Peyronie's disease treatment - Innovative shockwave treatment, less curvature, pain and better erection
Are you the ONE in 10 who has noticed the first signs of Peyronie's disease / crooked penis?
Then you need to act fast, as only about 10% will recover without Peyronie’s disease treatment. The longer you wait to take action, the harder it will be to make a difference. I help you reduce pain, inflammation and curvature with focused shockwave and EMTT for Peyronie’s disease and impotence. Without unpleasant side effects and surgery that puts you at risk of erectile dysfunction.
As a bonus, you’ll get a harder and more persistent erection again, while the hourglass shape is reduced. In addition to the treatment, I guide you in the exercises and techniques that can make a further difference in your situation.
Peyronies and plaque can manifest in many ways inside the penis, which is why it is important to have an in-depth and detailed ultrasound examination before treatment to ensure that the right area is being treated with the optimal shockwave protocol. This ensures you get the best results and don’t waste valuable time. Also, if your doctor has declined to help you.
In order to provide effective Peyronie’s disease treatment, several types of high-intensity shockwave devices are often required in combination with ultrasound scanning. I offer this in my specialty clinic in Copenhagen as the only one in the Nordics at the moment.
I have created a unique overview of your treatment options and important information about Peyronie’s disease. That way, you won’t waste valuable time and risk the penis taking on a shape and function that makes sexual intercourse impossible.
Ultrasound scan as no 2 cases are the same
Why is it important to have an ultrasound scan when Peyronie's is suspected?
To determine the degree of fibrosis/plaque, it is necessary to perform an ultrasound examination, it is not enough to “just” feel. If no examination is performed, there is a risk of missing important structures that may affect further treatment. For example, what feels hard, like a “plauqe”, may be the connective tissue that is affected. It may also be that there are several pieces of plaque, not just one. It is not always possible to feel it. But you can see it with the ultrasound scan.
When we do the treatment, and we have done the ultrasound scan, we ensure that we hit the right area for the subsequent shockwave treatment. Ultrasound scanning for peyronie’s is only offered by a few clinics in Denmark, and therefore I have extensive experience and knowledge about uncovering fibrosis/plaque in the penis.
It can also identify if it is the connective tissue that is tight, which is what predicts the problem. Without an ultrasound examination, it is very difficult to choose the optimal protocol and give a prognosis on the course of treatment. I will help you clarify the problem and understand the ultrasound images afterwards so that you know what to expect.
Here are some examples of different sizes of fibrosis of the penis.
Initial interview and first examination in Peyronie's disease treatment
Before your Peyronie’s disease treatment, you will receive a detailed questionnaire about your Peyronie’s, erectile function and general health, which will form the basis for further examinations at the clinic. If further information is needed, I will call you before you come.
During the first consultation, which takes about 60 minutes, we have an in-depth conversation about your situation, a thorough physical examination of the area, advanced ultrasound scans, and the first treatment.
Once we’ve done the in-depth examination and found the cause of the curvature of the penis, we’ll go through it together and make a plan to help you get less curvature, less pain and better erections. That way, you’ll regain a high quality of life and worry-free sex.
The first examination takes place at the clinic at Eliasgade 10b, 2300 KBH S in cozy, safe and calm surroundings.
My experience is your strength, and as one of Europe’s leading shockwave specialists for Peyronie’s disease, I help 20-25 men every week with a 90% success rate to reduce curvature and increase sexual function. Therefore, I also know that trying lower intensities and sub-optimal equipment can ultimately result in an unpleasant surgery as a last resort. Unfortunately, for some, it may be necessary in the most severe cases or where you’ve gone for years without doing anything. Peyronie’s disease treatment is not a miracle cure. I’ll be honest about that, it takes effort.
What is the first consultation for Peyronie's disease treatment?
When you come for your first Peyronie’s disease treatment consultation, I will go in-depth with you about the whole issue, both physical and psychological effects.
The first consultation is structured as follows.
- We talk about how the whole situation affects you on a psychological and sexual level.
- We talk about your general health, whether there is a family history of fibrotic disease and the impact the condition has on your erectile function.
- We take a body composition measurement and body balance and health screening with the Inbody770 system. Read more further down.
- I do a series of ultrasound scans that explain why the curvature is there and to what extent it affects tissue quality and blood flow as a whole. I also see the size of any structures inside the penis, so that I know how best to treat it.
- We talk about your expectations for the treatment and what level we expect to be able to move you to based on the survey results and your general health and motivation to do home exercises.
- We do the first treatment with shockwave and EMTT if you want to start treatment according to the agreed protocol.
When starting treatment, it may be an advantage to bring a photo of your penis in an erect state so we can see how you are affected. If you feel it’s uncomfortable, I also have a dummy in the clinic that you can show it on. Ultimately, it will be the ultrasound scan that will guide the treatment and where we need to intervene.
I will go in depth to ensure that I can implement the right treatment strategy to restore the quality of your sex life.
You can always call me at +4541400858 for an informal chat and guidance on Peyronie’s disease.
Treatment course and results by the leading Nordic expert for Peyronie's
All treatments are customized to the individual client’s lifestyle and needs. The choice of the specific Peyronie’s disease treatment and type of focused shockwave is based on thousands of treatments and data collection, in combination with thorough diagnostics and investigation of your condition and cutting-edge research in the field.
A typical course of treatment consists of 10 to 15 sessions with 1-2 treatments per week. In cases of severe disease, multiple pieces of plaque or medication, there may be other factors to consider, which we will discuss with you during your first visit. You can expect to notice the first positive changes within the first 4-6 weeks, but it’s a long process that takes up to 9 months before final results are in place. Treatments take between 20-30 minutes
I follow up on your treatment during the first year, so you are not alone in the process and all effects are continuously documented.
I choose which of the four types of focused shockwave the clinic has that will be best for your particular type of Peyronie’s disease to give you the best result without side effects. In the early stages of Peyronie’s, when plaque and fibrosis are not yet fully developed, I have the ability to significantly reduce scar tissue formation so you can avoid or minimize the problem in the long term. It can also remove plaque completely, depending on its size.
Those I have treated experience improvements in both length and fullness of the penis, and the unwanted hourglass shape becomes less prominent or disappears completely. Shockwave treatment increases tissue elasticity, breaks down or reduces plaque and improves blood flow, which also enhances erection.
How does shockwave work for peyronies and what makes MS Insight unique with shockwave?
The Peyronie’s disease treatment I offer is based on focused shockwave, also known as ESWT (Extracorporeal ShockWave Therapy). It works by “shooting” high-frequency sound waves via an application head into the fibrosis/plaque area. This alters the biological processes around the “ball” itself so that it breaks down into a less solid form. This means that when we affect the plaque area during the course of treatment, it will be broken down into smaller pieces and become more flexible, so that the curvature is reduced. The treatment is without side effects and is based on basic research and specific studies within shockwave.
It is mainly the biological processes of collagen remodeling, stem cell release, cell communication and blood vessel formation that allow us to use shockwave effectively against peyronies. When combined with EMTT, it is because it has an increased general stimulation that makes the tissue more elastic and flexible, the processes initiated can be enhanced by therapies such as stretching exercises, vacuum therapy and the use of penile traction devices can help correct the curvature or bending. You will be asked to choose specific exercises the first time you come to the clinic, so that you understand how to do the exercises and what it can mean for your curvature in the long term.
I have 4 types of shockwave in the clinic. The advantage of having 4 types of shockwave in the clinic is that I can offer you a holistic course of treatment, depending on what we find on the scan, so that we get the best possible effect and don’t just have to settle for one type.
Klinik MS Insight works with the best equipment on the market from Storz Medical, Elvation Piezowave and MTS Medical.
There are no other clinics offering this combination treatment in Denmark.
Do you want help with Peyronie's disease?
Get a no-obligation conversation 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.
FAQ about Peyronie's disease and treatment
What is the first consultation for Peyronie's disease?
When you come for the first consultation, I will go in-depth with you about the whole issue, both physical and psychological effects.
The first consultation is structured as follows.
- We talk about how the whole situation affects you on a psychological and sexual level.
- We talk about your general health, whether there is a family history of fibrotic disease and the impact the condition has on your erectile function.
- We measure your body composition and screen your body balance and health with the Inbody770 system. Read more below.
- I do a series of ultrasound scans that explain why the curvature is there and to what extent it affects tissue quality and blood flow as a whole. I also see the size of any structures inside the penis, so that I know how best to treat it.
- We talk about your expectations for the treatment and what level we expect to be able to move you to based on the survey results and your general health and motivation to do home exercises.
- We do the first treatment with shockwave and EMTT if you want to start treatment according to the agreed protocol.
When starting treatment, it may be an advantage to bring a photo of your penis in an erect state so we can see how you are affected. If you feel it’s uncomfortable, I also have a dummy in the clinic that you can show it on. Ultimately, it will be the ultrasound scan that will guide the treatment and where we need to intervene.
I will go in depth to ensure that I can implement the right treatment strategy to restore the quality of your sex life.
You can always call me at +4541400858 for an informal chat and guidance on Peyronie’s disease.
How does shockwave work for peyronies and what makes MS Insight unique with shockwave?
Focused shockwave therapy, also known as ESWT (Extracorporeal ShockWave Therapy). It works by ‘shooting’ high-frequency sound waves via an application head into the fibrosis/plaque area. This alters the biological processes around the ‘ball’ itself so that it breaks down into a less solid form. This means that as we affect the plaque area during treatment, it will break down into smaller pieces and become more flexible, reducing curvature. The treatment is free of side effects and is based on basic research and specific shock wave studies.
It is mainly the biological processes of collagen remodeling, stem cell release, cell communication and blood vessel formation that allow us to use shockwave effectively against peyronies. When combined with EMTT, it is because it has an increased general stimulation that makes the tissue more elastic and flexible, the processes initiated can be enhanced by therapies such as stretching exercises, vacuum therapy and the use of penile traction devices can help correct the curvature or bending. You will be asked to choose specific exercises the first time you come to the clinic, so that you understand how to do the exercises and what it can mean for your curvature in the long term.
I have 4 types of shockwave at my clinic. The advantage of having 4 types of shockwaves at the clinic is that I can offer you a holistic treatment program, depending on what we find on the scan, so that we get the best possible effect and do not have to settle for just one type
Klinik MS Insight works with the best equipment on the market from Storz Medical, Elvation Piezowave and MTS Medical.
There are no other clinics offering this combination treatment in Denmark.
How is crooked penis/peyronies treatment with shockwave and EMTT performed in the clinic?
The treatment involves applying a gel to the penis where the fibrosis is located and then sending sound waves/shockwaves into the area of plaque or fibrosis that I have identified on the ultrasound scan. The treatment may feel like pins and needles, but is not painful. In rare cases, a slight soreness may be felt after treatment. You can use your penis as normal throughout the treatment and have all the sexual activity you want. I work with several types of focused shockwave in the clinic, which allows us to precisely target your needs and hit the plaque with 1-2 mm accuracy depending on the choice of equipment.
Treatment will always be supported by ultrasound examination, otherwise we cannot be sure that we are targeting the right structures and not wasting time or money on ineffective treatment.
Treatment options may also include medication, therapy, surgery or a combination of these. Medication can be used to relieve pain and reduce further plaque formation.
Initial interview and first examination in Peyronie's disease
You can always call me at +4541400858 for an informal chat and guidance on Peyronie’s disease.
How is Peyronie's diagnosed?
If peyronie’s is suspected, ultrasound scanning should be the first choice of investigation. It can also be diagnosed through a physical examination of the penis and an assessment of symptoms, but this may give false positives. Typically, the penis will be examined in an erect position to assess the degree of curvature and the location of plaque or scar tissue. At MS Insight, ultrasound is standard and the first examination performed, as it provides the best insight into tissue involvement, along with physical examination of penile shape and tissue quality.
Why is it important to have an ultrasound scan when Peyronie's is suspected?
To determine the degree of fibrosis/plaque, it is necessary to perform an ultrasound examination, it is not enough to “just” feel. If no examination is performed, there is a risk of missing important structures that may affect further treatment. For example, what feels hard, like a “plauqe”, may be the connective tissue that is affected. It may also be that there are several pieces of plaque, not just one. It is not always possible to feel it. But you can see it with the ultrasound scan.
When we do the treatment, and we have done the ultrasound scan, we ensure that we hit the right area for the subsequent shockwave treatment. Ultrasound scanning for peyronie’s is only offered by a few clinics in Denmark, and therefore I have extensive experience and knowledge about uncovering fibrosis/plaque in the penis.
It can also identify if it is the connective tissue that is tight, which is what predicts the problem. Without an ultrasound examination, it is very difficult to choose the optimal protocol and give a prognosis on the course of treatment. I will help you clarify the problem and understand the ultrasound images afterwards so that you know what to expect.
Here are some examples of different sizes of fibrosis of the penis.
Initial interview and first examination in Peyronie's disease
What is the treatment course for Peyronie's and price?
A normal treatment course lasts 8-12 weeks, with 1-2 weeks of shockwave therapy, where we perform a series of shockwave pulses in the area where the hard “ball/string” is located. I have chosen to combine this with EMTT to increase the elasticity of the tissue so that there is more “space” again in the tumor bodies. This allows me to get faster results than with shock wave alone.
After treatment, you can expect less curvature, less pain in the area and increased sexual function. If you have multiple large pieces of plaque or fibrosis, multiple treatments may be needed. At the clinic, I also see more complex cases that require more tailored treatments adapted to your needs and intensity. The treatment takes 20-30 minutes depending on the solution you choose.
- It costs from 1.350 DKK per PD Standard treatment, with shock wave and combination of EMTT
- PD Plus, which is a specially developed protocol, costs 2,000 DKK per treatment and is about 3 times more powerful than standard and contains several types of shock waves and an increased number of pulsations.
- Initial examination and treatment costs DKK 2,400 including ultrasound scan.
What is Peyronie's disease?
Peyronie’s disease is a condition involving the development of scar tissue in the penis. The exact cause of Peyronie’s is still unknown, but it is thought to be due to microscopic tissue damage or inflammation of the connective tissue surrounding the erectile tissues of the penis. This damage can trigger an abnormal healing reaction that leads to the formation of plaque or scar tissue in the penis.
Induratio penis plastica can be likened to an inflammatory condition that typically first manifests itself with pain and tenderness in the penis. It is usually most pronounced during erection during intercourse and can affect your sex drive. It can also lead to Erectile Dysfunction in severe cases.
Scar tissue associated with Peyronie’s refers to fibrotic plaque that develops in the penis. Plaque is a thick and hard scar tissue that forms under the skin of the penis. It can feel like a stiff or bumpy lump. The plaque is responsible for the curvature or bending of the penis during erection and can cause pain and sexual dysfunction.
What are the symptoms of Peyronie's disease?
The typical symptoms of Peyronie’s include a curvature or bending of the penis during erection, scar tissue or plaques under the skin, pain during erection and difficulty achieving or maintaining an erection. Curvature can vary in degree, from mild to severe, and it can be upward, downward or sideways. Some men also experience loss of penis length or girth.
Peyronie’s disease, which is not congenital, can occur during life, where the cause may be due to an autoimmune reaction. Which may be triggered by small injuries to the penis during sexual activity. This causes thickened, tender nodules to form in the swelling, causing pain and discomfort. However, the condition is completely harmless. During the inflammation phase, it is possible to reduce the pain with shockwave and EMTT, and it is possible to slow down the condition.
Whether it’s congenital or acquired later in life, mild penile torticollis causes no symptoms or pain. It only needs to be treated in cases where the degree of deviation makes sexual intercourse difficult or impossible.
The condition usually progresses in two phases:
- The first phase often lasts for a year and is characterized by painful erections, while the penis starts to curve and become deformed.
- In the second phase, the soreness subsides. Here, the painful areas heal up with rigid scar tissue or plaque. The result can be an hourglass-shaped penis when erect or curvature of the penis.
How does the disease develop?
The condition does not heal itself and treatment will be required. Studies have shown that 10% experience improvement after 5-10 years, 40% experience the condition as stable and 50% experience worsening over time
Congenital significant curvature of the penis is relatively rare, affecting less than 1% of men.
In contrast, Induratio penis plastica is not uncommon. Its prevalence increases with age, affecting up to 13% of the male population in varying degrees. Not everyone experiences discomfort and it is rare that the condition is so severe that intercourse with a partner becomes difficult.
As a non-invasive treatment, shockwave is the most effective. But in severe cases, surgery is the most effective treatment for the time being, and 50-75% of curvatures will be corrected satisfactorily. However, it must be at least a year from the completion of the curvature process until surgery is offered. In the clinic, I see many clients who have already had surgery without the desired result. Here I see an improvement in the condition with shockwave afterwards.
Why is body analysis used for peyronies?
To give you even more insight into your health and see if there are any risk factors to your overall health, an advanced analysis is offered at the first treatment with an InBody770.
The InBody 770 is an advanced body analysis machine used to measure body composition, muscle mass, fat percentage and much more. This machine is able to provide accurate and detailed measurements, making it suitable for analysis to complement treatment. It can provide increased qualification on what response can be expected to shockwave treatment in relation to the body’s state of health.
It can also help track progress in training and dietary changes. That’s why I also offer you the opportunity to have new measurements taken in connection with any follow-up treatments after the initial course. Then you can see what effect your lifestyle changes have on your overall health, which affects the shockwave results.
Self-esteem and peyronies?
A man’s penis is in many cases the source of his self-esteem and who he is. If his self-image is eroding and he feels he has no greater value in who he is or what he can accomplish because his penis doesn’t look the same or do the same, it can lead to a wide range of psychological issues. This can manifest as shame and performance anxiety and, in severe cases, depression and stress.
When self-esteem disappears and he feels inferior, the desire for sex and, in the most severe cases, the ability to have sex may disappear for him. This will only create a further downward spiral that further affects his self-image and sexual function. He will have to deal with this in order to regain successful sexual functioning.
Here Michael also helps you with the psychological impact of the condition.
Is Peyronie's a serious condition?
Peyronies can be a serious condition that can have significant physical and emotional consequences. In addition to physical symptoms such as curvature and pain during erection, Peyronie’s can also affect self-esteem, confidence and sexual function. Men may experience anxiety, stress and decreased sexual satisfaction. It’s important to seek help to get a proper diagnosis and treatment options. At MS Insight, we do a thorough examination and help you with both physical treatment and mental guidance to help you feel comfortable with the situation.
Can Peyronie's be cured without treatment?
Peyronies can vary in severity and some mild cases may improve or subside over time without specific treatment, but this is only seen in about 3-10% of cases. However, it’s important to note that Peyronie’s doesn’t usually go away on its own and treatment may be necessary to relieve symptoms and prevent further progression. However, we know from the studies that we have the largest open window to make a treatment difference within the first 15 months from the first symptoms.
It is recommended to consult a doctor or specialist to assess the situation and recommend appropriate treatment options.
What is the risk of impotence due to Peyronie's?
Peyronies can in some cases affect the ability to achieve or maintain an erection, which can lead to impotence or erectile dysfunction. The risk of impotence varies and depends on factors such as the severity of the curvature, the presence of pain and any impact on blood flow in the penis. It is important to speak to a doctor to evaluate and discuss treatment options that can improve sexual function.
Can Peyronie's worsen over time?
Can Peyronie’s worsen over time? Peyronies can vary in progression and course. In some people, the condition can worsen over time with increased curvature or the development of additional plaque. In others, the condition may remain stable or even improve over time. It is important to monitor the condition closely and seek treatment if symptoms worsen or affect quality of life. Early intervention and treatment can help minimize the progression of Peyronie’s.
How does Peyronie's affect sexual intercourse?
Peyronies can affect sexual intercourse by causing pain or discomfort during erection as well as difficulty with penetration due to curvature or bending of the penis. This can result in physical and emotional challenges for both the person with Peyronie’s and their partner. Communication and openness with one’s partner, as well as seeking support and advice from healthcare professionals, can help to manage these challenges and maintain a healthy and fulfilling sexual life.
Can Peyronies cause pain?
Yes, Peyronies can cause pain, especially during erection. The pain can vary in intensity and can be due to both the physical condition of the penis and the emotional and psychological consequences of having Peyronies. The pain can affect sexual function, quality of life and emotional well-being. It’s important to talk to a doctor about pain relief and treatment options.
