Thérapie par ondes de choc pour la maladie de La Peyronie : ce qu’elle aide et ce qu’elle ne fait pas.

Dernière mise à jour : 25 août 2026

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Peyronie’s disease is scar tissue in the wall of the erectile bodies, producing a bend, a lump, pain, and sometimes enough curvature to make intercourse difficult or impossible. Men find it distressing out of all proportion to how it looks on paper, and that distress is a legitimate part of the problem rather than an overreaction to it.

Shockwave therapy is one of the treatments offered for it. This article sets out what it does — and, more importantly, what it does not, because an earlier version of this page overstated it.

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The correction, stated plainly

The earlier version asked whether shockwave therapy really works for Peyronie’s disease and answered yes, it does, listing reduced plaque size, increased erect length and reduced curvature among the results. That does not reflect what the evidence or the guidelines say, and it has been corrected.

The position taken by urological guidelines is narrower and quite specific:

• Shockwave therapy may be offered to relieve penile pain. This is where its usefulness lies, and it is a real benefit for men in the painful phase.
• It should not be used to reduce curvature or plaque size. The controlled trials did not show that it does either, and offering it for that purpose sets an expectation the treatment cannot meet.

The page had already carried a line at the foot saying shockwave is most useful for pain rather than curvature correction — so the article was contradicting itself, promising straightening in one section and withdrawing the promise in another. It now says one thing throughout.

Why the natural history matters more than any single treatment

This was missing from the earlier version and it explains a great deal.

Peyronie’s disease has two phases. In the active phase the plaque is forming: there is pain, particularly with erection, and the curvature is still changing. This lasts months. In the stable phase the pain has gone and the bend has stopped changing.

In most men the pain resolves on its own as the disease becomes stable, whether or not anything was done about it. That single fact should be held in mind whenever any treatment is credited with relieving pain — including this one. It is also why treatments that appear impressive in uncontrolled series often disappoint when compared against no treatment.

It has a second consequence that matters practically: surgery is not done during the active phase. Operating on a curvature that is still changing invites a poor result, so correction waits until the deformity has been stable for several months.

What shockwave therapy is, and what it involves

• A day-case, non-invasive treatment delivering mechanical energy to the tissue through the skin. No incision, no anaesthetic.
• Where it is used, a typical course is a short session weekly for around six weeks.
• The proposed mechanism — stimulating growth factors and new blood vessel formation — comes largely from work on shockwave therapy in erectile dysfunction and is extrapolated to Peyronie’s disease. The earlier version presented it as established for this condition, which overstated it.

It is well tolerated. The honest summary is that it is a low-risk treatment aimed at one symptom, offered in a phase during which that symptom often settles anyway.

If the problem is the bend rather than the pain

For most men the curvature is what actually interferes with life, and shockwave therapy is not the answer to it. The options that do address deformity are different, and they depend on whether the disease has stabilised, how severe the bend is, and whether erections are adequate.

• Injections into the plaque, of which collagenase has the best evidence for reducing curvature in stable disease within a defined range of severity.
• Thérapie par traction, which requires considerable persistence over months and is often combined with other treatments.
• Chirurgie for stable disease — shortening the opposite side, or grafting the affected side — which is the most reliable way of straightening and carries its own trade-offs, including length.
• Un implant pénien, where erectile dysfunction and curvature coexist and the erection is the limiting problem — this addresses both at once.

These are set out in more detail on the Peyronie’s disease treatment page. Which of them is appropriate is decided on examination and measurement of the curvature, not from a description over a message.

Two things worth checking at the same time

• Erectile function. Peyronie’s disease and erectile dysfunction frequently occur together, and which is the dominant problem changes the whole plan — there is little point straightening a penis that will not become rigid.
• General health. The condition is associated with diabetes and with Dupuytren’s contracture of the hand, and it is reasonable to look for what has not yet been diagnosed.

Symptômes nécessitant une attention particulière plutôt qu'un rendez-vous de routine

En cas d'urgence en Thaïlande, appelez le 1669.

• A sudden cracking or popping sensation during intercourse, with immediate pain, swelling and loss of the erection. This is a penile fracture and needs emergency surgical assessment the same night — it is a different event from Peyronie’s disease, though it can lead to it.
• An erection lasting more than four hours, which requires same-day treatment.
• A penile lump that is ulcerating, bleeding, or growing quickly — this is not the usual behaviour of a Peyronie’s plaque and needs examination.
• Curvature appearing in a young man or over a matter of days rather than months, which warrants prompt assessment rather than watchful waiting.

Foire aux questions (FAQ)

La thérapie par ondes de choc peut-elle redresser mon pénis ?

No. Guidelines advise that it should not be used to reduce curvature or plaque size, because controlled trials did not show that it achieves either. It may be offered to relieve penile pain, which is a genuine but different benefit. An earlier version of this article claimed curvature reduction, and that claim has been withdrawn.

So is it worth having?

It can be, if pain is your main complaint and you understand what you are buying. It is low risk and non-invasive. Set against that, penile pain settles by itself in most men as the disease stabilises, so a course of treatment is not the only route to being free of it. If the bend is the problem, this is the wrong treatment.

What does a course involve?

Short outpatient sessions, typically weekly for about six weeks. There is no incision or anaesthetic and men return to normal activity immediately.

Should I have surgery now?

Not while the disease is still active. Surgery is done once the curvature has been stable and pain-free for several months, because operating on a deformity that is still changing produces unreliable results.

Will any treatment make it exactly as it was before?

No, and it is better to hear that early. The realistic aim is a penis straight enough for satisfactory intercourse, with pain resolved and erections adequate. Men who are told to expect complete restoration are being misled.

Prendre rendez-vous pour une consultation

Le Dr Soarawee Weerasopone a complété une surspécialisation en andrologie à l'Hôpital Memorial Chang Gung de Kaohsiung, à Taïwan, où la maladie de La Peyronie et la chirurgie prothétique pénienne constituaient une part importante de sa formation. Il reçoit des patients à Bangkok Hospital Headquarters (BHQ) et à l'hôpital Samitivej Sriracha Hospital à Chonburi le 088-022-1445.

La télémédecine de Bangkok Hospital est disponible pour les patients qui ne peuvent pas se déplacer, y compris les patients internationaux — organisez-la à l'avance par e-mail auprès du service d'urologie à l'adresse bhquro@bdms.co.th. Samitivej Sriracha n'accueille que les patients en consultation sur place. Les questions relatives aux coûts sont traitées par l'hôpital, et non par ce site web.

Avertissement : Ce contenu a été rédigé et relu par Dr. Soarawee Weerasopone, urologue certifié au Bangkok Hospital Headquarters (BHQ), et est destiné uniquement à l'information. Il ne constitue ni un avis médical, ni un diagnostic, ni une prescription pour une personne en particulier, et aucun avis, diagnostic ou prescription n'est donné via les messageries privées ou les réseaux sociaux. Dr. Soarawee n'utilise aucun compte public sur les réseaux sociaux ; tout compte proposant une consultation privée en son nom est frauduleux. En cas d'urgence en Thaïlande, appelez le 1669.