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Peyronie’s disease · Focal shockwave · Specialist Urologist

Shockwave Therapy for Peyronie’s Disease

Assessment and focal shockwave therapy for Peyronie’s disease — where pain is a prominent feature, shockwave may form part of an assessed treatment plan.

Delivered byDr Kishore Bahl, Specialist Urologist
ConsultationAssessment before any treatment
Session timeTypically 15–30 min
DowntimeNone
Back to Men’s HealthAll Services

Educational information — not a substitute for clinical assessment

This page describes shockwave therapy for peyronie's disease in general terms to help you decide whether an assessment may be useful. It is not a diagnosis and does not promise a particular result. Suitability, the number of sessions and whether treatment is appropriate at all are decided at consultation. Outcomes vary between individuals and treatment is not suitable for everyone.

Why people come to us about this.

Peyronie's disease is more common than most men realise, and rarely discussed. Fibrous plaque forms within the penis, producing curvature, sometimes pain, and often considerable distress. It is not caused by anything you did.

What this condition actually is.

Peyronie's disease involves the formation of fibrous scar tissue, called plaque, in the tunica albuginea of the penis. This can cause curvature, shortening, narrowing, pain and difficulty with intercourse.

It typically has two phases. The active phase involves pain and changing curvature, often over 6 to 18 months. The stable phase follows, when pain settles and the deformity stops progressing.

Which phase you are in matters, because it changes what treatment is appropriate. Assessment establishes this.

What you might be noticing.

  • A bend or curve in the penis, usually appearing over weeks or months
  • A palpable lump or firm area along the shaft
  • Pain during erection, particularly in the early phase
  • Shortening or narrowing of the penis
  • An hourglass or indented appearance
  • Difficulty with penetration
  • Erectile difficulty, which frequently coexists

What tends to cause it.

  • Repeated minor injury during intercourse, often not noticed at the time — the leading theory
  • An abnormal wound-healing response, producing excess scar tissue
  • Genetic predisposition — it is more common where there is a family history
  • Association with Dupuytren's contracture of the hand
  • Diabetes, and following prostate surgery
  • In many men, no clear cause is identified

How treatment helps.

Focal shockwave is used in Peyronie's disease principally where pain is a prominent feature.

Evidence is stronger for pain reduction than for correcting curvature. We will be clear about that distinction.

It is one option among several, which include observation, oral treatment, injectable treatment and surgery depending on phase and severity.

It is offered as part of an assessed plan rather than as a standalone answer.

Why we use focal shockwave.

We use focal shockwave because it delivers energy to a defined depth — up to approximately 12 cm — allowing accurate treatment of deeper structures. Radial devices spread energy outwards from the applicator and lose intensity quickly, which limits them to more superficial targets.

Why focal reaches what radial cannot.

Pulses travel from the probe and converge on a target at depth. The dashed line marks where radial devices stop.

036912 cm Radial device range ► stops here Focal probe Target SkinFat layerMuscleDeepmuscle
Focal shockwave · depth of penetration

What treatment can offer.

Non-invasive, with no injections into the peni

Non-invasive, with no injections into the penis and no surgery

No anaesthetic required

No anaesthetic required

No downtime

No downtime

Can be considered where other treatments are u

Can be considered where other treatments are unsuitable

Assessment clarifies the phase and severity, w

Assessment clarifies the phase and severity, which guides everything else

What to expect during treatment.

  1. Step 1

    A consultation covering when symptoms started, how the curvature has changed, pain, and effect on function.

  2. Step 2

    Examination to assess the plaque, and where useful photographs or ultrasound to document curvature.

  3. Step 3

    An explanation of which phase you are in and what that means for treatment.

  4. Step 4

    Discussion of all options, including doing nothing while the condition stabilises.

  5. Step 5

    If shockwave is agreed, a course of short outpatient sessions with review.

Questions people usually ask.

Will shockwave straighten the curve?

Evidence is stronger for reducing pain than for correcting curvature. We will not promise straightening.

Does Peyronie's get better on its own?

Pain often settles as the condition stabilises. Curvature usually persists, and in a minority it improves.

Is it cancer?

No. Peyronie's disease is benign. Any new penile lump should still be assessed.

Should I wait before treatment?

Sometimes. In the active phase, some treatments are avoided until the condition stabilises. Assessment establishes this.

Can it be operated on?

Surgery is an option for stable, significant curvature affecting function. It is not performed here; we would refer.

Is it linked to erectile dysfunction?

The two commonly occur together. Both are assessed.

Related treatments.

Shockwave Therapy for Erectile Dysfunction

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Penile Rehabilitation

A structured programme aimed at supporting erectile tissue health after prostate surgery or other pelvic treat…

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PRP Shot (Penile PRP)

Platelet-rich plasma prepared from a sample of your own blood, used in erectile dysfunction and penile rehabil…

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Before you book.

Referral

No GP referral needed. You can book directly.

First appointment

An assessment with Dr Kishore Bahl, Specialist Urologist. Treatment follows only if the assessment supports it.

Where

Whitechapel, East London. Whitechapel station is on the Elizabeth line, District, Hammersmith & City and Overground.

Fees

Published in full on our price list.

Privacy

Consultations are private and confidential. You are entitled to a chaperone at any appointment, at no cost.

Speak to a specialist.

Speak to Dr Kishore Bahl, Specialist Urologist, about whether this treatment is appropriate for you.

Book a consultation Call 020 7916 0029 See full pricing on our price list
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