Shockwave (ESWT) therapy, used in the treatment of erectile dysfunction, is a suitable option for a wide range of patients. As its primary aim is to stimulate new blood vessel formation, its application is primarily recommended for patients experiencing vascular-origin erectile problems. The best results from the treatment are generally seen in patients who exhibit a partial response to oral medications or injection therapies, as ESWT can provide more lasting benefits in these patients by directly targeting the underlying vascular problem.