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Shockwave therapy

User
Posted 12 Jul 2021 at 19:48

Hi there - has anyone researched or possibly undertaken shockwave therapy to assist with ED issues and/or Peyronie's disease? My understanding is that it remains an experimental treatment and comes with a very high price tag (£3K for 6 sessions of 30 mins), however it apparently has a decent success rate for improving blood flow, clearing any plaque (Peyronie's disease and curvature of penis), and generally increasing natural sexual function. Any advice from any members of the online community would be greatly appreciated. Many thanks

Some links to companies offering treatment:

www.mansmatters.co.uk

www.london-andrology.co.uk

User
Posted 13 Jul 2021 at 22:18
I would save your money for something more enjoyable or reliable, there is no research to suggest that treatment like this would have any effect on a man whose ED is caused by nerve damage from RP. The suppliers only claim that it might help men with vascular blood flow problems - I can't see how waving a wand over the penis would have any impact on the nerve bundles where your prostate used to be?
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 16 Jul 2021 at 05:50

It's available in specialist treatment centres on the NHS. However, there's still insufficient evidence to show how useful it is. Went to a talk by one the country's top andrologists a couple of years ago, and although this guidance note is dated, that was still his view:

https://www.nice.org.uk/guidance/ipg29/resources/extracorporeal-shockwave-therapy-for-peyronies-disease-pdf-255359917

User
Posted 18 Jul 2021 at 10:13

I think Dr Jo Milios is a world expert on this, and she is exceptional in her ability to connect and engage with men's sexual health issues after prostate cancer. If you are a reading-researching kind of person, you can download her PhD thesis here https://research-repository.uwa.edu.au/en/publications/therapeutic-interventions-for-patients-with-prostate-cancer-under I believe she has had big success with treating Peyronie's Disease using physiotherapy methods and in personal correspondence she has mentioned shockwave therapy as a promising avenue for further research.

On a less academic and more personal note, I developed very mild Peyronie's-type curvature since RARP 17 months ago. My physio suggested that I self-massage the affected area. Basically he had me pinch and rub skin and flesh in that area between my fingers. I found it was easier to identify the (calcified or whatever it is) affected areas when I was partially-erect. I am glad to say it has already shown improvement after a couple of months. I think this is in line with Dr Milios's findings, although she addresses more serious cases and I am definitely not a health care professional. 

User
Posted 18 Jul 2021 at 10:29
Oops! I think the thesis in my link above was interesting, but not focused on Peyronie's Disease. Here's the Jo Milios article that is: Peyronie’s disease and the role of therapeutic ultrasound: A randomized controlled trial published August 2020

https://www.rehabiljournal.com/articles/peyronies-disease-and-the-role-of-therapeutic-ultrasound-a-randomized-controlled-trial.html

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User
Posted 13 Jul 2021 at 22:18
I would save your money for something more enjoyable or reliable, there is no research to suggest that treatment like this would have any effect on a man whose ED is caused by nerve damage from RP. The suppliers only claim that it might help men with vascular blood flow problems - I can't see how waving a wand over the penis would have any impact on the nerve bundles where your prostate used to be?
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 16 Jul 2021 at 05:50

It's available in specialist treatment centres on the NHS. However, there's still insufficient evidence to show how useful it is. Went to a talk by one the country's top andrologists a couple of years ago, and although this guidance note is dated, that was still his view:

https://www.nice.org.uk/guidance/ipg29/resources/extracorporeal-shockwave-therapy-for-peyronies-disease-pdf-255359917

User
Posted 18 Jul 2021 at 10:13

I think Dr Jo Milios is a world expert on this, and she is exceptional in her ability to connect and engage with men's sexual health issues after prostate cancer. If you are a reading-researching kind of person, you can download her PhD thesis here https://research-repository.uwa.edu.au/en/publications/therapeutic-interventions-for-patients-with-prostate-cancer-under I believe she has had big success with treating Peyronie's Disease using physiotherapy methods and in personal correspondence she has mentioned shockwave therapy as a promising avenue for further research.

On a less academic and more personal note, I developed very mild Peyronie's-type curvature since RARP 17 months ago. My physio suggested that I self-massage the affected area. Basically he had me pinch and rub skin and flesh in that area between my fingers. I found it was easier to identify the (calcified or whatever it is) affected areas when I was partially-erect. I am glad to say it has already shown improvement after a couple of months. I think this is in line with Dr Milios's findings, although she addresses more serious cases and I am definitely not a health care professional. 

User
Posted 18 Jul 2021 at 10:29
Oops! I think the thesis in my link above was interesting, but not focused on Peyronie's Disease. Here's the Jo Milios article that is: Peyronie’s disease and the role of therapeutic ultrasound: A randomized controlled trial published August 2020

https://www.rehabiljournal.com/articles/peyronies-disease-and-the-role-of-therapeutic-ultrasound-a-randomized-controlled-trial.html

 
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