Updated: Jan 9
What’s up everyone? It’s Rich. Today I want to do something fun and by fun I mean doing a commentary on the most recent reviews on The Phoenix Li-ESWT device. It has come to my attention that the question “Has anyone tried The Phoenix Shock Wave Device?” or any variation of the question, is constantly being brought up by men on various platforms such as blogs, YouTube videos/comments, forums, etc.
What these men don’t know is that this device has been out since 2019/2020 and has been used by thousands of men (including myself).
Last year, I wrote my 1 year review and experience using The Phoenix and my 2 year update is going to be published this week.
I’m not the only one who did a review on The Phoenix and I think it’s important for men to hear from more than just me about whether or not the Phoenix works. After all, we all have different bodies and different penises. At the same time, different health statuses and considerations.
For this reason, I’m going to do a commentary on the most recent reviews out there, which will include both GOOD reviews and BAD ones, too. Why? Because people need to understand what this device is actually supposed to do. If we can filter out the noise on the internet of misinformation and misinterpretations on Li-ESWT, then it could potentially help people who could actually benefit from this type of treatment.
On the same token, this will help point the people who are not considered good candidates for this type of treatment, to another strategy that might be suited for their specific type of sexual performance issue.
Ultimately, our goal of helping men on this journey of figuring out their sexual performance issues to learn and to form their own conclusions.
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Before you read further, let’s help those who are not familiar with The Phoenix, get a better understanding of what this device is actually supposed to do, or rather, what Li-ESWT is?
What Is The Phoenix Device And Does Li-ESWT Work?
The Phoenix is the first engineered at-home device to use Li-ESWT technology designed to treat the penile tissues. Li-ESWT is the scientific term for low intensity extracorporeal shockwave therapy. The term is often used interchangeably with alternative phrasing such as acoustic wave therapy or sound wave therapy.
The Phoenix has been out since 2019/2020 and is currently going through the rigorous process of becoming FDA approved. Until that day arrives, more and more men who are learning about Li-ESWT are trying out the 90 day home trial with the Phoenix to see and reap the benefits themselves.
As of today, over 55,000 men have used The Phoenix and most of the men who have done a home trial are keeping their devices for the future. There are approximately 300 critical reviews on their website, reviews on various erectile dysfunction forums, YouTube videos (although the majority of these videos seem to be copying each other… in my opinion) and other blogs. It has also been featured in magazines like Maxim, and are used alongside other treatments offered at various men’s health clinics throughout the U.S, such as with Dr. Amy B. Killen, Dr. Kien Vuu and a few others.
The biggest point here is that it’s been gaining a lot of traction as a “do it yourself” at home alternative and for the fraction of the cost as it would be to go to a men’s health clinic for shockwave therapy. The only setback is that men are not understanding what Li-ESWT is or the science that has been researched.
The Phoenix Shockwave Device Was Designed For Treating The Penis And Performance Issues In The Bedroom
The Phoenix device has a specific protocol designed by partnered Urologist Dr. Paul Thompson, giving men the best success when using this type of technology. It consists of an initial protocol lasting 120 days, where a guy would use The Phoenix for a month doing 2 treatments per week (8 treatments for one month), followed by a one month rest period. After this initial cycle, you can repeat this process again totaling 120 days (minimum 16 treatments in those 4 months). From there, you evaluate your results and retreat as needed in the future or whenever results start to fade.
***Using a penis pump is optional to the protocol, but it is suggested to use one in combination to yield better results. Penis pumps have always been a treatment option for ED in the past because it can help induce erections by bringing rich blood flow to the penis for healing and rehabilitation.
Although results with The Phoenix do vary per individual, it is important to consider your current health status, lifestyle choices and understanding that sexual performance issues can be caused by a numerous amount of other factors that the Phoenix may or may not address (Hormonal imbalances, performance anxiety, relationship issues, medication side effects, etc. are some examples/variables that The Phoenix cannot address).
If you are an avid reader like myself, have tried shockwave therapy in a men’s clinic setting and/or have tried The Phoenix, then you would know how great Li-ESWT is to not only prevent the natural decline in blood flow that men face with age, but to also be used to maintain performance for the years to come.
How Can Li-ESWT Help Men With Sexual Health Related Issues?
Li-ESWT technology was first used in studies for breaking down kidney stones in the 1980s. It was then experimented in the orthopedic world and finally in cardiology in the early 2000s.
As of 2005 and up until now, there has been a plethora of studies done on shockwave therapy being used in a Urology setting at a much lower and safer intensity to treat the penis while helping men with sexual performance related issues. At this time, certain devices from these studies have been approved by the FDA, however the FDA has not yet approved the use of these devices for treating men’s sexual health related issues (erectile dysfunction, etc.) in the United States. It is only used as an “off label” treatment.
So, if you’ve ever been to a clinic in the U.S for this treatment like I have, you may have filled out a form saying something like this before your consultation with your doctor.
(If you’re outside the U.S….Li-ESWT was recently approved and added as a regular treatment option in Europe as of 2021)...More clinical trials are needed to provide a more uniform approach on the protocol for each condition, shock wave form used, device specifics, etc. for it to be considered a regular treatment option for men in the future.
So, What Exactly Is a Shockwave?
Shockwaves are acoustic sound waves that travel at a certain pulse, depth, and speed to cause a physiological reaction for the body to either:
Break down kidney stones (at a much higher intensity as discovered in the 80s)
Treat musculoskeletal issues (at a lower intensity for breaking down calcified scar tissue as discovered in the orthopedic world)
Help promote neoangiogensis to grow new blood vessels and nerves (Ideally for the penis and the user to maximize performance and prevent the natural the decline of blood flow men face with age)
With that being said, there has been a lot of research and theories on the topic of Li-ESWT in the past two decades and there's more that's being done because research is continuous.
The hope is to continue to learn from the data and research as it improves on this type of therapy in both a clinical setting and the potential for at-home devices like The Phoenix, too.
But until then, we have reviews and anecdotes to look at to determine who this device is really for, who shouldn’t use it and for those who are misinformed, let’s get them pointed in the right direction.
My Commentary On The Recent Reviews On The Phoenix Li-ESWT Device
In this commentary, I'm going to link to reviews and/or comments, giving the title of the user's review as well as explore different experiences that men face such as Peyronie’s disease, erectile dysfunction, etc. I’m also going to include reviews that are both good experiences and bad experiences from real legitimate people that are not influencers/affiliates.
The reason why I’m doing this is because people have their own expectations when trying out a device like this. According to the literature on the mainstream office clinic shockwave devices, the researchers indicated what was a success and what wasn’t by using these questionaires:
the abridged version of the IIEF called the IIEF-5
and/or the EHS (Erection Hardness Score)
The above were the most common assessments used to determine success when using Li-ESWT treatment.
But, let’s be realistic here… Not every man is going to know any of that terminology or think to calculate their scores before using The Phoenix and doing it after their “12 treatments” or 120 day Phoenix protocol. Although it would be helpful for the masses if everyone did it this way (just my own personal thought), everyone is going to have their own goal and expectation when using this device. I just hope that when you read my commentary on the current reviews out there, that you open your eyes and realize the confusion there is on the expectations from different men when it comes to Li-ESWT treatment.
I’ll be giving a verdict at the end of each commentary in the form of a like a scale (just for educational purposes/entertainment):
Somewhat Valid/Invalid Review
The following will be based on the legitimacy of the review: if they followed the protocol provided by The Phoenix and the user manual, did they divert from it, and how many variables there were to their story that affected their experience (other types of ED, are they P.E enthusiasts, Do they have health conditions limiting their success, do they make poor lifestyle choices that affect their performance in the bedroom, etc.).
Good & Bad Reviews of The Phoenix
With all of that being said, let’s begin!
1. “ED Treatment Initial Review: The Phoenix Acoustic Wave Ultrasound by Launch Medical”
This review on The Phoenix holds the most upvotes on Reddit in the erectile dysfunction subreddit. There are approximately 60 comments from anonymous men talking about the device (a few that have used it as well) including the original poster who politely replied to some of the comments. It appears that this user became more responsive to PED5i (Viagra/Cialis) as he progressed through his Phoenix treatments. Unfortunately, this review was in 2021 (not that current) and the user apparently deleted his account or his account was deleted by moderators? (hence why the name says “deleted” at the top). However, the story of this 47 year old man is very up-lifting.
My Commentary (warnings about this review):
it appears the user (according to his story) is a P.E enthusiast (P.E stands for penis enlargement) and he discloses that he used to abuse penis pumps prior to doing Phoenix treatments (over pumping or penis pumping to extreme pressures can cause injury and damage to the penile tissues). Also, The Phoenix uses Li-ESWT technology and not ultrasound, which is a completely different waveform. My guess is he was probably misinformed by his Urologist, which I quote below:
“My ED/Urologist doc mentioned ultrasound therapy....at about $4K for 12 treatments not covered by insurance. I could probably cover it, but I wasn't even sure it would work.”
What’s the verdict on this Phoenix Review: Somewhat Valid/Invalid Review.
Why? Although the user appeared to have ED (“arterial insufficiency'' as mentioned in his review) and tried to stick to the protocol that was given to him by the creators of The Phoenix, there are some variables that unfortunately somewhat invalidates his review. For instance, the reddit user no longer has an account, and there were no additional updates on his experience after the first 4 treatments in his post followed by his additional treatments (his follow up) in the comments of his posts.
With that being said, we can’t truly consider this a “Full review” considering the fact that the suggested protocol is supposed to be 120 days. Although he saw success and commented on that, and it was very thorough, I can only give this a somewhat valid/invalid verdict.
2. “Started with the Phoenix”
This review on The Phoenix is by reddit user “male1980” and he followed the 120 day protocol. He was actually one of the commenters in the previous review mentioned up top.
You can read the comments from the review mentioned earlier where this user also commented on his experience there and in the comments to his specific post on The Phoenix, too.
Now, this guy apparently has pelvic floor issues, which The Phoenix does not treat (this needs a different strategy/a PT that specializes in pelvic floor dysfunction in men). He also disclosed that he was using a bathmate instead of an air pump along with the protocol. Although there is nothing wrong with using a bathmate (in my opinion), the reddit user seemed to have pelvic floor issues related to pumping. This user has not posted any updates since.
According to the dates of the posts, he should have finished the protocol by the Christmas season of 2021. I can only speculate that he is STILL enjoying those results as noted in his comments (if you actually look in his profile comment section).
What’s the verdict on this Phoenix Review: Valid Review
Why? He followed the ENTIRE 120 day recommended protocol and gave updates in his comments as well as comments in the 1st review I shared earlier. His interaction and mutual experience with the previous user showed legitimacy of his personal anecdote on using The Phoenix.
The only concern I have, which doesn’t change my verdict, is that pelvic floor dysfunction is something that men can face as well. This is something I hope this particular reddit user considers as a threat to their sexual health and that they should combat it in the future with a Urologist/PT that specializes in men’s pelvic floor dysfunction.
3. “The Phoenix ED shock wave machine at home”
Warning: This is a forum/website dedicated to men who use a myriad of penis enlargement tools, devices and exercises to enlarge their penises. I’m giving you (anyone reading this) a warning because P.E(penis enlargement) is an ENTIRELY different niche/activity that some men practice. There are risks and dangers involved that can actually cause damage to the penis, resulting in potential/permanent ED. Although I am a P.E enthusiast myself (I’m not going to deny this), using The Phoenix alongside P.E practices could potentially be dangerous as well as “cancel” out/ limit any success you would see with The Phoenix. At the same time, if you really want to see if it works, don’t add these types of variables that can limit your success. Just my 2 cents…Stick to the Phoenix protocol if you actually want to see if it works and don’t add in too many variables that will cancel out or make it harder for you to see if it works or not…I digress.
Now this user named “Motor23” on the Biohacker forum tried 12 treatments from Sept 15th 2020 and stopped replying on October 31st of 2020. Just an FYI… this “12 treatments” was a former protocol or a similar protocol to in-clinic treatment protocols. The 120 day protocol as mentioned earlier consists of a minimum of 16 treatments in that time period. During this 1.5 month period, this user continuously updated his review on The Phoenix reporting ups and downs on his mental health, performance anxiety, morning wood and frustration.
It appears that he had issues maintaining his erections and was having difficulty maintaining them in certain positions (if you follow along each page on his thread). This could possibly be a pelvic floor issue (I’m just speculating).
What’s the verdict of this Phoenix review: Invalid Review
Why? Because the review was not thorough enough. The user had an expectation that he was going to be able to produce a “strong erection” in a short time frame. This is not what the Phoenix will do for any guy looking for a quick fix. Li-ESWT takes time and usually takes time to see results. It was also not clear as to what success he had.
For instance, on some days he indicated he had good erections (strong morning wood), while on others he had nervous tendencies and performance anxiety related issues with sexual partners. He also mentioned he had issues with erections laying down versus standing and while on his knees when using his fleshlight. This to me seems like it might potentially be related to pelvic floor floor issues.
4. “Um, the Phoenix really works.”
This review is from Reddit and was done about 8 months ago. It seems pretty straightforward and the reddit user, “Ready_1999” talked about how he was seeing a decline in response to PED5i treatment (Viagra/Cialis) and that he claims he sprained his penis which led him to supposedly developing “Peyronie’s disease”. He claimed he was going to do 12 treatments in his post.
If you look at his post history it appears he commented on another thread related to shockwave therapy in general (clinical…not the Phoenix) where he mentioned he shared he was at treatment number 6 with his Phoenix and saw results.
What’s the verdict on this Phoenix review: Somewhat invalid/valid Review
Why? More information is needed. Although this review was 8 months ago, you still had to check his post history to see if he had a concluding follow up of performing the 12 treatments he said he was going to do. The reddit user didn’t elaborate on this or gave a follow up. This post was also one of the first posts I found that had a “suspected” Peyronie’s disease from a sprain/injury during sex in his post. We can only speculate/assume that he was in the acute/early stages of Peyronie’s (PD) and that the Li-ESWT treatment with The Phoenix helped in some way.
What would’ve helped validate this review is if he explained if he had a curvature or pain and disclosed any information on the specific degree of the curve (before and after). At the same time, we don’t know the end result of the 12 treatments nor know why he chose to do 12 treatments as opposed to the suggested 120 day protocol.
5. “Phoenix Device First time”
This was a post on Reddit from user “Noturboyfriendsorry” and he chronologically shared threads from his very first Phoenix treatment all the way to treatment number 12. This was shared about 7-8 months ago. He reported slight improvements and random observations about his penis and lifestyle (sleeping issues and his girlfriend).
What’s the verdict on this Phoenix review: Valid Review
Why? Unlike the other reviews who mentioned they were going to do “12 treatments” as opposed to the 120 day protocol, the user at least kept a time stamp and made multiple threads after each treatment and shared what he was experiencing on the same day of each treatment. Although he made observations on sleep, pelvic floor and improved sensitivity, he was at least consistent, which is why I consider this review to be more valid than the ones that claimed they were going to do 12 treatments, but didn’t hear back from them or any follow ups.
6. Shockwave therapy?
This first link below shares a review, but the second one is also for a helpful comment that will determine the legitimacy of this review.
This review is not from the original posters (“trytostayhopeful18” and “Ill_Avocado814”)
The REAL review is from the top comment on both of these threads from user “Benttrow” who had an injury during sex, which appeared to have happened 9+ months ago? In his post history in the Peyronie’s support subreddit, he claimed 3 months ago that he had this injury for over 6 months (that’s where I got the 9+ months from) and had visited 2 Urologists who recommended him to use an extender or Xiaflex injections.
He did however, mention in the 2 links above, how he tried The Phoenix and was not happy with the results he had wanted, which was to fix the curve and break down the plaque/scar tissue. It appears in his post history that when doing the Xiaflex injections he did not see any results either (spending 26,000 from insurance) and the Urologist commented that he had a lot of plaque/scar tissue at the site of the curve.
What’s the verdict of this Phoenix review: Valid Review
Why? He mentioned he tried out the Phoenix for 3 months (assuming it was the 90 day home trial) and didn’t see the results he expected to have, which was to straighten out the curve he had. Although this isn’t a post dedicated to reviewing the Phoenix, if you dive into his post history you’ll see him talk about it in Peyronie’s support subreddit. As far as the condition, I’m curious to know if he had experienced any pain considering this time period (the “9 months”) is still considered the acute phase and that based on the mayo clinic, deformity may continue throughout this period.
7. Phoenix - Home treatment blog
I’m sharing Three links (week 1, week 2 and week 3).
This is a 3 week review from reddit user “Professional_Ant9738” (age 38). From this date, this weekly review was 7 months ago (February/March of 2022). In his first post, he talked about how he had the device for 6 months, but never got around to using it as recommended because of time constraints.
He made these posts to get motivated and document his results. This user noticed improvements in flaccid hang, erection quality and lasting power (week 2 observations). In his 3rd week review of The Phoenix, he admitted he was going slower than most Phoenix users (time constraints as he is a “busy guy” to do treatments and use the penis pump protocol). But, at this point he was 7 treatments in and then never spoke about The Phoenix since April of 2022.
What’s the verdict on this Phoenix review: Somewhat Valid/Invalid Review
Why? It seemed like a good 3 weeks where the user appeared to be motivated to document and track observations while going through the 120 day Phoenix protocol. However, he stopped short at treatment #7, reported good results, but hasn’t spoken on the topic since April of 2022.
If you look into his post history it appears he’s actually going through some hormonal issues (imbalances) causing low libido and arousal, which is a separate issue that can affect erections and being in the mood for sex. Again, just speculating, but as much as I would like to validate this review, it was cut too short and there are some other underlying issues that are not clear. More information would’ve helped to show long term effects.