Focal shock waves for
men’s intimate health

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Focal shock waves for
men’s intimate health

Focal shock waves
Non-surgical treatment for erectile dysfunction, Peyronie’s disease and chronic pelvic pain

MADRID | ZURICH

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Men’s sexual health can be affected by conditions such as erectile dysfunction, Peyronie’s disease or chronic pelvic pain syndrome. These symptoms can have an impact on a man’s sex life, self-confidence, physical wellbeing and quality of life.

At Dr Richard Fakin’s clinic, we offer focal shockwave treatments using the technology DUOLITH SD1 T-TOP Ultra, a non-surgical option that can form part of the medical management of certain intimate and urological problems.

Each treatment is prescribed following a personalised medical assessment, taking into account each patient’s symptoms, anatomy, medical history and needs. The treatment is planned according to the patient’s anatomy and health condition, regardless of their gender identity.

DURATION 20–30 minutes
DISCHARGE FROM THE CLINIC No admission fee required
RETURN TO WORK Same day

DURATION 20–30 minutes
DISCHARGE FROM THE CLINIC No admission fee required
RETURN TO WORK Same day

SOCIAL LIFE No interruption required
ANESTHESIA Not required
PROTOCOL According to medical assessment

SOCIALLY PRESENTABLE No interruption required
ANESTHESIA Not required
PROTOCOL According to medical assessment

Conditions treated with focal shock waves

Dysfunction
erectile

Non-surgical treatment for patients who have difficulty achieving or maintaining an erection, particularly where there is a vascular component.

Peyronie’s disease

Treatment using focal shockwave therapy for patients with penile curvature, fibrous plaques, or associated pain or discomfort.

Chronic pelvic pain

Treatment for persistent discomfort in the pelvic, genital or perineal areas, or associated with chronic prostatitis.

Focal shock waves

DUOLITH® SD1 T-TOP Ultra

Swiss Precision in Urological Medicine

Developed by STORZ MEDICAL, the DUOLITH® system is the gold standard in non-invasive regenerative treatments. Its focused technology concentrates acoustic energy directly on the vascular or cellular source of the problem, preventing it from being dispersed at the surface.

SHOCK WAVES
RADIAL TYRES

Surface dispersion
energy

T-TOP ULTRA FOCAL SHOCK WAVES

Precise targeting at the tissue depth

Maximum Focal Accuracy

It targets the energy directly at the blood vessels or deep fibrous plaques, whilst protecting the surrounding healthy tissue.

Cell Regeneration

It naturally stimulates angiogenesis (the formation of new blood vessels) and reduces inflammation in the nerve endings.

Outpatient Efficiency

Short 20–30-minute sessions at the surgery. No surgery, no anaesthesia and no disruption to your sex life or work.

Treatment

How is focal shockwave therapy carried out?

The treatment is carried out in the clinic. During the session, the specialist applies focal shock waves to the areas indicated, based on the patient’s diagnosis and symptoms.

The procedure is usually well tolerated and does not require anaesthesia in most cases. The number of sessions and their frequency are determined on an individual basis following a medical assessment.

Before starting treatment, the case is assessed, the symptoms are reviewed and it is determined whether Storz Medical DUOLITH is a suitable option. In some patients, this treatment can be combined with other medical measures to optimise the management of the problem.

Indications

Focal shockwave therapy to improve erectile function

Treatment with focal shockwave therapy may be considered for patients with intimate or urological symptoms that affect sexual function, genital comfort or pelvic wellbeing.

Conditions that can be assessed during a consultation include:

• erectile dysfunction, particularly where there is a vascular component
• Peyronie’s disease or penile curvature penile pain or associated discomfort
• chronic pelvic pain syndrome
• symptoms related to chronic prostatitis
• functional abnormalities which affect the quality of one’s intimate life

The indication always depends on an individual medical assessment. Not all patients are suitable candidates for treatment, so it is important to investigate the cause of the symptoms before starting any treatment plan.

Erectile dysfunction

When might focal shockwave therapy be considered?

Erectile dysfunction is the persistent difficulty in achieving or maintaining an erection sufficient for satisfactory sexual intercourse. It may be linked to vascular, hormonal, neurological or psychological factors, or to certain lifestyle habits.

In some patients, particularly where there is a vascular component, focal shock waves may be used as part of a medical approach aimed at stimulating the tissues and promoting a better functional response.

Treatment with Storz Medical DUOLITH is carried out in the doctor’s surgery, without surgery and without the need for hospital admission. Whether it is suitable always depends on a prior medical assessment to determine whether this technology is appropriate for each individual case.

Peyronie’s disease

Focal shock waves for penile curvature and associated pain

Peyronie’s disease is characterised by the formation of fibrous plaques in the penis, which They can cause curvature, pain, loss of elasticity or difficulty during sexual intercourse.

The impact of this condition is not merely physical. In many patients, it can also affect their sense of security, self-esteem and intimate life.

Focal shockwave therapy may form part of the treatment for certain cases of Peyronie’s disease, particularly where there is associated pain or discomfort. Whether it is indicated depends on the stage of the disease, the degree of curvature, the symptoms and the expectations of each patient.

Chronic pelvic pain

Non-invasive treatment for persistent pelvic discomfort

Chronic pelvic pain syndrome, also in some cases associated with chronic prostatitis, It can cause persistent discomfort in the pelvic, genital, perineal or urinary areas.

This type of pain can be constant or intermittent, and can affect everyday activities, sleep, sexual function and general well-being.

In selected patients, focal shock waves can be used as a non-invasive treatment aimed at managing pain, improving comfort and complementing other medical measures where necessary.

Focal shock waves for men’s intimate health
Frequently Asked Questions

What are focal shock waves?

Focal shock waves are high-precision acoustic waves that are applied to specific areas of tissue. In men’s intimate health, they can be used in medical protocols to treat certain urological or sexual problems.

For which conditions might Storz Medical DUOLITH be recommended?

It may be considered for patients with erectile dysfunction, Peyronie’s disease or chronic pelvic pain syndrome, always following an individual medical assessment.

Is the treatment effective for all cases of erectile dysfunction?

No. Erectile dysfunction can have various causes. Focal shockwave therapy is usually considered particularly when there is a vascular component, but each case must be assessed on an individual basis.

Can it help with Peyronie’s disease?

In certain cases, it may form part of the medical management, particularly where there is associated pain or discomfort. Whether it is indicated depends on the stage of the disease and the degree of curvature.

Is the treatment painful?

It is generally a well-tolerated procedure. Sensitivity may vary depending on the area being treated and the individual patient’s characteristics.

How many sessions are needed?

The number of sessions depends on the diagnosis, the severity of the symptoms and the individual’s response. The treatment plan is determined following the initial medical assessment.

Do I need to rest after the treatment?

In most cases, the patient can resume their normal activities on the same day.

When do results start to show?

The response may vary depending on the individual patient and the condition being treated. In some cases, improvement may be gradual over the course of the sessions and in the weeks that follow.

Can it be combined with other treatments?

Yes. In some cases, it may be combined with other medical, pharmacological or rehabilitation measures, depending on the specialist’s assessment.

Is it an operation?

No. Focal shockwave therapy is a non-surgical procedure that involves no incisions and does not require a hospital stay.

Dr. Richard Fakin
Internationally recognised plastic surgeon

Dr. Richard Fakin is a Plastic, Reconstructive and Aesthetic Surgeon with extensive experience in gender-affirming procedures. He specialises in breast surgery, facial surgery and advanced body contouring procedures. His practice combines technical precision, aesthetic sensitivity and a deeply personalised approach to every procedure.

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to provide medically rigorous care while maintaining a warm, compassionate approach. Each patient receives personalised support, from the first consultation through to postoperative follow-up.

As a boutique plastic surgery clinic, the approach is never standardised. The team takes the time to understand each patient's expectations, carefully assess their anatomy, and develop a surgical plan tailored precisely to their individual case. This personalised structure allows us to maintain the highest standards of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin uses refined surgical techniques that prioritise safety, natural-looking results, and an optimised recovery process. Through meticulous planning and advanced technology, the clinic is able to achieve harmonious results that remain true to each patient’s identity.

Beyond surgical technique, the commitment of Dr. Fakin and his team is reflected in transparent, honest and personalised care, where each patient is treated with dedication and professionalism at every stage of the process.