Erectile dysfunction (ED) and Peyronie’s Disease (PD) are often explained as “blood-flow problems.”

In practice, both conditions arise from changes in the tissue environment: the fascia, lymphatic system, and vascular architecture that allow erectile tissues to expand, sustain pressure, and move fluid efficiently.

This page explains how I approach ED and Peyronie’s by treating the entire tissue environment – fascia, lymph, and vascular architecture – not just blood flow alone.

Why Standard Treatments Often Plateau

Pills, pumps, and shockwave devices all aim to increase circulation or pressure.
They may produce short-term changes, but many people experience:

• inconsistent results
• early improvement followed by plateau
• return of curvature (PD)
• reduced sustainability (ED)
• ongoing discomfort or tension

This pattern appears because the surrounding tissues are not addressed.

Research and clinical observation link ED and PD to:

• fascial stiffening
• localized fibrosis
• lymphatic congestion in the pelvis and base of the penis
• altered tissue glide
• pelvic floor hyperactivation
• abdominal or inguinal surgical scars
• impaired expansion symmetry (especially in PD)

Improving circulation alone cannot resolve these environmental constraints.

The Tissue Environment Model

Instead of treating the penis as an isolated structure, I treat the circulation architecture surrounding it.

1. Fascia

Fascia forms the mechanical framework for erectile expansion.
Stiff or fibrotic fascia reduces compliance, limits pressure, and can create curvature patterns in PD.

2. Lymphatic Flow

Lymph clears metabolic waste and regulates fluid dynamics.
When lymph is sluggish, tissues feel congested, heavy, or “stuck,” and vascular responsiveness declines.

3. Vascular Architecture

Blood flow matters — but only when the surrounding terrain can expand, glide, and sustain pressure.
In PD, this architecture becomes asymmetric; in ED, it becomes under-responsive.

4. Tissue Glide & Soft-Tissue Tone

Healthy erections require layers that slide against each other.
Tethering, stiffness, or fascial thickening disrupt this glide, affecting both straightness (PD) and sustainability (ED).

This is why a systems-based approach is often more effective for long-term results.

Where Radial Shockwave Fits In

Radial shockwave (radial pressure wave) stimulates:

• microvascular repair
• connective-tissue remodeling
• improved tissue compliance
• decreased sensitivity or discomfort

For Peyronie’s, it helps soften the densified tissue around the plaque, improving mobility and reducing mechanical strain.

For ED, it supports vascular responsiveness once the tissue is prepared.

Key point:

Radial shockwave works best when the surrounding fascia and lymphatic pathways have already been freed.

Depth is not the limiting factor, tissue readiness is.

That is why I never use shockwave as a stand-alone therapy.

My Integrated Protocol

Each session uses a structured sequence:

1. Myofascial Release

Restores glide and mobility in:

• pelvic fascia
• suspensory ligament
• inguinal fascia
• periplaque region (for PD)
• base-of-shaft connective tissue

For PD specifically, we work around and across the affected quadrant to reduce mechanical asymmetry.

2. Lymphatic Drainage

Clears local congestion so tissues can expand and exchange fluid more effectively.

3. Radial Shockwave Therapy

Applied once the environment is responsive:

• improves microcirculation
• reduces fascial stiffness
• supports remodeling in PD
• enhances erectile responsiveness in ED

4. Optional Acupuncture

Used when appropriate to support circulation and autonomic balance.

This layered approach aims to create lasting structural change, not temporary symptom reduction.

Who This Approach Helps

People experiencing:

• reduced firmness
• difficulty sustaining erections
• slower erectile response
• curvature due to Peyronie’s
• pain or tension during erection
• loss of expansion on one side
• post-surgical erectile changes (hernia, abdominal, pelvic)
• vascular insufficiency
• pelvic-floor–related erectile changes

This work is suitable for anyone with erectile tissue, regardless of gender identity.

What to Expect

Sessions are clinical, quiet, and paced to your tissue capacity.

For ED:

Most work occurs in the abdomen, groin, pelvis, and base of the penis.

For PD:

Work is more targeted, focusing on the quadrant involved while still addressing the broader architecture that contributes to curvature.

• No disrobing beyond what is necessary.
• Clear boundaries.
• No sexualized framing.

Most people notice shifts in:

• tissue tone
• warmth
• sensitivity
• glide
• responsiveness
• symmetry (PD)

within the first 2–3 sessions.

Pricing

$425–$550 per session

Your rate is determined at your first appointment and reflects the complexity of your case—specifically, the degree of vascular, fascial, and connective-tissue restoration required.

A six-session series is recommended for both ED and Peyronie’s.
This provides enough continuity to stabilize structural change.

The package is purchased at your first appointment.

How This Compares to Conventional ED Care

Most men are accustomed to spending significant amounts on ED without lasting improvement.
A six-session series is often comparable—or significantly less—than conventional pathways that require ongoing expense.

Oral Medications (Viagra, Cialis)

$2,000–$5,000 per year
Temporary effect; no structural change.

Injections (Trimix, etc.)

$1,800–$3,600 per year
Can worsen fibrosis over time.

Urology Workup

Often $1,000+ before treatment begins
Testing rarely alters the long-term plan.

Shockwave Clinics

$3,000–$6,000
Often sold as packages; results vary; typically not permanent.

Penile Implants

$18,000–$30,000
Invasive, irreversible.

Pwork Method: Six – Eight Session Series

$2,550–$3,300 total
Finite.
Structural.
No devices.
No recurring medication.
Aimed at restoring function through architectural change rather than temporary pressure adjustments.”

Why This Approach Is Different

Many clinics focus on blood flow alone or treat the plaque without addressing the tissue environment.

My work focuses on:

• fascia
• lymph
• expansion mechanics
• symmetry
• glide
• underlying architectural constraints

Because erectile function — and curvature resolution — depend on the terrain, not just the vessel.

By restoring circulation architecture, we aim for improvements that are more natural, more stable, and more durable for both ED and Peyronie’s.

Next Steps

Confidential Case Review – $100

Because this work is highly specialized and intensive, all new erectile-function and Peyronie’s patients begin with a Confidential Case Review.

This is a structured, private review of your history, symptoms, and relevant medical information. It allows me to determine whether:

• you are a good fit for this approach,
• the timeline and expectations align, and
• a 6- or 8-session protocol is appropriate for your case.

The Case Review fee is applied to your package if you move forward with treatment.
If not, you will receive clear guidance on next steps or referrals.

This review is not a treatment session.