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FAQs about Peyronie's Disease

What is PD? How do you get PD? How do you treat PD? Find out all about PD and the best available treatments here.

This website contains over fifty-five pages of information and is the most comprehensive website of its kind, but if you have come across it for the first time, here we distill some of the most important Questions and answers.  






How does MansMatters differ from other Peyronie’s clinics?

The majority of London clinics specialise in surgical procedures, which cost up to £14,000. Whereas some may own a shockwave machine, they do not specialise in this area and do not have extensive experience. in the majority of circumstances, they will recommend invasive surgery.

Whilst we are not opposed to invasive surgery, we see this as the last resort and have only on very rare occasions had to refer patients.

In addition, not all shockwave technology is the same. There are many inferior technologies that are perfectly good for orthopaedic treatments but not for Peyronie’s disease, where the shockwaves need focusing directly into the effected region.

We use Swiss engineered Storz DUOLITH® SD1 which is the best Shockwave technology, with an energy transfer of 1mJ/mm2 ( more than double of most machines), plus a range of other technologies including EMTT, Nanovi, Photo activation, Tesla chair and FMS.

We also are unique in that both one of our founding members and some of our consultants suffer from Peyronie’s Disease.

How do you get Peyronie’s disease?

Peyronie’s disease can be caused by minor injury to the penis. This injury is often caused by vigorous sexual intercourse, for example, bending the penis during penetration or from undue pressure from your partner’s pubic bone.

It can also be caused by sports injuries, such as a ball hitting the penis or otherwise what appear initially as minor accidents such as being kicked by a child. The injury can then cause scar tissue to develop in the cells of the penis. This scar tissue then forms what is known as the plaque of Peyronie’s disease – a hard lump on the erection tissue.

There are other reasons for Peyronie’s disease plaques formation. Health related issues, such as high blood sugar, tobacco use, or historic pelvic trauma may help cause Peyronie’s disease.

Additionally, men with connective tissue disorders, such as Dupuytren’s contracture may suffer from it. While there can also be a genetic link where men who have a family member who suffers with Peyronie’s disease have an increased likelihood of getting it.

When Should I See a Urologist or Men’s Health Specialist?

The sooner that someone with, or who suspects they have Peyronie’s disease, sees a Urologist or Men’s Health Specialist the better the chances for a good outcome.

Here are some potential signs of Peyronie’s disease that you should seek advice about:

  • The penis curves when erect.
  • There is a shortening of the penis.
  • Narrowing or “hourglass” on the shaft of the penis.
  • Lumps in the penis.
  • Painful erections or pain during sex.
  • Unexpected soft erections.

A physical exam by a doctor or other consultant is often sufficient to identify the presence of scar tissue in the penis, allowing the diagnose of Peyronie’s disease. On occasion, other conditions cause similar symptoms and these need to be ruled out.

During a physical exam a doctor will feel your penis when it’s not erect. This is so that the location and amount of scar tissue can be found. The doctor might also measure the length of your penis. This initial measurement helps determine whether the penis has shortened if the condition continues to worsen.

Other tests. Your doctor might undertake an ultrasound or other tests to examine your penis when it’s erect.

An ultrasound is the most commonly used test for penis abnormalities as the sound waves are able to produce images of soft tissues and show the presence of scar tissue, blood flow to the penis and other abnormalities.

What is Peyronie’s disease?

Peyronie’s disease is a condition that results from fibrous scar tissue developing on the penis. It causes a curved bend in the penis that can be significant. This bend can often cause painful erections especially during sexual intercourse.

Peyronie’s disease mostly affects men aged over 40, although it can happen at any age. It can also be started following vigorous sexual intercourse (read How do you get Peyronie’s Disease?).

When you get Peyronie’s disease, plaques (segments of flat scar tissue), form beneath the skin of the penis and it is these that cause it to bend or become indented during erections. The plaque (scar tissues) can develop anywhere along the penis and can often be felt through the skin and be painful when touched.

In severe cases, the curve in the penis can make having sexual intercourse painful, difficult, or even impossible.

Peyronie’s disease may also lead to erectile dysfunction with difficulty in getting and/or maintaining an erection.

It is extremely rare for Peyronie’s disease to go away on its own. For the vast majority of men, the condition will remain as is or worsen in stages over a period of time.

Early treatment soon after developing the condition can keep it from getting worse and if using Shockwave therapy alleviate the condition. Even if you’ve had the condition for some time, this treatment can help improve symptoms in the majority of cases. Contact us for further details and confidential consultations.

What Preparation Do I Need to Do Today Before Treatment?

You will need to provide us with your medical history and full details of any medication you are currently taking, so we can ensure you are a candidate for shockwave therapy.

You should also remove excess hair from the penile regions and ensure good hygiene before the visit.

Who is Peyronie’s Disease Named After?

Peyronie’s disease (PD) is named after French surgeon François Gigot de la Peyronie, who described the condition in 1743. He described a patient who had “rosary beads of scar tissue to cause an upward curvature of the penis during erection.”

PD is indicated by a curvature in the penile shaft that is often preceded by painful erections and accompanied by an area of fibrosis.

The condition was first described in 1561 in correspondence between Andreas Vesalius a Flemish anatomist, physician, and author of one of the most influential books on human anatomy, De Humani Corporis Fabrica Libri Septem  (On the Fabric of the Human Body) and Gabriele Falloppio an Italian Catholic priest and anatomist often known by his Latin name Fallopius. Fallopian Tube is named after him.

Read more about The History of Peyronie’s Disease.

Why Do People Choose Shockwave Therapy for Peyronie’s?

As outlined in our Peyronie’s Disease Treatment Option page, Shockwave therapy for Peyronie’s disease is the only non-invasive treatment that provides long lasting results without the need for going under the knife or injection therapy.

Will Shockwave Therapy Leave Any Marks or Bruising?

Unless you have a pre-existing condition like haemophilia you will not experience any marks or bruising during or after your treatment.

Is Shockwave Treatment for Peyronie’s Disease Painful?

You may experience a little pain, but nothing worse than a moderate visit to the dentist.

Is Shockwave Treatment for Peyronie’s Disease Painful?

You may experience a little pain, but nothing worse than a moderate visit to the dentist.

What Ages of Men Do You Treat?

We can only treat men of the age of 18-years. After that, we have successfully treated men well into their 90’s.



Answers Provided by Clients from Their Testimonials


How Long Does It Take for the Therapy to Work?

“I am delighted to say, after six weeks of therapy, that my confidence and instincts have been well-founded. I can confirm that the improvement in my condition has been far beyond my initial expectations and the result is that I am looking forward to a happy and productive sex life. Not something I could conceive of before the treatment.” C.T.

What Changes in Curvature Can I Expect?

“Being anal about data, I photographed and measured changes in my erect penis. This showed a dramatic and continuing improvement from week 2/3 onwards. A 600 horizontal bend reduced to 40 by week 6. Residual vertical curvature seems to be dominated by skin that needs to stretch.” Dr I.R.

What Effect Will the Treatment Have on My Sex Life?

“Could not recommend the Shockwave treatment enough. After a sports injury I was left feeling down and thinking the only option was surgery. 6 treatments later everything is back to normal, and my confidence and sex life is through the roof. Thank you.” A.C.





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32 Beauchamp Place, 


11 Upper Ham Rd, 
Richmond Upon Thames, 
TW10 5LD




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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