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Alma Duo Shockwave Therapy for Men’s Sexual Health



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Alma Duo An In-Clinic Treatment Option for Male Patients

Duo uses focused low-intensity extracorporeal shockwave therapy (LI-ESWT). In the published literature, this acoustic energy is associated with new microvasculature and improved blood flow, which is why it is used for erectile dysfunction of vascular origin.

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Alma Duo
Always a Pleasure



  • Treatment Category

    Sexual Wellness

  • Downtime

    Varies by patient

An In-Clinic Treatment Course

Alma Duo gives clinics a non-invasive treatment option for erectile dysfunction, delivered as a short course of in-clinic sessions under the direction of a healthcare professional.

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Non-Invasive and Needle-Free

The treatment is non-invasive and needle-free: a handheld applicator delivers focused acoustic pulses to the target tissue, and no anaesthetic is required.

Alma Duo low-intensity shockwave device
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The Treatment Protocol

The standard protocol is six sessions of about 15 minutes over three weeks. Results vary between patients, and the treating clinician sets the plan after assessment.

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Shockwave therapy for ED

  • LI-ESWT - Duo
    Acoustic technology generates focused low-intensity shockwaves (LI-ESWT) that create mechanical stress in the target tissue. In the published literature, this is associated with neovascularisation at the treated site and improved blood flow.

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Alma Duo: shockwave therapy for ED in clinics

Alma Duo is a focused low-intensity extracorporeal shockwave therapy (LI-ESWT) device for erectile dysfunction. It uses acoustic energy rather than laser or radiofrequency, and it is used in clinics under the direction of a healthcare professional.

How shockwave therapy for ED works

A handheld applicator delivers focused low-intensity acoustic pulses to the penile tissue. In the published literature, this mechanical stimulus is associated with the formation of new microvasculature and improved blood flow, which is why shockwave therapy for ED is studied mainly in men with erectile dysfunction of vascular origin.

The Alma Duo ED shockwave therapy protocol

The standard protocol is six sessions of about 15 minutes, twice a week over three weeks. Sessions take place in a standard consulting room and need no anaesthetic. Results vary between patients, and the treating clinician sets the plan after assessment.

Who is ED shockwave therapy for?

Published studies of LI-ESWT report the most consistent improvements in men with mild to moderate erectile dysfunction of vascular origin. Patient selection matters: the treating clinician screens for contraindications and decides whether the treatment is appropriate.

A shockwave therapy device for clinics

As a shockwave therapy device, the device fits into a standard consulting room and is delivered as a course. Which clinicians can deliver treatments depends on scope of practice in each state, and Alma Lasers Australia provides clinical references, training and local service to clinics that install it.

What happens during a session

The clinician delivers focused low-intensity pulses through a handheld applicator. No anaesthetic is used, and a session takes about 15 minutes. Because sessions are short and run as a course, they fit comfortably between other appointments in a clinic schedule.

Evidence behind low-intensity shockwave therapy

Low-intensity shockwave therapy for erectile dysfunction has been studied in randomised controlled trials and meta-analyses over more than a decade. The clinical resources on this page list three of those reviews, published in The Journal of Sexual Medicine (2017), Therapeutic Advances in Urology (2019) and the International Journal of Impotence Research (2019).

Clinical evidence and running costs

Clinical evidence. Three peer-reviewed studies on low-intensity extracorporeal shockwave therapy for erectile dysfunction, the technology class Alma Duo belongs to are listed on our clinical evidence page, with journal, year and first author for each paper. The full searchable library is in Clinical Resources.

Genuine Alma. Systems supplied by Alma Lasers Australia carry an Alma serial number registered with Alma, and come with manufacturer warranty and local clinical training. How to tell a genuine Alma device from a lookalike. More questions from clinic owners are answered in our Q&A for clinics.

Alma Duo: Clinical Resources

Clinical Resources

  • Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis

    Raul I Clavijo et al.

    The Journal of Sexual Medicine, 2017

    Read More
  • Meta-analysis of randomized controlled trials that assess the efficacy of lowintensity shockwave therapy for the treatment of erectile dysfunction

    Jeffrey D. Campbell et al.

    Therapeutic Advances in Urology, 2019

    Read More
  • Clinical studies on low intensity extracorporeal shockwave therapy for erectile dysfunction: a systematic review and meta-analysis of randomised controlled trials

    Ioannis Sokolakis, Georgios Hatzichristodoulou

    International Journal of Impotence Research, 2019

    Read More

FAQs

  • Alma Duo is used under the direction of a healthcare professional. Which clinicians can deliver treatments depends on scope of practice in each state, and Alma Lasers Australia walks each clinic through what applies before installation.

  • Shockwave therapy for erectile dysfunction, or LI-ESWT, uses focused low-intensity acoustic pulses delivered to the penile tissue. In the published literature it is associated with new microvasculature and improved blood flow, and it is studied mainly in men with erectile dysfunction of vascular origin.

    Patient selection and assessment by a healthcare professional are essential.

  • Alma Duo is a purpose-built platform for it rather than an adapted skin device. It treats male erectile function using low-intensity acoustic shockwave. For a clinic the appeal is a discreet, non-surgical treatment delivered as a course, delivered by trained staff in a standard consulting room, that reaches a patient group most aesthetic clinics never see. Talk to an Alma representative about scope of practice and which clinicians in your state can deliver these treatments.

  • Alma Duo uses low-intensity acoustic shockwaves rather than laser. A handpiece delivers pulses of acoustic energy into the target tissue, which triggers the body’s own repair response and encourages the formation of new microvasculature. Because erectile function depends heavily on blood flow, improving that vascular supply is the mechanism the treatment relies on. Sessions are performed in the clinic, take around fifteen minutes, need no anaesthetic, and a course is normally six sessions over a few weeks.

  • Low-intensity shockwave therapy for erectile dysfunction has been studied in randomised controlled trials and meta-analyses over more than a decade, with improvements in erectile function scores reported most consistently for men with mild to moderate erectile dysfunction of vascular origin. Alma Duo applies that therapy with a focused applicator and a standardised protocol. Patient selection matters, and the device is used under the direction of a healthcare professional. Alma Lasers Australia provides the clinical references and training to clinics that install Duo, and can arrange a demonstration for practices considering adding sexual wellness to their offering.

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