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When you have shockwave therapy for Peyronie’s disease, we put a handpiece against your penis and use sonic gel to transmit pulses of energy.

If a healthcare professional (HCP) diagnoses you with Peyronie’s disease, he or she may offer different treatment options. Sometimes, an HCP may advise you to hold off on treatment and wait to see if your curve gets any worse.

As you consider treatment options, keep in mind that Peyronie’s disease is unlikely to go away on its own and may get worse over time.

Peyronie’s Disease Symptoms

  • abnormal curvature or indentation of the penis;
  • loss of width or shortened penis;
  • painful erections;
  • difficulty having intercourse;
  • discomfort for your partner during intercourse;
  • the inability to achieve or maintain a full erection.

Getting Diagnosed

Get the conversation started to find out if you have Peyronie’s disease.

Ask your urologist:

  1. Is my curved erection Peyronie’s disease?
  2. Is my curve 30 degrees or more?
  3. Do I have a bump (a plaque) that can be felt?

Be sure to also talk about any other issues or symptoms that may bother you about your curved erection.

Treatment Options

Although some cases of Peyronie’s disease have been known to improve or effectively disappear over time, more persistent or severe cases require interventional treatment.

Options include:

  1. Oral drugs such as Verapamil, Interferon, and Xiaflex
  2. Direct injection of drugs into the plaque
  3. Stretching the penis for 2 to 8 hours/day for at least 6 months
  4. Surgery to lengthen or shorten one side of the penis, venous or fascial grafts, and prosthetic implants. These alternatives are invasive, expose you to infections, and require a long recovery period.

Shock Waves for Peyronie’s Disease

Shockwave therapy (LI-ESWT) may sound scary, but this treatment is generally quick, easy, and painless.

When you have shockwave therapy for Peyronie’s disease, we put a handpiece against the affected area of your penis and use sonic gel to transmit single pulses of energy. This process helps produce new blood vessels in the site and breaks up plaque, which helps increase blood flow in the area.

Shockwave therapy usually takes between 25-30 minutes and doesn’t require any anesthesia or numbing cream. At the most, you might feel a mild tingling or buzzing sensation throughout the entire treatment.

To help you reach the best results, we might recommend a series of 12 treatments spread out over six weeks.

In what ways can LI-ESWT help treat my Peyronie’s Disease?

Peyronie’s Disease (PD) can lead to penile pain, penile curvature, erectile dysfunction, scar tissue that can be felt (plaque), and an overall decrease in quality of life.

Each one of these factors may be improved by LI-ESWT.

Penile Pain Cured: In multiple clinical studies, patients receiving LI-ESWT had their penile pain decrease significantly faster than patients receiving no treatment or placebo.

This rapid reduction in penile pain can have a significant improvement on a patient’s quality of life. It is important to recognize that penile pain will almost always improve over time, but the research conducted to date has found that LI-ESWT will speed up this process.

Penile Curvature Treated: Multiple clinical studies seem to show that early treatment with the LI-ESWT resulted in either improvement of the penile curvature, or a slowing of the progression of the curvature when compared to men who are untreated.

One classic study showed that when PD goes untreated, 14% of patient’s penile curvature showed an improvement, 40% showed slower progression, and 47% remain unchanged.

In addition, multiple clinical studies found that men treated with LI-ESWT showed either a significant reduction in their curvature or a significantly reduced progression of curvature compared to untreated men. The stabilizing effect LI-ESWT can have on the spontaneous progression of the disease as well as decrease the chance that surgical intervention will be needed.

Erectile Function Improved: There is excellent data showing that LI-ESWT treatment of the penis eliminates erectile dysfunction. LI-ESWT has not yet been approved in the US by the FDA for the treatment of ED. However, we currently offer it as an “off label” treatment to individual patients where appropriate, because both the literature and our clinical experience show significant improvement in the majority of treated patients.

The protocol used for PD and ED is quite different. However, the research in LI-ESWT for PD does show a consistent improvement in erectile function. This may result from a combination of factors. Most likely, it stimulates improved blood flow into the penis through the penile blood vessels (which is thought to be the main mechanism). Also, a man’s erections may improve as a result of decreases in pain, curvature, and plaque size.

Plaque Size Decreased: Studies indicate that treatment with the LI-ESWT leads to a decrease in scar tissue (plaque). This may partially account for the decrease in penile curvature. Many men are unhappy with the way their penis feels with the plaque, both non-erect and erect. Decreased scar tissue positively impacts how they feel about their penis and about themselves.

Quality of Life (QoL): Data from studies almost uniformly show a significantly increased QoL for most men treated with LI-ESWT for Peyronie’s Disease.

For more concerns please contact our qualified team to apply for a free consultation.

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