an elongate tubular assembly extending along an axis with an interior chamber having a proximal opening therein adapted for receiving a shaft of a penis of a patient; and

a first acoustic energy emitter and a second acoustic energy emitter, each on opposing sides of the interior chamber for delivering an acoustic energy at a high intensity sufficient to produce shock waves to opposing sides of said shaft;

a sensor in the interior chamber for sensing a physiological parameter of the patient; and

a controller for actuating the first acoustic energy emitter and the second acoustic energy emitter contemporaneously or sequentially, and where the controller is adapted for actuating the first acoustic energy emitter and the second acoustic energy emitter contemporaneous with axial movement of the first acoustic energy emitter and the second acoustic energy emitter.