Extracorporeal Shock Waves in the Treatment of Peyronie's Disease

M.S.Majeed Al-Musafer, Murtadha

	Extracorporeal Shock Waves in the Treatment of Peyronie's Disease
Medical Journal of Babylon
Article 1, Volume 9, Issue 2, 2012, Pages 362-368
Author
Murtadha M.S.Majeed Al-Musafer
Abstract
Background: Peyronie's disease is an acquired disorder of the tunica albuginea characterized by the formation of a plaque of fibrous tissue that may be associated with erectile dysfunction and pain on erection. There may be difficulty of penetration as a result of the curvature. The aim of the study is to evaluate the effectiveness of extracorporeal shock waves in the treatment of patients with stable Peyronie's disease . Methods: A total of 30 male patients were included in the study from December , 2007 till October, 2010. The mean age ±SD was 42.77 years ±9.38. Detailed medical and sexual history was obtained. Five patients ( 16.66 % ) were diabetics and other 5 patients ( 16.66 % ) had hypertension as well as diabetes mellitus. Thorough physical examination including local examination was performed. All the patients had dorsal plaques. Twenty patients (66.7 %) were presented with dorsal plaques , curvature and erectile dysfunction . The remaining 10 patients ( 33.3 % ) had pain in addition to these features. Extracorporeal shock wave therapy was performed in all cases with low energy shock waves using Wolf lithotripsy machine in Basrah General Hospital. Results: No serious complications occurred . The average decrease of the plaque length was ( 0. 14 centimeters ) . Pain relief obtained in 6 out of 10 patients who were presented with pain ( 60% ) . Improvement in the sexual function occurred in 15 out of 30 patients ( 50 % ). Improvement in the psychological status obtained in 20 out of 30 patients ( 66.7 % ). No definite cure occurred in the current study in terms of disappearance of the plaque and symptoms. Conclusion :Extracorporeal shock wave therapy in Peyronie's disease seems to be a safe procedure without severe side effects. It seems to have an effect on penile pain during erection , sexual function and the psychological status of patients with no statistically significant decrease in the plaque length.
Keywords
Peyronie; extracorporeal shock wave therapy; plaque

Statistics Article View: 177 PDF Download: 94