Could ultrasound treatment help with some of the ED that is part of Peyrnie's disease?

I think that I got some positive results from taking Neprinol. I will continue to take at least six pills/day.

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My question is for the ultrasound machine that you have. I was wondering if this could help with some of the ED possibly.



Greetings John,

Taking any therapy by itself as a solo treatment is not a very effective protocol; usually Neprinol must be combined with other therapies for maximum effectiveness.

Having some degree of erectile dysfunction (ED) with Peyronie's disease is not uncommon.  It is due to the presence of the Peyronies scar preventing full closure of the veins that trap blood to create increased hydraulic pressure needed for an erection to occur.  The answer for this kind of ED is to reduce the size of the PD scar material, or get rid of it altogether, so the veins can close again as they did before you developed Peyronies. 

Here is some additional information about this subject: Should I use Neprinol as part of my Peyronie’s disease treatment?

The ultrasound machine is proving to be a good therapy to add to a basic PDI style treatment plan, based on the reports I am getting back from men who are using it in combination with broad therapy plans. 


Question about PDI ultrasound machine usage outside of U.S used for Peyronie's disease


I live in Australia and purchased the ultra sound device with my last order. The power supplied here is 240Volt – Is the ultra sound suitable for use in this Country ??

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Paul Craig

Greetings Paul,

Yes, the ultrasound machine we have available is made in two voltage ratings.  For the US and a few other countries it is made as a 110 volt unit.  For most of the rest of the world it is made as a 230 volt unit which will work when using 220, 230 or 240 volts power sources.  TRH  


Where can I purchase the 3MHz ultrasound machine to treat my peyronies?

Where can I purchase the 3mhz ultrasound machine to treat my peyronies?   I couldn't find it here.  rabalar.

Greetings Rahalar,

Please go to 3MHz ultrasound treatment of Peyronie's disease for the information you need.  TRH

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Do you have a suggested protocol for ultrasound treatment of Peyronie’s disease?

I ran across comments on your site regarding the use of ultrasound therapy. Do you have a suggested protocol for intensity, frequency (1 vs 3.3) duration, etc?


There seems to be a rash of great interest lately in using ultrasound treatment for not only Peyronie’s disease but also Dupuytren’s contracture.  I suppose this is the way the internet works.

Yes, I have a detailed protocol for using the ultrasound machine for the particular problems of Peyronie’s disease and Dupuytren’s contracture that is being sold on the PDI and DCI websites.  This protocol is specific for this particular machine, and would not necessarily apply to other ultrasound units.   Further, this set of treatment guidelines will probably change over time as our research with ultrasound continues.  For these reasons I hesitate to share the specific ideas with others who do not have such a unit.  They might not know how to adapt my protocol to their machine, and they would be outside of the loop when later changes are made to improve these treatment instructions.

I can tell you, however, that I strongly advise against the use of the 1MHz frequency ultrasound machines for treating PD and DC; the 3MHz is preferred. 

There is a great difference of effects from ultrasound on living tissue when delivered at higher (3MHz) and lower (1MHz) frequencies.   The reader might need to be reminded that 1MHz and 3MHz are not brand names or model numbers an ultrasound machine.   Many companies make a 1MHz US machine, and a few that make a 3MHz US machine.  These two terms, 1MHz and 3MHz, refer to frequency or rate of sound vibration that a particular US machine will produce.   The terms mean that at 1 MHz, the sound is being produced at 1 million cycles or sound waves a second, and at 3MHz the sound is being produced at 3 million cycles or sound waves a second. 

There is three times the amount of sound waves created in a 3MHz machine compared to a 1MHz machine.  The higher number of sound waves get “jammed” as they enter living tissue.  Thus, the higher rate of sound does not  penetrate very deeply into the tissue, so they remain near the surface where they create heat, since they tend  to be unable to penetrate deeper down.   The greater the number of sounds waves of a 3MHz US machine is more powerful and faster, but this greater amount of sound also prevents the sound from going down into the tissue -which is exactly what we want to treat Peyronie’s disease or Dupuytren’s contracture.

Ultrasound therapy is just sound that is directed into the body to shake the cells at extremely fast speed that will heat them up.  The sound produced at this high frequency cannot be heard, and it cannot travel through air; it can only travel through solids and liquids. Most therapeutic US machines are made to generate sound at 1MHz.  These one million sound waves are created each second and can be driven deeply into the tissue (several inches) where they bounce around and create heat by producing friction between the cells the sound waves strike against. In addition to producing heat, this cellular vibration also increases metabolism of the cells, especially the healing process. That is how and why US therapy works.

For information about the unit we sell, see ultrasound treatment of Peyronie’s disease  and  ultrasound treatment of Dupuytren’s contracture.   TRH

What have been the results of ultrasound therapy for Peyronie’s disease?

So, what have been the results of the ultrasound therapy for Peyronie’s disease?  Any breakdown in tissue?  What is the protocol — daily, weekly?  Does improvement happen over a certain period of time or “therapy” sessions? How long is each session?


Ultrasound has been heavily researched in the general area of how it affects living tissue.    See these internet discussions  and and  (go down to page 34) to name just a few. 

Since the initial research in the early 1940s there has been a growing body of good science that proves ultrasound has definite therapeutic tissue effects, especially the effect of tissue cavitation.  But it is necessary to extrapolate this information to the problem of Peyronie’s disease, because no one has taken the time or spent the money to see if it applies to Peyronie’s disease.   Having written that, I have had perhaps over the years had 6-8 people report to me at different times that they used US for their PD or DC and that they thought it was helpful.  This is certainly not scientific, for sure.  But if you and I waited for something truly scientific to be conducted by a drug company or the medical research department of a university concerning non-traditional treatment being used for Peyronie’s disease or Dupuytren’s contracture, we would spend a lot of time sitting on our hands while our conditions worsened.  Because I have explored and rationalized so many of these different concepts through, especially the basic concept of synergy and applied it to PD and DC therapy, there are perhaps well over a thousand men and women whose problems have been eliminated or improved in various degrees.  By being proactive and using common sense many people have been helped.

 I am working now with an idea that the men and women who will be using ultrasound therapy for the PD and DC problems can be used to assemble raw data about the therapeutic effects they experience.  Not exactly sure how I will eventually go about doing this, but perhaps I can make it happen.

The therapeutic effect of ultrasound is not to break any tissue down, but simply to increase metabolic activity of the tissue being treated so that natural healing and repair is accelerated.  In so doing this, the net effect is often a breakdown of foreign and abnormal cells, and their eventual removal as part of the desired healing process. 

Treatment with ultrasound at this time is advised to be done three times weekly, for ten minutes each session; this might change over time as our research and comparison of results gets started.  The exact protocol we propose is provided with each ultrasound machine we sell on the PDI and DCI websites, so that each person is doing the therapy the same and in a safe and effective manner.For information about the unit we sell, see ultrasound treatment of Peyronie’s disease  and  ultrasound treatment of Dupuytren’s contracture

Ultrasound treatment, following the standard PDI and DCI guidelines that directs all 14 therapies  that we suggest,  is not proposed as a stand-alone or solo therapy; ultrasound therapy is only one part of a large, diverse and balanced treatment protocol.  Anyone who uses only ultrasound therapy to treat these two problems is not following the DCI and PDI concept. As such, when applied correctly the therapeutic benefits will typically develop gradually over time.  TRH

How about using ultrasound as Peyronie’s treatment?

What are your thoughts on using ultrasound technology to treat minor Peyronies scaring?  Thanks


First of all, there is no such thing as minor Peyronie’s scarring.  All Peyronie’s scar tissue has the ability to rapidly progress in a very short time and become a major problem.  For this reason all cases of PD should be taken very seriously and treated aggressively before being given an opportunity to worsen and ruin your life. If your current problem with PD is small, be grateful.  But do not ever assume the problem will stay that way.

After reading a little of the standard medical information about using ultrasound physiotherapy as a Peyronie’s disease treatment I was not sure I was getting a full or accurate explanation about treatment results and effectiveness. What I did notice is that only one of the older research articles from Germany mentioned that the ultrasound machine they used to treat the Peyronie’s scar was a 1 MHz unit (1 million megahertz or 1 million sound waves a second).  At the frequency of 1 million sounds waves per second I know that sound passes too deeply (several inches) into tissue to be of value in treating Peyronie’s disease because the scar tissue is located about 1/4 inch below the surface.  This means that the German research was using the wrong kind of ultrasound machine; it would not get good treatment results because the heat generated by the ultrasound machine would not heat the superficial layer where the PD problem is located.

For this reason I contacted two of the largest manufacturers of ultrasound equipment for their opinions about using a 3 MHz unit (3 million megahertz or 3 million sound waves a second), which is commonly used by the cosmetics industry because units of this size heat only the very superficial layers of tissue, meaning a small fraction of an inch below the surface down to about 1/2  inch of depth.  In my opinion this would be a perfect frequency to use for Peyronie’s disease.   Neither of these two companies could say that ultrasound has been adequately tested or proven to work, and suggested that if I wanted to ultrasound for Peyronie’s disease I should be the one to do the research for them.

In view of this lack of interest and lack of current clinical background using ultrasound for Peyronies, I developed contacts within cosmetics industry and makers of 3 MHz ultrasound machines to see if any would be adequate to be used as a serious therapy for PD. I finally found that Bellaire Industry makes a great portable unit that is competitively priced.

PDI is currently working with a group of men who have Peyronie’s disease to test treatment protocols that might serve for a future research project.  Click here additional information about the 3 MHz ultrasound unit we are testing for Peyronie’s disease.   TRH