Peyronie's disease treatment in Copenhagen
Treatment for Peyronie’s disease may be appropriate if you have noticed a new curvature, a hard area, or pain during an erection. You may feel that your penis is shorter, narrower in a certain spot, or less stable during sex.
This could be a sign of Peyronie’s disease. At my practice, you’ll receive a discreet and thorough examination and ultrasound scan, during which I’ll assess the curvature, the tissue, the pain, and erectile function.
Following this, treatment will be tailored to include focused shockwave therapy and EMTT, possibly combined with selected home exercises, if you choose to proceed with treatment.
You’ll meet with me in person throughout the entire process. I’ll be the one to examine you, explain the findings, and determine whether treatment is appropriate.
By undergoing an examination, you are not committing to treatment.
- Ultrasound imaging assesses plaque, calcification, and tissue changes
- Targeted shockwave therapy for pain, curvature, plaque, and scar tissue
- EMTT enhances treatment for pain and loss of elasticity
Facts about Peyronie’s disease:
- Prevalence: Affects up to 10% of men – mostly aged 40-70, but also younger.
- Symptoms of Peyronie’s disease: Curvature, pain in the erectile tissue, an hourglass shape, erectile dysfunction, and a shorter penis.
- Active phase: The focus is on treating pain and irritation, reducing curvature, and assessing whether the tissue continues to change.
- Stable phase: The focus is on treating function, curvature, and erectile function, as well as realistically assessing non-invasive or surgical options.
- Treatment: Focused shockwave, EMTT, PDE-5, traction, vacuum or exercises may be relevant depending on symptoms, disease phase and function.
- Holistic approach: Includes both physiological treatment and sexological therapy for better self-esteem.
International lecturer & expert in shockwave and EMTT treatment for peyronies.
Examination for Peyronie’s disease – get clarity on the changes
A change in the penis is rarely just about its appearance.
Many men worry that the curvature will get worse, that their penis will become shorter, or that their erections and sex life will be permanently affected.
During the initial consultation, I’ll examine the relationship between the shape of the penis, the tissue, the pain, and erectile function. Afterward, you’ll receive my specific assessment of what’s likely going on and what the right next step is.
If I think you should see a urologist, I’ll tell you so clearly.
Personal Assessment Prior to Peyronie’s Treatment
I don’t use a standard treatment plan that’s prescribed to everyone with a curved penis.
First, I’ll examine what has happened and whether the symptoms are consistent with Peyronie’s disease. Then we’ll assess whether treatment is appropriate and what a realistic goal should be.
Ultrasound, tissue, and erectile function are assessed collectively
Peyronie’s disease cannot be diagnosed based on curvature alone.
It is also important to understand how the tissue feels, whether there is pain or calcification, and how erections function. Ultrasound is used as standard to see what is actually happening inside the penis and to tailor the treatment as effectively as possible.
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Signs of Peyronie’s disease: a curved penis, plaque, and pain
A penis may be naturally curved. It is especially a new or progressive change that may raise suspicion of Peyronie’s disease.
New or progressively curving penis
Some men notice that their penis has gradually become more curved. The curvature may be upward, downward, or to the side, and it can make sexual intercourse more difficult.
Plaque or a hard lump on the penis
A tissue change may feel like a hard lump, a cord, or a flat plaque. However, not all men can feel a distinct plaque themselves.
Pain, shortening, or changes in erection
Peyronie’s disease can also manifest as pain during an erection, a kink, an hourglass shape, a perceived shortening, or an erection that no longer feels firm.
The most important thing is whether anything has changed.
Classic representation of Peyronie’s disease, but is often more complex
Here’s How a Peyronie’s Disease Examination Is Conducted
We’ll start with a calm and confidential conversation about what you’ve been through.
I’ll ask you when the change began, whether it’s still progressing, and how it’s affecting your erection and your sex life.
Next, I’ll examine your penis and the area where you’ve noticed or seen a change.
Assessment of Curvature and Shape
It may be helpful to bring photos of the penis during an erection. Curvature, notches, and an hourglass shape cannot always be accurately assessed when the penis is flaccid.
Ultrasound Scan of the Penis for Peyronie’s Disease
Ultrasound imaging of the penis is used to examine plaque, calcifications, tissue changes, or blood flow in more detail.
The scan is not evaluated in isolation, but is assessed in conjunction with the interview and the clinical examination.
You’ll receive a clear recommendation
Afterward, I’ll go over the findings with you in language that’s easy to understand.
I’ll give you my assessment of what’s likely going on, whether treatment makes sense, and what I think you should do from here.
Different Types of Peyronie’s Disease on Ultrasound Scans
Individualized Treatment for Peyronie’s Disease – Not a One-Size-Fits-All Approach
Peyronie’s disease does not present the same way in all men.
For some people, the pain is the biggest problem. For others, it’s the curvature, shortening, a kink, or an erection that no longer feels stable.
Treatment is therefore chosen based on the stage of the disease, the affected tissue, pain levels, erectile function, and your personal goals.
An individualized treatment plan may include various types of focused shockwave therapy, EMTT, traction, vacuum therapy, or a customized home exercise program.
Shockwave Therapy for Peyronie’s Disease
Focused shockwave therapy uses targeted acoustic pulses in the affected tissue area.
This treatment may be appropriate when pain or local tissue discomfort is a major concern. It can also be part of a broader treatment plan focused on function and rehabilitation.
In a 2026 prospective study of 112 men with Peyronie’s, patients received three ESWT sessions. The study reported:
- Pain relief in 90% of patients.
- Improvement of curvature in 57.1%.
- An average reduction in curvature of 30 degrees among responders.
- Clinically relevant improvement in erectile function was observed in 26.2% of patients who also had erectile dysfunction.
A 2024 systematic review and meta-analysis also found that shockwave was associated with a higher proportion of men with plaque reduction, curvature improvement and pain relief than control treatment.
EMTT as a supplement to Peyronie’s disease treatment
EMTT can be used as a supplement to treatment, especially when there is a lot of pain.
Whether the treatment is appropriate depends on the tissue, the symptoms, and the overall treatment plan.
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Treatment of a Curved Penis Using Traction and Vacuum Therapy
Traction or vacuum therapy may be appropriate when treating issues related to length, elasticity, erectile function, or deformity.
The methods must be used correctly and with an appropriate amount of pressure. More force or a longer treatment time is not necessarily better.
Traction for Peyronie’s Disease
In certain cases, traction may be used as part of treatment for penile length, curvature, and tissue elasticity.
Vacuum Pump for Peyronie’s Disease
Vacuum therapy can be used as part of an individualized rehabilitation program, particularly when erection, tissue tolerance, or preservation of function are relevant.
If home care makes sense for you, you’ll receive specific guidance. You won’t be left on your own with a device, trying to figure things out as you go.
What can you expect from Peyronie’s disease treatment?
A good result does not necessarily mean that the penis will be exactly as it was before.
For some men, the most important thing is that the pain subsides. For others, it’s about achieving a more stable erection, easier sexual intercourse, or better preservation of length and function.
Another important benefit may be that you feel less anxious and regain a sense of security in your sex life.
I won’t promise a specific result or course of treatment until I’ve examined you.
In return, you’ll receive an honest assessment of what can realistically be improved and where there is greater uncertainty.
Specialized Peyronie’s Disease Treatment at MS Insight in Copenhagen
I have specialized in men’s sexual health for many years.
At the clinic, I often meet men who have been dealing with their concerns on their own because they didn’t know who to talk to or whether their problem was serious enough to warrant an examination.
My first task is to provide clarity.
We will then work together to determine whether treatment is appropriate and what a realistic goal should be.
You’ll meet Michael in person
I am the one who will talk with you, examine you, review the findings, and guide you through any necessary course of treatment.
Therefore, you do not need to explain your situation to several different healthcare providers.
Pre-treatment examination
I combine clinical examination, ultrasound, and various treatment options when clinically appropriate.
But experience isn’t just about being able to provide treatment. It’s also about being able to recognize when treatment isn’t the right solution.
Everything is handled discreetly, personally, and without unnecessary sales pressure.
I will get back to you within 12-24 hours.
Alternative treatment methods for Peyronie’s disease
Peyronie’s treatment with vacuum pump
A vacuum pump creates negative pressure that draws blood into the swelling and stretches the tissue in a controlled manner. This oxygenates the scar tissue, prevents atrophy and maintains penis length. The vacuum pump is most effective as a daily home workout in combination with shockwave – alone it rarely removes the curvature. I will instruct you on the correct use and dosage so that the pump supports your treatment program without the risk of tissue damage.
Xiaflex for Peyronie’s disease
Xiaflex (collagenase clostridium histolyticum) is an injection treatment that chemically breaks down the collagen in scar tissue. It is approved in the US but has been withdrawn from the European market by the manufacturer and is currently not available in Denmark. Xiaflex also requires a real, defined plaque to inject into – which not everyone with Peyronie’s has. At MS Insight, we achieve comparable results with focused shockwave, which softens scar tissue biologically and without needles or side effects.
Collagenase injection for Peyronie’s
Collagenase injections are the same enzyme treatment as Xiaflex – an enzyme is injected directly into the plaque to dissolve the hard scar tissue. The treatment is typically given in series over several months with manual stretching exercises in between. Side effects can include swelling, bleeding and, in rare cases, rupture of the tumor bodies. As the treatment is not available in Europe, I recommend focused shockwave and EMTT as the most effective non-surgical alternative.
Peyronie’s new treatment
There is a lot of hype around what new treatments there are for Peyronie’s. PRP therapy is currently being marketed as a new Peyronie’s treatment, but the results from the initial studies are not positive in terms of a real effect in the tissue.
When it comes to shockwave, the latest knowledge on a new form of treatment is that several types of shockwave are used in combination with EMTT and laser treatment, which are also offered together in the clinic.
Frequently Asked Questions About Peyronie's Disease Treatment
Is Peyronies the same as a crooked penis?
No, it isn’t. A penis can be crooked for several reasons. Peyronie’s disease is an acquired condition where plaque or scar tissue can cause new curvature, pain, constriction or functional problems.
When should Peyronies be considered?
New or increasing curvature, pain with erection, hard areas in the penis, changes in shape, erectile dysfunction or if the symptoms affect your sex life and confidence. In general, as soon as you experience symptoms, you should get an assessment to get the best starting point for treatment.
Can ultrasound show Peyronie's?
Ultrasound can help identify plaque, localization and possible calcifications. The scan should be seen as part of the overall assessment and cannot alone determine treatment options or expected outcome.
Can shockwave help with Peyronies?
Yes, focused shockwave may be a relevant non-invasive treatment option for Peyronie’s, especially when pain, plaque-related changes or impaired function are part of the problem. Recent studies also report improvement of curvature in some men, but the effect varies and the outcome cannot be predicted in advance.
Can shockwave reduce plaque?
Studies and the clinic’s experience show that many men experience plaque reduction or softening after shockwave treatment. However, it is not possible to promise that plaque will disappear or that a change in plaque will automatically correct curvature.
Can shockwave make the penis straighter?
In some men, studies have reported improvement in curvature after shockwave. However, the treatment should not be portrayed as a surefire method to straighten all curvature. Options depend on disease stage, plaque, degree of curvature, erection and individual treatment goals.
What is the difference between shockwave and EMTT in Peyronies?
Shockwave uses targeted acoustic impulses in the affected tissue. EMTT is a complementary technology that can be used in selected cases when a broader tissue-targeted approach is deemed relevant. At MS Insight, the combination is assessed individually.
Should I wait until the disease is stable?
Not necessarily. For pain, new plaque or changes in curvature, an early assessment may be relevant because treatment goals may be different in the active phase than later. An assessment does not mean you should automatically start treatment.
What if I also have erectile dysfunction?
Erectile dysfunction is common in men with Peyronie’s and can affect treatment choices. Therefore, erectile function should be included in the assessment, especially if sex has become more difficult or the erection less stable.
Get a no-obligation consultation about peyronie’s disease treatment today
If you are interested in hearing more about how we can help you, you are always welcome to contact us by phone: 41 40 08 58 or email: michael@msinsight.dk. Otherwise, you can fill out the contact form with your details and a brief description of your problem. I’ll get back to you quickly with a customized proposal for a solution so we can find the best way forward together.