Extracorporealshock-wave therapy in the treatment of Peyronie's disease
- Autores: Neimark AI1, Astakhov Y.I1, Sidor MV1
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Afiliações:
- Edição: Nº 2 (2004)
- Páginas: 33-36
- Seção: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/275048
- ID: 275048
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Resumo
The authors analyse the results of treatment of 28 patients with
Peyronie's disease using extracorporeal shock-wave lithotripsy (ESWL)
performed on Dornier U15 lithotriptor. A total of 2-6 sessions
were made, maximal number - 12. The efficacy was controlled by
clinical indices and ultrasonic investigation (Doppler mapping of the
blood flow). ESWL proved to be efficient in the treatment of Peyronie's
disease (PD), primarily, in patients with early disease before appearance
of severe fibroplastic alterations. Less plaque vascularization
by energetic Doppler mapping due to ESWL is an important diagnostic
criterion of PD treatment efficacy. Conservative treatment is
not indicated in marked deformities and plaque calcification, erectile
dysfunction. Moreover, any injection into the tunica albuginea, especially
complicated by hematomas may be a damaging factor which
triggers fibrous inflammation. Such patients should be treated surgi-
cally. If the patient is interested in immediate results or is not interested
in continuation of sexual life, the treatment is prognostically uneffective.
Thus, ESWL is an effective, safe method of PD treatment
but requires further study and accumulation of clinical experience.
Peyronie's disease using extracorporeal shock-wave lithotripsy (ESWL)
performed on Dornier U15 lithotriptor. A total of 2-6 sessions
were made, maximal number - 12. The efficacy was controlled by
clinical indices and ultrasonic investigation (Doppler mapping of the
blood flow). ESWL proved to be efficient in the treatment of Peyronie's
disease (PD), primarily, in patients with early disease before appearance
of severe fibroplastic alterations. Less plaque vascularization
by energetic Doppler mapping due to ESWL is an important diagnostic
criterion of PD treatment efficacy. Conservative treatment is
not indicated in marked deformities and plaque calcification, erectile
dysfunction. Moreover, any injection into the tunica albuginea, especially
complicated by hematomas may be a damaging factor which
triggers fibrous inflammation. Such patients should be treated surgi-
cally. If the patient is interested in immediate results or is not interested
in continuation of sexual life, the treatment is prognostically uneffective.
Thus, ESWL is an effective, safe method of PD treatment
but requires further study and accumulation of clinical experience.
Bibliografia
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- Abdel-Salam Y., Budair Z., Renner С. et al. Treatment of Peironie's disease by extracorporal shock wave therapy: evaluation of our preliminary results. J. Endourol. 1999; 13 (8): 549-552.
- Colombo F., Nicola M. Peyronie's disease: ultrasonographic follow-up of ESWT. Arch. Ital. Urol. Androl. 2000; 72 (4): 388- 391.
- Hauck E. W., Altinkilic B. M., Ludwig M. et al. Extracorporal shock wave therapy in the treatment of Peironie's disease. First results of case-controlled approach. Eur. Urol. 2000; 38 (6): 663-669.
- Mirone V., Palmieri A., Granata A. M. et al. Ultrasound-guided ESWT in Peironie's disease plaques. Arch. Ital. Urol. Androl. 2000; 72 (4): 384-387
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