What are the manifestations of Peyronie’s disease?
- An abnormal curvature of the penis in any direction, but commonly upwards.
- Hourglass deformity of the penis.
- Erection difficulties.
These manifestations in turn often lead to severe sexual difficulties, including inability to have intercourse, and low self-esteem.
What is Peyronie’s disease?
Peyronie’s disease is the formation of excess scar tissue in the penis, most commonly in the stucture known as the tunica albuginea. The formation of excess scar tissue most commonly develops into either a plaque or a nodule, but can sometimes be more diffuse.
There is generally little awareness of this condition in the general population. It affects at least 3% of men, most commonly between the ages of 50 and 70, but it can also affect younger men.
What are the causes Peyronie’s disease?
There appears to be a genetic predisposition to this condition.
Often the excess scar tissue forms after direct trauma to the penis. Examples include trauma during sex, penile injection therapy or a cycling accident. In some men however it seems to develop for no obvious reason.
The following conditions are known to increase the overall likelihood of having Peyronie’s disease:
- Being overweight.
- High blood pressure or high blood cholesterol levels.
- Pre-diabetes and diabetes.
What treatments are available for Peyronie’s disease?
- Medicines which support normal tissue-healing.
- Supplementation to support normal tissue-healing.
- Acoustic wave therapy/shockwave therapy (SWT)
This treatment approach works by triggering the remodelling of the scar tissue causing the curvature of the penis. It can take up to 12 weeks for the curvature to improve.
This treatment is very safe, having no side-effects. In my practice, I combine shockwave therapy with medicines and supplementation that support normal tissue-healing, and the appropriate use of a vacuum pump between sessions.
Xiaflex injections (collagenase clostridium histolyticum)
This treatment involves giving an initial injection into the scar tissue causing the curvature, followed 3 days later by a second injection. This cycle is repeated 6 weeks later, and then again 6 weeks later (ie a total of 3 cycles over 18 weeks). Total cost ~ $7000.
Please note that at this stage I do not provide Xiaflex injections in my practice.
Surgery for peyronie’s disease
Several techniques are currently available:
- Nesbit plication.
- Scar-tissue plaque incision or excision and grafting.
- Penile prosthesis.
Stem cell therapy
Research is still only in the very early stages.
Acoustic wave therapy or Shockwave therapy (SWT)
What is the treatment protocol for Shockwave Therapy for Peyronie’s disease?
There are four treatment sessions, with a 1-week interval between each session.
Each session lasts about 30-40 minutes.
Who will deliver the treatment?
Dr Rob King himself will be giving the Shockwave Therapy Treatment. This ensures the best possible outcome for the patient.
Is the treatment painful?
The different settings for the delivery of the sound waves are adjusted for each individual patient. This ensures the intensity of the treatment is below the patient’s pain threshold.
What is the cost of Shockwave Therapy Treatment for Peyronie’s disease?
The total cost for the four treatment sessions is $2800.
Please note that this cost does not include the initial assessment consultation with Dr Rob King – Men’s health physician. This important initial assessment will determine whether you are likely to benefit from Shockwave Therapy treatment, and which treatment combination will best suit your personal situation (See ‘What treatments are available for Peyronie’s disease’ above).
The total Medicare refund for the four sessions is $422. If you have reached the Medicare safety net, then the refund is 80% of the total cost. Please note that private health funds do not at this stage cover any of the cost of the treatment.
How do I get started?
All bookings must be made online through this website. You will first need to register, a quick and easy process. All the demographic data you enter will be used to prepare your medical record prior to your first consultation. You can then book your appointment, selecting the ‘New patient appointment‘ option.