{"id":6270,"date":"2023-03-25T15:27:09","date_gmt":"2023-03-25T08:27:09","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=6270"},"modified":"2026-08-25T09:08:48","modified_gmt":"2026-08-25T02:08:48","slug":"%e1%9e%80%e1%9e%b6%e1%9e%9a%e1%9e%96%e1%9f%92%e1%9e%99%e1%9e%b6%e1%9e%94%e1%9e%b6%e1%9e%9b%e1%9e%8a%e1%9f%84%e1%9e%99%e1%9e%85%e1%9e%9b%e1%9e%93%e1%9e%b6-%e1%9e%86%e1%9e%80%e1%9f%8b%e1%9e%9a","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/km\/2023\/03\/25\/extracorporeal-shockwave-therapy\/","title":{"rendered":"Shockwave Therapy for Peyronie&#8217;s Disease: What It Helps, and What It Does Not"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, 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12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Peyronie&#8217;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.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Shockwave therapy is one of the treatments offered for it. This article sets out what it does \u2014 and, more importantly, what it does not, because an earlier version of this page overstated it.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">The correction, stated plainly<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The earlier version asked whether shockwave therapy really works for Peyronie&#8217;s disease and answered <em>yes, it does<\/em>, listing reduced plaque size, increased erect length and reduced curvature among the results. <strong>That does not reflect what the evidence or the guidelines say, and it has been corrected.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The position taken by urological guidelines is narrower and quite specific:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Shockwave therapy may be offered to relieve penile pain.<\/strong> This is where its usefulness lies, and it is a real benefit for men in the painful phase.<\/li>\n\n\n\n<li><strong>It should not be used to reduce curvature or plaque size.<\/strong> The controlled trials did not show that it does either, and offering it for that purpose sets an expectation the treatment cannot meet.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The page had already carried a line at the foot saying shockwave is most useful for pain rather than curvature correction \u2014 so the article was contradicting itself, promising straightening in one section and withdrawing the promise in another. It now says one thing throughout.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"6284\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2023\/03\/25\/extracorporeal-shockwave-therapy\/peyronie-problem\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Peyronie-problem.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;Freepik Company S.L. - www.freepik.com&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"In the severe case, inability to invaginate during sexual intercourse probably encountered\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;In the severe case, inability to invaginate during sexual intercourse probably encountered&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Peyronie-problem.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Peyronie-problem.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Man sitting alone looking troubled, illustrating the distress caused by penile curvature in Peyronie's disease\" class=\"wp-image-6284\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Peyronie-problem.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Peyronie-problem.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Peyronie-problem.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Peyronie-problem.jpg?resize=768%2C513&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Peyronie-problem.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Peyronie-problem.jpg?resize=750%2C501&amp;ssl=1 750w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Severe curvature can make penetration impossible \u2014 and the distress it causes is part of the condition, not a separate issue.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Why the natural history matters more than any single treatment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This was missing from the earlier version and it explains a great deal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Peyronie&#8217;s disease has two phases. In the <strong>active phase<\/strong> the plaque is forming: there is pain, particularly with erection, and the curvature is still changing. This lasts months. In the <strong>stable phase<\/strong> the pain has gone and the bend has stopped changing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>In most men the pain resolves on its own<\/strong> 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 \u2014 including this one. It is also why treatments that appear impressive in uncontrolled series often disappoint when compared against no treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It has a second consequence that matters practically: <strong>surgery is not done during the active phase.<\/strong> Operating on a curvature that is still changing invites a poor result, so correction waits until the deformity has been stable for several months.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What shockwave therapy is, and what it involves<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A day-case, non-invasive treatment delivering mechanical energy to the tissue through the skin. No incision, no anaesthetic.<\/li>\n\n\n\n<li>Where it is used, a typical course is a short session weekly for around six weeks.<\/li>\n\n\n\n<li>The proposed mechanism \u2014 stimulating growth factors and new blood vessel formation \u2014 <strong>comes largely from work on shockwave therapy in erectile dysfunction and is extrapolated to Peyronie&#8217;s disease.<\/strong> The earlier version presented it as established for this condition, which overstated it.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"6283\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2023\/03\/25\/extracorporeal-shockwave-therapy\/close-up-of-white-tablets-and-colorful-capsules\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Medicine.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;4&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D750&quot;,&quot;caption&quot;:&quot;Close up of white tablets and colorful capsules isolated&quot;,&quot;created_timestamp&quot;:&quot;1497817691&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;85&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Close up of white tablets and colorful capsules&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Peyronie&amp;#8217;s disease treatment can be started with oral medication.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Peyronie&amp;#8217;s disease treatment can be started with oral medication.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Medicine.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Medicine.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Oral medication tablets, representing the limited role of tablets in treating Peyronie's disease\" class=\"wp-image-6283\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Medicine.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Medicine.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Medicine.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Medicine.jpg?resize=768%2C513&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Medicine.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Medicine.jpg?resize=750%2C501&amp;ssl=1 750w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Oral treatments are often tried first and achieve less than most men are led to expect.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">If the problem is the bend rather than the pain<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Injections into the plaque<\/strong>, of which collagenase has the best evidence for reducing curvature in stable disease within a defined range of severity.<\/li>\n\n\n\n<li><strong>Traction therapy<\/strong>, which requires considerable persistence over months and is often combined with other treatments.<\/li>\n\n\n\n<li><strong>Surgery<\/strong> for stable disease \u2014 shortening the opposite side, or grafting the affected side \u2014 which is the most reliable way of straightening and carries its own trade-offs, including length.<\/li>\n\n\n\n<li><strong>A penile implant<\/strong>, where erectile dysfunction and curvature coexist and the erection is the limiting problem \u2014 this addresses both at once.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">These are set out in more detail on the <a href=\"https:\/\/drsoaraweeurology.com\/services\/peyronies-disease-treatment\/\">Peyronie&#8217;s disease treatment page<\/a>. Which of them is appropriate is decided on examination and measurement of the curvature, not from a description over a message.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"6285\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2023\/03\/25\/extracorporeal-shockwave-therapy\/surgeons-passing-scissors-to-each-other\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Surgery.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.8&quot;,&quot;credit&quot;:&quot;Anna Bizon&quot;,&quot;camera&quot;:&quot;NIKON D810&quot;,&quot;caption&quot;:&quot;Surgeons passing scissors to each other&quot;,&quot;created_timestamp&quot;:&quot;1482928913&quot;,&quot;copyright&quot;:&quot;Gpoint Studio&quot;,&quot;focal_length&quot;:&quot;70&quot;,&quot;iso&quot;:&quot;320&quot;,&quot;shutter_speed&quot;:&quot;0.016666666666667&quot;,&quot;title&quot;:&quot;Surgeons passing scissors to each other&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"In case of severe Peyronie&amp;#8217;s disease, surgery will be recommended.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;In case of severe Peyronie&amp;#8217;s disease, surgery will be recommended.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Surgery.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Surgery.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Operating theatre setting, representing surgical correction of penile curvature once the disease is stable\" class=\"wp-image-6285\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Surgery.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Surgery.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Surgery.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Surgery.jpg?resize=768%2C513&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Surgery.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Surgery.jpg?resize=750%2C501&amp;ssl=1 750w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Surgical correction is the most reliable way to straighten \u2014 but only once the disease has stabilised.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Two things worth checking at the same time<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Erectile function.<\/strong> Peyronie&#8217;s disease and erectile dysfunction frequently occur together, and which is the dominant problem changes the whole plan \u2014 there is little point straightening a penis that will not become rigid.<\/li>\n\n\n\n<li><strong>General health.<\/strong> The condition is associated with diabetes and with Dupuytren&#8217;s contracture of the hand, and it is reasonable to look for what has not yet been diagnosed.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"6282\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2023\/03\/25\/extracorporeal-shockwave-therapy\/good-doctor\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Good-doctor.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark IV&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1596856907&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;200&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Patient education on realistic goal on Peyronie&amp;#8217;s disease treatment is essential.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Patient education on realistic goal on Peyronie&amp;#8217;s disease treatment is essential.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Good-doctor.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Good-doctor.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Doctor explaining treatment options to a patient in consultation\" class=\"wp-image-6282\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Good-doctor.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Good-doctor.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Good-doctor.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Good-doctor.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Good-doctor.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/03\/Good-doctor.jpg?resize=750%2C500&amp;ssl=1 750w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Setting realistic expectations is most of the work \u2014 no treatment restores a penis to exactly how it was.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms that need attention rather than a routine appointment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A sudden cracking or popping sensation during intercourse, with immediate pain, swelling and loss of the erection.<\/strong> This is a penile fracture and needs emergency surgical assessment the same night \u2014 it is a different event from Peyronie&#8217;s disease, though it can lead to it.<\/li>\n\n\n\n<li>An erection lasting more than four hours, which requires same-day treatment.<\/li>\n\n\n\n<li>A penile lump that is ulcerating, bleeding, or growing quickly \u2014 this is not the usual behaviour of a Peyronie&#8217;s plaque and needs examination.<\/li>\n\n\n\n<li>Curvature appearing in a young man or over a matter of days rather than months, which warrants prompt assessment rather than watchful waiting.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Will shockwave therapy straighten my penis?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">So is it worth having?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What does a course involve?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Short outpatient sessions, typically weekly for about six weeks. There is no incision or anaesthetic and men return to normal activity immediately.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Should I have surgery now?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Will any treatment make it exactly as it was before?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">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.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Arranging a consultation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Soarawee Weerasopone completed an andrology fellowship at Chang Gung Memorial Hospital Kaohsiung, Taiwan, where Peyronie&#8217;s disease and penile prosthetic surgery formed a substantial part of the training. He sees patients at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Bangkok Hospital Headquarters<\/a> and at Samitivej Sriracha Hospital in Chonburi on <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only. Enquiries about cost are answered by the hospital, not by this website.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters, and is intended for education only. It is not medical advice, diagnosis or a prescription for any individual, and no advice, diagnosis or prescription is given through personal messaging channels or social media. Dr. Soarawee operates no public social media account; any account offering private consultation in his name is fraudulent. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2023\/03\/25\/extracorporeal-shockwave-therapy\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2023\/03\/25\/extracorporeal-shockwave-therapy\/\",\n      \"name\": \"Shockwave Therapy for Peyronie's Disease: What It Helps, and What It Does Not\",\n      \"description\": \"Shockwave therapy may be offered for penile pain in Peyronie's disease but is not recommended for reducing curvature or plaque size. What does address curvature, and why surgery waits for the stable phase.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2023-03-25\",\n      \"dateModified\": \"2026-08-25\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2023\/03\/25\/extracorporeal-shockwave-therapy\/#eswt-peyronie\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"The earlier version of this article answered that shockwave therapy works for Peyronie's disease and listed reduced plaque size, increased erect length and reduced curvature among its results, while a paragraph at the foot of the same page stated that it is useful for pain rather than curvature correction. The article contradicted itself and has been corrected to the guideline position: shockwave therapy may be offered for penile pain, and should not be used to reduce curvature or plaque size. The proposed mechanism of growth factor stimulation and neovascularisation is extrapolated from work in erectile dysfunction and is now labelled as such. The natural history of the condition, including spontaneous resolution of pain in most men and the requirement that surgery wait for the stable phase, was absent and has been added.\"\n    },\n    {\n      \"@type\": \"MedicalTherapy\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2023\/03\/25\/extracorporeal-shockwave-therapy\/#eswt-peyronie\",\n      \"name\": \"Extracorporeal shockwave therapy for Peyronie's disease\",\n      \"description\": \"Non-invasive delivery of mechanical energy to the penile plaque through the skin, typically in weekly outpatient sessions over approximately six weeks.\",\n      \"indication\": {\n        \"@type\": \"MedicalIndication\",\n        \"name\": \"Relief of penile pain in Peyronie's disease\"\n      },\n      \"contraindication\": {\n        \"@type\": \"MedicalContraindication\",\n        \"name\": \"Not recommended for the reduction of penile curvature or plaque size, for which controlled evidence of benefit is lacking\"\n      },\n      \"seriousAdverseOutcome\": {\n        \"@type\": \"MedicalEntity\",\n        \"name\": \"The principal hazard is not physical but expectational: pursuing shockwave therapy for curvature delays effective treatment of the deformity\"\n      },\n      \"followup\": {\n        \"@type\": \"MedicalEntity\",\n        \"name\": \"Reassessment of pain, curvature measurement and erectile function; surgical correction deferred until the disease has been stable for several months\"\n      }\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2023\/03\/25\/extracorporeal-shockwave-therapy\/#faq\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2023\/03\/25\/extracorporeal-shockwave-therapy\/#webpage\" },\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Will shockwave therapy straighten my penis?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"No. Guidelines advise that it should not be used to reduce curvature or plaque size, as controlled trials did not show benefit for either. It may be offered to relieve penile pain, which is a different benefit. An earlier version of this article claimed curvature reduction and that claim has been withdrawn.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Is shockwave therapy for Peyronie's disease worth having?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"It can be if pain is the main complaint, since it is low risk and non-invasive. Against that, penile pain settles spontaneously in most men as the disease stabilises. If curvature is the problem, this is the wrong treatment.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Should I have surgery for penile curvature now?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Not during the active phase. Surgery is performed once the curvature has been stable and pain-free for several months, because operating on a deformity that is still changing gives unreliable results.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Will treatment restore my penis to exactly how it was?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"No. The realistic aim is a penis straight enough for satisfactory intercourse, with pain resolved and adequate erections. Complete restoration is not a promise any treatment can make.\" }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Shockwave therapy has a place in Peyronie&#8217;s disease, and that place is pain. It does not straighten the penis or shrink the plaque \u2014 and knowing the difference decides whether a course of it is worth your time.<\/p>","protected":false},"author":185281453,"featured_media":10042,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Shockwave therapy relieves penile pain in Peyronie's disease but is not recommended for reducing curvature or plaque size. 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