What are non-pill ED treatment options after six months for a 52-year-old man?

[JerryFH]

I'm a 52-year-old man who has been experiencing erectile dysfunction for the past six months, which is starting to affect my relationship and my self-confidence. I've ruled out psychological causes with a therapist and my primary care doctor has checked my testosterone levels, which were normal. He mentioned oral medications like sildenafil as a first step, but I'm concerned about potential side effects and the idea of relying on a pill. What are the other realistic erectile dysfunction treatment options I should discuss with a urologist? I'm curious about things like lifestyle interventions, pelvic floor therapy, or even low-intensity shockwave therapy, and what the success rates and practicalities are for someone who is otherwise healthy.