Extracorporeal shock wave therapy in the treatment of Peyronie’s disease: experience with standard lithotriptor (siemens-multiline)

Extracorporeal shock wave therapy in the treatment of Peyronie’s disease: experience with standard lithotriptor (siemens-multiline)

Objectives. To assess in a prospective study whether extracorporeal shock wave therapy (ESWT) using a standard radioscopic location lithotriptor is effective in the treatment of Peyronie’s disease. Methods. Fifty-four patients were included in this prospective study. Before and after treatment, the...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) Vol. 59; no. 5; pp. 657 - 661
Main Authors: Lebret, Thierry, Loison, Guillaume, Hervé, Jean-Marie, Mc Eleny, Kevin R, Lugagne, Pierre-Marie, Yonneau, Laurent, Orsoni, Jean-Luc, Saporta, François, Butreau, Martine, Botto, Henry
Format: Journal Article
Language:English
Published: New York, NY Elsevier Inc 01-05-2002
Elsevier Science
Subjects:
Adult
Aged
Biological and medical sciences
Genital system. Mammary gland
Humans
Lithotripsy
Male
Medical sciences
Middle Aged
Pain Management
Penile Erection
Penile Induration - therapy
Prospective Studies
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Guidance
Human
Penile diseases
Radiodiagnosis
Erection disorders
Erection
Treatment efficiency
Peyronie disease
Lithotripsy
Instrumentation therapy
Radioscopy
Male genital diseases
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Summary:Objectives. To assess in a prospective study whether extracorporeal shock wave therapy (ESWT) using a standard radioscopic location lithotriptor is effective in the treatment of Peyronie’s disease. Methods. Fifty-four patients were included in this prospective study. Before and after treatment, the angulation was calculated by auto-photography. Pain severity was assessed by a visual analog pain scale. A self-evaluation questionnaire (International Index of Erectile Function) was used. All patients had symptoms (35 had pain during erection and 51 angulation greater than 20°). The mean disease duration was 16 months. The mean angulation before treatment was 48° (range 10° to 100°). Twenty-four patients had erectile dysfunction (questionnaire score less than 18). The Multiline Siemens lithotriptor was used. The plaque was located by palpation, and 1 mL of contrast agent was injected. Scopic visualization was used. Each patient received a minimum of one session of ESWT (3000 shock waves, 7 kJ) applied to a flaccid penis. Results. All patients completed the protocol. The tolerance and safety were excellent. Of the 35 patients with pain on erection, 31 (91%) noticed relief immediately after ESWT (mean reduction 2.9 on the visual analog pain scale) ( P <0.00001). For 29 patients (53.7%), an improvement in angulation (greater than 10°) was observed, with a mean reduction of 31° ( P <0.001). For patients with erectile dysfunction, only 6 (25%) had an increased questionnaire score (greater than 4). Twenty-five patients thought the plaque was smoother. Conclusions. ESWT with a standard lithotriptor (without the mobile arm) in Peyronie’s disease is a feasible, safe, and effective treatment for pain on erection and significantly improves the penile angle.
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ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(02)01527-3