Acoustic wave therapy has proven to be especially effective in treating Peyronie's disease, offering men suffering from a progressive or severe case of this condition an excellent alternative to invasive surgical procedures. A new study shows that shockwave therapy can effectively reduce pain during erection and improve penile angle in men with Peyronie's disease. Seftel, MD, chief of urology at Cooper University Hospital, Camden, NJ, does not offer shock wave therapy for ED or Peyronie's disease because it is considered experimental by the AUA guidelines panel and its patient population would not be able to afford treatment without coverage, he said. The trial revealed that shockwave therapy worked well to restore erectile function in men with mild to moderate vasculogenic ED.
If you have Peyronie's disease and are looking for a safe and painless treatment option, or have already used other medical therapies and want to avoid surgery, shock wave therapy for Peyronie's disease may be the right choice for you. According to a company spokesman, GAINSWave is a marketing organization that educates consumers and increases public awareness about low-intensity shockwave therapy for erectile dysfunction. Dr. Georgios Hatzichristodoulou, associate professor of urology at Julius-Maximilians University of Wírzburg in Germany, has conducted several of the European studies on the use of shock wave therapy for erectile dysfunction and Peyronie's disease.
However, it is necessary to define which subgroup of the PD population is the most appropriate, the LiESwt protocols (shock wave energy modality, emission frequency and total energy supply) and the role of combination therapy in PD, such as simultaneous penile remodeling and the use of penile traction devices or therapy intralesional. As with those procedures, pulsed sound waves can break down or soften the scar tissue associated with Peyronie's disease. Research on the use of shock wave therapy in Peyronie's disease has shown that it can improve penile pain, but not curvature. On the bright side, shockwave therapy is different from other treatment options for ED, as it offers a possible cure for ED.
Hatzichristodoulou, who conducted the first prospective placebo-controlled study of shockwave therapy in patients with Peyronie's disease as a medical student about 17 years ago, says there are three placebo-controlled studies available worldwide on this treatment modality and all show that shockwave in Peyronie's disease is effective in treating penile pain, but it does not improve or correct the curvature of the penis. Class 2 shockwave therapy devices are regulated by the FDA and cannot be used outside of a clinical trial, Dr. Patients wishing to seek shockwave therapy for ED should be encouraged to seek and enroll in clinical trial opportunities. In the study, researchers at the Foch Hospital in Suresnes, France, investigated a technique called extracorporeal shock wave therapy (ESWT), which is commonly used to divide and break up kidney stones, to treat 54 men with Peyronie.