Abstract
Objectives
To evaluate the results of extracorporeal shock wave therapy (ESWT) in patients with
Peyronie’s disease.
Methods
This study included 42 patients (mean age 55.4 years, range 32 to 72, SD 9.92) with
Peyronie’s disease. The mean duration of disease was 16.5 months (range 3 to 60, SD
13.31). Before treatment, the degree of angulation was assessed artificially by injection
of 10 to 20 μg alprostadil, and Polaroid photographs were taken. Patients were also
questioned about pain on erection, whether sexual intercourse was possible, and the
quality of erections. All were initially treated with three sessions of ESWT (3000
shock waves). After three sessions, patients who believed that improvement had resulted
or who wanted to undergo additional treatment went on to have further sessions. The
mean duration of follow-up was 5.9 months (range 2 to 18, SD 4.4), after which the
results were analyzed.
Results
Those who believed that improvement in angulation had resulted were asked to provide
Polaroid photographs to assess the improvement objectively. Six (14%) said that they
had excellent results, 21 (50%) had significant improvement, 7 (17%) had slight improvement,
and 8 (19%) had no change. Of the 25 who had pain on erection before treatment, 21
(84%) reported complete or near complete relief after treatment. Five patients said
that the quality of the erections had improved after treatment. Eight patients complained
of mild and one of severe pain during or immediately after treatment; 2 of these 9
patients had both pain and bruising.
Conclusions
The initial results with ESWT are promising, with minimal complications. The long-term
results need to be evaluated.
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Article Info
Publication History
Accepted:
June 26,
2002
Received:
January 14,
2002
Identification
Copyright
© 2002 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
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