The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on extracorporeal shockwave therapy for Peyronie's disease.

As part of NICE's work programme, the current guidance was considered for review but did not meet the review criteria as set out in the IP process guide. The guidance below therefore remains current.


The procedure involves the use of shockwave lithotripsy technology to treat Peyronie's disease.

Extracorporeal shockwaves are high pressure, low frequency sound waves, generated by a device outside the body and applied to the affected tissue in a site-specific manner. In Peyronie's disease, the penile plaque is the target of these shockwaves and is generally localised using a ultrasound scanner.

Shockwaves per session range from 2000–3000, with the average patient receiving around 3-5 treatment sessions.

Coding recommendations


SNOMED CT preferred term (concept ID)

Extracorporeal shockwave destruction of lesion of penis (822221000000108)

N27.4 Extracorporeal shockwave lithotripsy to lesion of penis

Includes: Shockwave treatment for Peyronie’s disease

Diagnosis or health condition

SNOMED CT preferred term (concept ID)

Induratio penis plastica (1335005)