Crummerik treatment with shockwave

When you come for the first consultation, Michael will go into detail about the whole issue, both with physical and psychological impacts. The first consultation is as follows.

1. A thorough screening of the degree of curvature, physical and mental health status and your medical history and possible impact on your erection ability
2. We do a high-quality ultrasound scan to reveal the size of the fibrosa/plaque (the ball/string you feel).
3. We will determine your expectations for treatment and what level we expect to be able to move you to, based on the results of the study.
4. You will receive the first treatment with shockwave and EMTT, if you wish to start the treatment, here you will be instructed in home exercises to do between treatments to ensure a good result.

At the start of treatment, it may be useful to bring a photo of the penis in an erect state to show the location of the curvature. This allows us to better target treatment.

We’ll go in-depth to make sure we can put the right treatment strategy in place to restore quality to your sex life. The treatment and examination is carried out by one of Denmark’s leading experts in urological shockwave treatment, Michael, who is also a member of The International Society for Sexual Medicine.

Focused shockwave treatment, also known as ESWT (Extracorporeal ShockWaveTherapy). This is done by “shooting” high-frequency sound waves into the fibrosis/plaque area via an application head. This alters the biological processes around the “sphere” itself so that it breaks down into a less solid form. This means that when we affect the plaque area during treatment, it will break down into smaller pieces, thus reducing the curvature. The processes that are set in motion can be reinforced by some different home exercises, which you will be taught when you come for treatment.

In particular, the biological processes of collagen transformation, stem cell release, cell communication and blood vessel formation are the reasons why we can use shockwave effectively for peyronies. When we combine with EMTT it is because it has an increased general stimulation, which makes the tissue more elastic and flexible. There are no other clinics offering this combination treatment in Denmark. When the tissue is stiff, it also helps to increase the curvature and can in some cases result in a shortening of the penis.

The treatment itself involves applying a gel to the penis where the fibrosis is located, and then firing 4000 pulses into the tissue. The treatment feels like stinging and tingling and there may be a slight soreness after treatment, which is why sexual intercourse is not recommended for a period of 24 hours after the end of treatment.

In order to determine the degree of fibrosis/plaque, an ultrasound scan is necessary, it is not enough to “just” feel. This also ensures that we hit the right area in the subsequent shockwave treatment. Ultrasound scanning for peyronie’s is only offered by a few clinics in Denmark, and therefore Michael has extensive experience and knowledge about uncovering fibrosis/plaque in the penis. It can also identify whether it is the connective tissue that is tight, and that is what predicts the problem.

This has an impact on providing a prognosis of the course of treatment, and subsequent outcome. We will help you understand this when we do the scan. Here are some examples of different sizes of fibrosis in the penis.

A normal course of treatment extends over 6 weeks, with 1 weekly shockwave treatment, where we make 4000 pulses with shockwave in the area where the hard “ball / string” is located. We supplement with EMTT to increase the elasticity of the tissue, so that more “space” is restored. After treatment, you can expect less curvature, less pain in the area, and increased sexual function. In addition, if fibrosis is widespread, several treatments may be necessary.

• It costs 1.000 crowns per treatment, shockwave and possible combination of EMTT
• The first examination costs DKK 820 including ultrasound scan, without treatment.
• As one of the few clinicians in Denmark and the only one in Copenhagen, Michael works directly with Storz Medical in Switzerland. As the leading manufacturer of shockwave equipment for urological conditions, we are at the forefront of the latest research and technology in the clinic and have specialist equipment for the treatment of peyronie’s.
• During the course of 6 treatments, we offer a follow-up ultrasound scan of the plaque/fibrosis reduction after 6 months, to ensure the quality of the result. This will be scheduled after the last reading.

Induratio penis plastica can be compared to an inflammatory condition that typically first presents with pain and tenderness in the penis. It is usually most pronounced during erection during intercourse, and can thus affect one’s sex drive. It can also in bad cases lead to Erectile dysfunction

Peyronie’s disease, which is not congenital, can occur during life, where the cause may be due to an autoimmune reaction. Which may be triggered by small injuries to the penis during sexual activity. Thickened, tender nodules form in the swelling membranes, causing pain and discomfort. However, the condition is completely harmless. In the inflammation phase, shockwave and EMTT may be able to reduce pain and slow the condition.

Whether it’s congenital or acquired later in life, mild penile misalignment causes no symptoms or pain. The bias should be treated only in cases where the degree of bias makes intercourse difficult or impossible.

The condition usually progresses in two phases:

1. The first phase often lasts a year and is marked by painful erections, while the penis starts to curve and become deformed
2. In the second phase, the soreness subsides. Here, the painful areas heal up with rigid scar tissue or also called plaque. The result can be an hourglass-shaped penis in erect state or curvature of the penis.

The condition does not heal itself and treatment will be required. Studies have shown that 10% experience improvement after 5-10 years, 40% experience the condition as stable and 50% experience worsening over time

Congenital significant curvature of the penis is relatively rare, affecting less than 1% of men.

Induratio penis plastica, on the other hand, is not uncommon. The prevalence increases with age, affecting up to 13% of the male population to varying degrees. Not everyone experiences discomfort and it is rare for the condition to be so pronounced that intercourse with a partner becomes difficult.

As a non-invasive treatment, shockwave is the most effective. However, in severe cases, surgery is the most effective treatment so far, and 50-75% of curvatures will be corrected satisfactorily. However, at least one year must elapse between the end of the curvature process and the offer of surgery.