| Treatment of Peyronie's disease by extracorporeal shockwave therapy: evaluation of our preliminary results. | |
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MedLine Citation:
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PMID: 10597123 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Y Abdel-Salam; Z Budair; C Renner; T Frede; J Rassweiler; F El-Annany; H El-Magraby; M El-Akkad |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of endourology / Endourological Society Volume: 13 ISSN: 0892-7790 ISO Abbreviation: J. Endourol. Publication Date: 1999 Oct |
Date Detail:
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Created Date: 2000-01-07 Completed Date: 2000-01-07 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8807503 Medline TA: J Endourol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 549-52 Citation Subset: IM |
Affiliation:
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Urology Department, Klinikum Heilbronn, University at Heidelberg, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Equipment Design Erectile Dysfunction / etiology, therapy, ultrasonography Humans Lithotripsy / instrumentation* Male Middle Aged Penile Induration / complications, therapy*, ultrasonography Penis / ultrasonography Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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