SEVEN YEARS EXPERIENCES WITH APLICATION OF SHOCK WAVES TO MEN WITH PEYRONIE‘S DISEASE


Authors: Pavel Drlík ;  Jiří Kočárek
Authors‘ workplace: Urologické oddělení ÚVN Praha VoFN Praha
Published in: Ces Urol 2015; 19(4): 296-303
Category:

Overview

Retrospective evaluation of shock wave therapy (ESWT) results in 81 patients with Peyronie´s disease after unsuccessful conservative treatment. ESWT was performed using electrohydraulic lithotriptor MEDILIT 7.

Aim:
Authors retrospectively evaluate results of extracorporal shock waves therapy (ESWT) in 81 patients with Peyronie´s disease after unsuccessful conservative treatment.

Methods:
In a group of 81 men with an average age of 57.6 years (33–75 years) with induratio penis plastica (Peyronie’s disease) we applied shock waves into the fibrous sheets. All patients had failed conservative treatment. The length of illness was an average of 21.4 months (12–37 months). The criteria for inclusion in the group were disease lasting at least 12 months. All patients had plaque on the dorsum of the penis root and a deformed penis. All men felt subjective symptoms during sexual intercourse. These difficulties were evaluated using the IIEF-5 questionnaire, which scored an average 11.7 points (3–17 points) prior to treatment. The size of the plaque was approximately 12.5 mm (12–37 mm), dorsal angulation during erection averaged 55 degrees (20–90 degrees). Shock waves were applied in three sessions. ESWT was performed using the electrohydraulic lithotriptor MEDILIT 7.

Results:
From the group of 81 patients an improvement was observed in 56 men. Deviation during erection improved by an average of 66 %. The size of plaque was reduced by 28.2 %. IIEF-5 questionnaire score increased by 67 %. All patients had satisfactory improvement of sexual intercourse. We recorded no serious complications.

Conclusion:
According to our seven year experience this is a safe, non-invasive method which can improve the sexual life of a proportion of patients who had previously failed conservative therapy. As a prognostic factor for treatment success in our group seems to be the age of the patient.

KEY WORDS:
Peyronie´s disease, shockwave, dorsal angulation, plaque size, IIEF-5 questionnaire.


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Labels
Paediatric urologist Nephrology Urology
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