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Treatment of Peyronie's disease by extracorporeal shockwave therapy: evaluation of our preliminary results.
Abdel-Salam, Y; Budair, Z; Renner, C; Frede, T; Rassweiler, J; El-Annany, F; El-Magraby, H; El-Akkad, M.
Afiliação
  • Abdel-Salam Y; Urology Department, Klinikum Heilbronn, University at Heidelberg, Germany.
J Endourol ; 13(8): 549-52, 1999 Oct.
Article em En | MEDLINE | ID: mdl-10597123
BACKGROUND: Peyronie's disease is an idiopathic disorder of the penis that produces erectile dysfunction. It affects mainly the tunica albuginea. We describe our preliminary results with extracorporal shockwave therapy (ESWT) as a new noninvasive modality for the treatment of Peyronie's disease. PATIENTS AND METHODS: In this study, 24 patients aged 36 to 67 years were treated with ESWT on the Lithostar overhead-module (Siemens). All our patients had unsuccessful medical treatment before ESWT. The average plaque was 7x15 mm. The number of shockwaves ranged from 15,000 to 25,000 (18-21 kV) delivered in four to ten sessions. Most patients needed local anesthesia before therapy. RESULTS: Four patients (17%) showed marked improvement and complete remission of the penile deviation. Six patients (25%) showed partial remission with painless erections after treatment. Four patients had painless erections after treatment but still had some penile deviation. In 10 patients (41%), ESWT failed, necessitating subsequent penile surgery. CONCLUSIONS: Our preliminary results with a response rate of 59% with ESWT for Peyronie's disease, including a 17% complete remission rate, is encouraging. However, further multicenter studies will have to prove if ESWT is a real therapeutic option for this disease.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Induração Peniana / Litotripsia Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Aged / Humans / Male / Middle aged Idioma: En Revista: J Endourol Assunto da revista: UROLOGIA Ano de publicação: 1999 Tipo de documento: Article País de afiliação: Alemanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Induração Peniana / Litotripsia Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Aged / Humans / Male / Middle aged Idioma: En Revista: J Endourol Assunto da revista: UROLOGIA Ano de publicação: 1999 Tipo de documento: Article País de afiliação: Alemanha