Our experience with shock waves therapy in patiens with Peyronie’s disease (average follow-up of 13 months)
Authors:
Pavel Drlík; Oto Köhler
Authors‘ workplace:
Urologické oddělení ÚVN, Praha
Published in:
Ces Urol 2010; 14(3): 180-185
Category:
Original article
Overview
Aim:
Authors retrospectively evaluate results of extracorporal shock waves therapy (ESWT) in patients with Peyronie´s disease after unsuccessful conservative treatment. ESWT was performed on electrohydraulic lithotriptor MEDILIT 7. Time of surveillance was on the average of 13 months.
Material and method:
We treated group of 18 men aged 29 to 74 years old (on average 56 years old). All patiens were after unsuccessful conservative treatment (heterogenous group following vitamine therapy, hydrocortisone application, verapamil and ultrasound treatment) – duration of symptoms was more than one year. Plaques were situated on dorsal part of the penis near base and deviation evoked problems during sexual intercourse. Size of plaques was between 13 and 30 mm (17 mm on average), dorsal curvature during erection 30 to 90 degrees (on average 56 degrees.) On average we used SWT twice and delivered energy was 43255 to 210450 J (on average 93061 J). We have used MEDILIT 7 device for shockwave therapy and follow-up period was between 3 and 31 months (average 13 months).
Results:
Improvement was reported by 77% of patients. Dorsal curvature was improved by 38% and size of plaques decreased by 42%. All patiens who reported improvement were able of successful sexual intercourse. We had no major complications. Only five patients had non-significant short term subcutaneus.
Conclusion:
SWT is conservative and safe method. After our 3-year experience, our patiens who have failed previous conservative treatment had improved sexual life. None of the assessed parameters provided informations about efficacy of the therapy.
Key words:
Peyronie’s disease, shock wave, electrohydraulic lithotriptor, dorsal deviation.
Sources
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Labels
Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
2010 Issue 3
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