Innovative shockwave treatment for Peyronie’s disease, less curvature and more function

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.

1. We talk about how the whole situation affects you on a psychological and sexual level.
2. We’ll talk about your general health, whether there’s a family history of fibrotic diseases, and what impact the condition has on your erectile function
3. We take a body composition measurement and body balance and health screening with the Inbody770 system. Read more further down.
4. I do a series of ultrasound scans that will explain to you the reason why the curvature is there, and to see 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 I know how best to treat it.
5. 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.
6. We do the first treatment with shockwave and EMTT if you want to start treatment based on 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 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 help you regain quality in your sex life.

You can always call me at41400858 for a non-binding conversation and guidance about Peyronie’s disease.

The focused shockwave treatment, also known as ESWT (Extracorporeal ShockWave Therapy). This is done by “shooting” high-frequency sound waves into the fibrosis/plaque area via an application head. This changes the biological processes around the “sphere” itself so that it breaks down into a less solid form. This means that when we affect the plaque area during the treatment, it will break 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.

In particular, the biological processes of collagen conversion, stem cell release, cell communication and blood vessel formation are the reasons why we can use shockwave effectively for peyronie’s. When we combine with EMTT, it is because it has an increased general stimulation that makes the tissue more elastic and flexible, and the processes that are set in motion can be enhanced by therapies such as stretching exercises, vacuum therapy and the use of penile traction devices can help to correct the curvature or bending.
Choosing specific exercises will be given to you the first time you come to the clinic to ensure you understand how to do the exercises and what it can mean for your curvature in the long run.

I have 4 types of shockwave available in the clinic. The advantage of having 4 types of shockwave in the clinic, I have the opportunity to offer you a holistic course of treatment, depending on what we find on the scan, so we get the best possible effect and not 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.

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 scanning, 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 reduce pain and reduce further plaque formation.

You can always call me at41400858 for a non-binding conversation and guidance about Peyronie’s disease.

In order to determine the degree of fibrosis/plaque, it is necessary to perform an ultrasound scan, it is not enough to “just” feel. If no scan is performed, there is a possibility that important structures may be missed that could have an impact on further treatment. For example, what feels hard, like a “plaque” may be the connective tissue that is affected. It could also be that there are several pieces of plaque, not just one. You can’t always feel it. But it can be seen 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, so I have extensive experience and knowledge in detecting fibrosis/plaque in the penis.

It can also identify whether it’s the connective tissue that’s tight, which is what predicts the problem. Without an ultrasound scan, it will be very difficult to choose the optimal protocol and give a prognosis on the course of treatment. I’ll help you clarify the issue and understand the scan images afterwards so you know what to expect.

Here are some examples of different sizes of penile fibrosis.

A normal course of treatment lasts 8-12 weeks, with 1-2 weekly shockwave treatment, where we perform a series of shockwave pulses in the area where the hard “ball/string” is located.
I have chosen to combine with EMTT to increase the elasticity of the tissue, so there is more “space” again in the tumor bodies.
This means that I get faster results than with shockwave alone.

After treatment, you can expect less curvature, less pain in the area and increased sexual function. If you have several large pieces of plaque or fibrosis, multiple treatments may be needed. In the clinic, I also see more complex cases that require more customized courses tailored to your needs and intensity. Treatment takes 20-30 minutes depending on the solution you choose.

• It costs from DKK 1,300 per PD Standard treatment, with shockwave and combination of EMTT
• PD Plus, which is a specially developed protocol, costs DKK 2,000 per treatment and is about 3 times more powerful than standard and contains more types of shockwave and an increased number of pulses.
• The first examination and treatment costs DKK 2,400 including an ultrasound scan.
  If you just want an examination, it costs DKK 1,700

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 caused by microscopic tissue damage or inflammation of the connective tissue surrounding the erectile tissues of the penis. This injury 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 presents with pain and tenderness in the penis. It is usually most pronounced when erect 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 may feel like a stiff or uneven lump. The plaque is responsible for the curvature or bending of the penis during an erection and can cause pain and sexual dysfunction.

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. The curvature can vary in degree, from mild to severe, and 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 throughout life and can be caused by an autoimmune reaction. Which may be triggered by small injuries to the penis during sexual activity. Thickened, tender nodules form in the tumor bodies, causing pain and discomfort. However, the condition is completely harmless. During the inflammation phase, there is the possibility of reducing pain with shockwave and EMTT, and possibly slowing down the condition.

Whether congenital or acquired later in life, mild penile deviation does not cause any symptoms or pain. The misalignment should only be treated in cases where the degree of misalignment makes sexual intercourse difficult or impossible.

The condition usually progresses in two phases:

1. The first phase often lasts for a year and is characterized by painful erections, while the penis starts to curve and become deformed
2. In the second phase, the soreness subsides. Here, the painful areas heal with rigid scar tissue or plaque. The result can be an hourglass-shaped penis when erect or curvature of the penis.

The condition will not heal itself and treatment will be required. Studies have shown that 10% experience improvement after 5-10 years, 40% experience a stable condition and 50% experience worsening over time

Congenital significant penile curvature is relatively rare, affecting less than 1% of men.

In contrast, Induratio penis plastica is not uncommon. The prevalence increases with age, affecting up to 13% of the male population to varying degrees. Not everyone experiences discomfort and it is rare for the condition to be so severe that intercourse with a partner becomes difficult.

As a non-invasive treatment, shockwave is the most effective. However, in severe cases, surgery is currently the most effective treatment and 50-75% of curvatures will be corrected satisfactorily. However, at least one year must pass from the completion of the curvature process until surgery is offered. In the clinic, I see many clients who have already had surgery without getting the desired result.
Here I see an improvement in the condition with shockwave afterwards.

If peyronies 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 can give false answers. Typically, the penis will be examined in an erect position to assess the degree of curvature and localization of plaque or scar tissue. At MS Insight, ultrasound scanning is standard and the first examination performed, as it provides the best insight into the tissue impact, along with physical examination of penis shape and tissue quality.

To give you even more insight into your health status and to see if there are any risk factors in relation to your general 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, body fat percentage and much more. This machine is able to provide accurate and detailed measurements, making it suitable for analysis to complement treatment. This can provide an increased qualification of what response to shockwave treatment can be expected 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 option of having 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 shockwave results.

A man’s penis is often 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 perform the same, it can lead to a wide variety of psychological issues. This can manifest as shame and performance anxiety and, in severe cases, depression and stress.

When his self-esteem disappears and he feels inferior, his desire for sex and, in the most severe cases, his ability to have sex can disappear. This will only create a further downward spiral, further affecting self-image and sexual function. For him, this will need to be addressed in order for him to regain successful sexual functioning.

Here, Michael also helps you with the psychological impact of the condition.

Peyronie’s 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 can experience anxiety, stress and reduced sexual satisfaction. It’s important to seek help to get a proper diagnosis and treatment options. At MS Insight, we do a thorough assessment and help you with both physical treatment and guidance on the mental front, so you feel comfortable with the situation.

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.

Peyronie’s 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’s important to speak with a doctor to evaluate and discuss treatment options that can improve sexual function.

Can Peyronie’s worsen over time? Peyronie’s 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.

Peyronie’s 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 manage these challenges and maintain a healthy and fulfilling sexual life.

Yes, Peyronie’s can cause pain, especially during an erection. The pain can vary in intensity and can be caused by both the physical condition of the penis and the emotional and psychological consequences of having Peyronie’s. The pain can have an impact on sexual function, quality of life and emotional well-being. It’s important to talk to a doctor about pain relief and treatment options.