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Is Low Intensity Shock Wave a Favorable Modality in The Treatment of Peyronie’s Disease?

R. Mohammadian; S. Shakeri; S. Zeighami; A. Tadayon; H. Rezaei; N. Abdalkhani; M. Salehi; M. Croup; M. Yadollahi

Source: 18th Congress of Iranian Urological Association, 2015

Iran

Effective non-invasive modality for Peyronie’s disease

study-21

All the patients had improvement in erectile function (100%). Thirty percent had painful erection that all of them were relieved of after therapy (100%).

Background and Aim:

To evaluate the efficacy of low intesity shock wave (LISW) in the treatment of Peyronie’s disease and its subsequent complications such as erectile dysfunction (ED) or painful erection. 

Methods:

Thirteen patients with Peyronie’s disease (PD) and subsequent ED or painful erection participated in this study. Each patient underwent several courses of LISW therapy directed to his penis using BTL-6000 SWT Topline Power. Before and after the treatment, variables including plaque size, ED, and pain were documented and changes were compared. Statistical analysis was done using Chi-square test. 

Results:

The mean for LISW therapy was 6,80 sessions. Each patient received 3000 shocks to his penis in each treatment course and all the patients tolerated the procedure without any complication. All the patients had improvement in erectile function (100%) Thirty percent had painful erection that all of them were relieved of after therapy (100%). Thirty percent had decrease in their plaque sizes and in 30% the plaques completely disappeared after the treatment. LISW therapy was significantly effective in the resolution of Peyronie’s plaque when it was less than 5 square centimeters (p: 0,021). 

Conclusion:

LISW therapy seems to be a safe and effective non-invasive modality in the treatment of PD and its subsequent complications.

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