czech Republic, but worldwide. This treatment method has been approved since 2013  by the European Urologic Association as the appropriate method of first choice of ED treatment. Dr.Igor Motil, a pioneer of this method, has later on developed and introduced a method of complex tissue coverage (LSTC-ED®) as well as an unique treatment algorithm for tailor-made treatment.In cooperation with Elvation / R.Wolf, we have opened the EURED Center, which  serves also as an exclusive training center for physicians from around the world who are interested in performing ED treatment with LSTC-ED®.

In the past, we have had the chance to test most of the devices currently certified for the treatment of ED by low energy focused shockwaves and the final decision was made on Piezowave² produced by the German manufacturer R. Wolf GmbH.


Answers to the question "Why?"are listed below:

R. Wolf is a spirit of excellence

Richard Wolf GmbH is a famous German manufacturer with whose excellent products (surgical endoscopes, laparoscopes) we have personal, long-lasting and very good experience. 

Linear application  +  Unique LiST by LSTC-ED ® technique

The Piezowave² uses a linear probe to apply the shock wave on a larger surface, not just in a point, as is the case with most competing devices. In addition, the Piezowave² uses the unique "Double-Layer-Technology" for higher efficacy.

The above mentioned combination of technological features of the Piezowave² probe has enabled us to develop our own, unique and patented treatment method called “Linear Shockwave Tissue Coverage ”  (LSTC-ED®), which guarantees a perfect coverage of the entire penile tissue by shock waves and thus better treatment results.



3rd Generation

Piezowave²  produces a piezoelectric shock waves. The first devices produced SW on an electrohydraulic principle, later on electromagnetic, and the latest generation is the piezoelectric SW technology.This allows shortening the treatment procedure while maintaining the amount of applied energy and applying it to the target organ linearly. In addition, piezoelectric technology is extremely reliable and the probe has up to 5 times longer lifetime compared to electromagnetic or electrohydraulic technology. Combining these parameters, Piezowave²,  is by our opinion,  currently the most suitable device for the treatment of ED with a low-energy shock wave..

Significant angiogenesis

There is an extensive and a very good experience in the treatment of non-healing wounds with Piezowave²  device.  In these cases the role of angiogenesis (the formation of new blood vessels and consequently the improvement of blood circulation) plays a key role as well as in the treatment of ED.

Dr.Igor Motíl - participation in selected professional events and publications in professional periodicals during the last years:



  • Presentation - 102nd Annual Meeting of the Japanese Urological Association , 24–27 April 2014 Kobe, Japan

  • Scientific Study - International Journal of Impotence Research (2014), 1–5, Initial experience with linear focused shockwave treatment for erectile dysfunction: a 6-month follow-up pilot study

  • Presentation - 4th Annual Urological Society Conference (EUSC 2015) 5-7 November 15 Dubai, United Arab Emirates

  • Presentation  - Sympatibulum České společnosti pro sexuální medicínu 2016, 27. – 28. května 2016 Městské divadlo Český Krumlov 

  • Presentation  - Pražský sexuologicko- andrologický mezinárodní kongres 20.-21.11.2015 , Senohraby

  • Presentation - XXXV. výroční konference SVL ČLS JEP, 11.11.2015 - 14.11.2015 / Zlín

  • Presentation - 18th European Society for Sexual Medicine  Congress 2016. 4 – 6 February 2016 Madrid

  • Presentation  - LÁBADYHO SEXUOLOGICKÉ DNI 2015. 1. – 3. 10. 2015. Trnava, Slovensko

  • Scientific Study - Advances in Sexual Medicine, 2016, 6, 15-18- Treatment of Vasculogenic Erectile Dysfunction with Piezowave2 Device. Application of Low Intensity Shockwaves Using Novel Linear Shockwave Tissue Coverage (LSTC-ED®) Technique. A Prospective, Multicentric, Placebo-Controlled Study

  • Article - Časopis Slovenské Sexuologické Společnosti

  • Presentation - 14th Urological Association of Asia Congress 2016 Singapore | 20 - 24 July 2016

  • Presentation – for Urological Society in  Hong Kong , 24.4. 2016

  • Presentation – for Urological Society in  Amnan, Jordan,  27.7.2016

  • Presentation - Dubai 28.7.2016

  • Poster/ Presentation –  congress ESSM Nice 2.-4.2.2017

  • Presentation –  Sympatibulum České společnosti pro sexuální medicínu 2017, 19. – 20. May 2017. Český Krumlov 

  • Presentations and poster - 15th Urological Association of Asia Congress 2017 Hong Kong | 4-6 Aug 2017

  • Presentation (oral and video) - 6th Annual Urological Society Conference (EUSC 2017) 8-11 November Abu Dhabi, United Arab Emirates

  • 20th Congress of the European Society for Sexual Medicine and 21st World Meeting of the International Society for Sexual Medicine, February 28 – March 3, 2018, Lisbon, Portugal

  • The 2018 Annual EAU Congress (EAU18), Copenhagen, Denmark 16-20 March 2018

  • Lectures – ED Treatment by LSTC technique – Taiwan,  Kaoshiung,  85 Sky Tower Hotel , April 15th 2018

  • Lectures-  ESWT application training, 115 Hospital, Ho Chi Minh City, Vietnam , April 17th 2018

  • Commented poster -  16th UAA Congress 2018, Kyoto, Japan. The Japanese Urological Association (JUA) in conjunction with the Asian School of. Urology (ASU), Urological Association of Asia (UAA) and American Urological., April 18 th 2018

  • 36th World Congress of Endourology and SWL, September 20-23 2018, Paris, France

  • Presentations -  7th Emirates International Urological Conference & 15th Annual Arab Association of Urology Conference:
    Oral presentation+ Scientific meeting at the Innovation Hub + workshop on Erectile Dysfunction (Novel Treatment Modalities) from 31st October – 3rd November 2018

  • Meeting on ED treatment - Zaburzenia erekcji - nowoczesne metody leczenia, Trojanów,Polska 8-9.November 2018

  • The 2019 Annual EAU Congress (EAU19), Barcelona, Spain 14-18 March 2019

  • Lectures- Round Table on LiESWT treatment , Vienna , Austria 20.March.2019

  • Presentation at the 31st Thai Urological Association Annual Meeting Date: 4 April 2019 - 6 April 2019 , Pattaya Thailand

  • Lectures at the Symposium on SW treatment of ED and CPPS -  Far Eastern Memorial Hospital , Taipei , Taiwan 7 April 2019

  • Lectures at the Ruma Sakit Cipto Mangunkusomo Hospital ( RSCM), Jakarta , Indonesia, 9  August 2019

  • Presentation at the Androcare symposium, Hotel Hyatt Place, Hyderabad, India, 11 August  2019

  • Lecture - 31st SMIT congress - Society for Medical Innovation and Technology, 10--13 October, Heilbronn, Germany

  • Lectures - ED, CPPS and IPP treatment with LiESWT, 20.October , Athens , Greece

  • Scientific study - Erectile Dysfunction Treatment Using Focused Linear Low-Intensity Extracorporeal Shockwaves: Single-Blind, Sham-Controlled, Randomized Clinical Trial, (2019) Urologia Internationalis,  , (DOI:10.1159/000504788

  • Oral presentation + poster  : 22nd Congress of the ESSM in Prague , Januaray 23-25 , 2020


  • Scientific study : Linear Low-intensity extracorporeal shock wave therapy as a method of penile rehabilitation in erectile dysfunction patients after radical prostatectomy. Single-Blinded, Sham-Controlled, Randomized Clinical Trial. Urologia  Internationalis, 2022 Aug 10;1-6.,DOI: 10.1159/000525973

  • 24th WORLD CONGRESS OF THE INTERNATIONAL SOCIETY  FOR MEDICAL SHOCKWAVE TREATMENT, SEPTEMBER  08-10, 2022 PRAGUE - Invited speaker, moderator, 2 oral presentations  

  • Daegu, South Korea, 25th ISMST conference , 2 lectures, July 21st to 23rd, 2023,

  • Presentation at the EAU congress Urotech24 Expert meeting on LiESWT Vienna, Austria ,27th of January 2024

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