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Peyronie's Shockwave Therapy

Focused Shockwave therapy has become the most popular treatment for Peyronie's Disease (PD) as it is non-invasive, means it does not require surgical incisions or anaesthesia. Surgical treatments often carry the risk of complications and can result in a reduction in penile length, which deter many men with PD from going under the knife.





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Prioritising Non-Invasive Treatment for Peyronie's Disease

Our non-invasive Focused Shockwave approach to peyronie's disease therapy is important, because a man's penis is made up of a complex array of anatomical structures and physiological systems that enable him to pass urine, get an erection, and engage in sexual intercourse. Invasive treatments may cause more problems than those being treated.

It is vitally important to undertake treatment in the hands of experienced doctors, urology specialists and clinicians using the very best medical equipment available on the market – Storz Medical technology with energy levels of up to 1.24 mJ/mm2.



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MansMatters: Leading the Way in Focused ShockWave Therapy

Our clinical team at MANSMATTERS are the UK's leading provider of Focused ShockWave Therapy (FSWT) and a further four ground-breaking clinical technologies. Our pioneering protocols provide effective solutions that include straightening of curvature, a reduction in pain with improved erectile function, without any loss in penile sensitivity or length.




Get a free phone consultation to discuss our Peyronie's disease treatments

Contact us today to discover how our experienced consultants have successfully
restored a vibrant and pain-free sex life to countless patients and their partners.




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Peyronie's Shockwave Therapy – Clinical Data

Shockwave treatment for Peyronie's disease was first described in 1989. The authors hypothesised that the effect on the plaque would be similar to shock wave lithotripsy, breaking the plaque into small particles.

Peyronie's Focused Shockwave Therapy involves the use of low-intensity sound waves directed at the affected area of the penis. These sound waves stimulate healing processes, improve blood flow, and break down the fibrous plaques associated with PD.

The National Institute for Health and Care Excellence (NICE) has been reporting on the efficacy of Peyronie's Focused Shockwave Therapy. They say that the main benefits of ESWT is the alleviation of pain and reduction of angulation of the penis - In one comparative study, 50% of patients (10/20) receiving ESWT experienced a decrease in curvature of at least 30%, plus evidence suggesting some improvement of sexual performance.

We have been providing Peyronie's Focused Shockwave Therapy for clients with Erectile Dysfunction (ED) and PD for several years and our urology specialists have refined the techniques used based on the ages of our clients and the severity of their condition. Some men approach us after reading medical research and call in to question the effectiveness of Shockwave Therapy.

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The importance of equipment to shockwave therapy

However, there are different types of Shockwave equipment and some of the early machines were only partially effective. If in any doubt, you should be reassured by an article in the Sexual Medicine Review published in 2020 which looked at 6 ESWT devices used on patients with ED and/or PD but with huge differences regarding the EFD and the total energies applied and commented that, "There is growing evidence that concentrated treatment protocols and increasing energies may yield better results. In this context, it may be argued that at least some of the published studies were markedly underpowered."

This is crucially important as not all Shockwave equipment is created equally and Radial shockwave equipment may cause more harm than good. Just five years ago standard Focussed Shockwave Therapy, had an energy transfer of 0.3, good focused, machines have an energy transfer of 0.5 but Peyronie's treatment needs an energy transfer of 1.24. We use the latest Swiss-engineered Shockwave equipment which is superior to all other machines and our clinicians have substantial experience obtaining the optimum results.

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Combined Peyronie's Shockwave Therapy Programme & ED Therapy

Many patients who have endured Peyronie's Disease, have also experienced a decline in sexual function. In many instances this decline started before the onset of Peyronie's Disease. 

We combine FSWT for both the area afflicted with Peyronie's Disease, combined with treating the whole penis for Erectile Dysfunction. This stimulates the development of new bloods vessels and neurogenesis, which stimulates new nerve tissue. Both lead to stronger, harder, and longer lasting erections.






Peyronie's Shockwave Therapy FAQ's

What is Extracorporeal Shockwave Therapy (ESWT)?

Extracorporeal Shockwave Therapy (ESWT) is a non-invasive medical procedure that utilises high-energy sound waves to treat various men’s health and musculoskeletal conditions and promote tissue healing. The term “extracorporeal” means outside the body, indicating that the shockwaves are generated outside and then transmitted into the body. ESWT can be both radial and focused, but only focused is a suitable treatment for Peyronie’s Disease.

What is Radial Shockwave Therapy (RSWT) and how does it differ from Focused Shockwave Therapy? (FSWT)

Radial Shockwave Therapy (RSWT) uses a different type of technology and emits pulses at 10 meters a second across a broad area. It is used in orthopaedic treatments and is totally unsuitable for Peyronie’s Disease and could make it worse. Focused Shockwave therapy uses sound waves that are emitted at 1000 metres a second and are focused on a specific target area. These shockwaves are characterised by their higher energy and more concentrated focus. The focused shockwaves penetrate deeper into the tissues and can target specific structures with greater precision.

Some of the research you quote mentions Low-Intensity Shockwave Therapy (LISWT). What is this?

LISWT, as the name suggests, utilises shockwaves with lower energy levels compared to FSWT and ESWT. These low-intensity shockwaves were used in the initial research studies before more powerful equipment became available.

What are the advantages of focused shockwave over other treatments for Peyronie's disease?

Focused shockwave treatment for Peyronie’s disease offers several advantages. It is effective, painless, and very safe, with no known side effects. Unlike other treatment options associated with Peyronie’s disease, such as medications, injections, or surgery, focused shockwave treatment minimizes the risk of adverse reactions, pain, and prolonged healing.

Is focused Peyronie's Shockwave Therapy safe for Peyronie's disease?

Yes, Peyronie’s Shockwave Therapy is an incredibly safe treatment for Peyronie’s disease. No harmful side effects or reactions have been documented involving focused shockwave in the treatment of Peyronie’s disease.

Are there any contraindications for focused shockwave treatment in Peyronie's disease?

Yes, there are certain contraindications (a reason for a person to not receive a particular treatment or procedure because it may be harmful) for focused shockwave treatment in Peyronie’s disease. These include the presence of any active cancers in the local area, the presence of a penile prosthesis, a blood thinning disorder requiring anti-coagulant medication (consultation with your doctor is advised), and hypogonadism (reduced sex hormone production within the testes).

How many sessions of focused shockwave treatment are recommended?

The number of focused shockwave treatment sessions required for Peyronie’s disease varies on an individual basis. Generally, the more chronic the condition, the more sessions are needed. However, an average treatment program consists of between 6 to 10 sessions, typically scheduled once per week.

How is focused shockwave treatment undertaken?

During focused shockwave treatment for Peyronie’s disease, the penile plaque build-up is targeted. The penis is placed on a special penis table, and the shockwave equipment handset is placed over the target area. A gel is used to allow the shockwaves to safely pass between the shockwave machine and the penis.

How long does each session of focused shockwave treatment last?

Each session of focused shockwave treatment for Peyronie’s disease typically lasts between 20 to 30 minutes. The exact duration may vary depending on the treatment protocol used by your urology specialist.

Are the results of focused shockwave treatment permanent?

Focused shockwave treatment usually provides long-lasting improvements for Peyronie’s disease patients. However, the extent and duration of the results may vary among individuals. Regular follow-up appointments and maintenance sessions may be recommended to sustain the benefits over time.

Can focused shockwave treatment be combined with other treatments for Peyronie's disease?

Yes, focused shockwave treatment can be combined with some other treatment options for Peyronie’s disease. We will discuss these with you during your initial consultation and as your treatment and outcomes progress.





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11 Upper Ham Rd, 
Richmond Upon Thames, 
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MansMatters are specialists in non-invasive, nonsurgical procedures. We do not offer surgery but have professional relationships with leading surgical urologists and andrologists who undertake different types of Peyronie's disease surgery. If you would like to know more about surgical options, then please click here.

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