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Verfasst von:Michel, Maurice Stephan [VerfasserIn]   i
 Ptashnyk, Taras [VerfasserIn]   i
 Musial, Anton [VerfasserIn]   i
 Braun, Peter-Martin [VerfasserIn]   i
 Lenz, Sylvia T. [VerfasserIn]   i
 Alken, Peter [VerfasserIn]   i
 Köhrmann, Kai-Uwe [VerfasserIn]   i
Titel:Objective and subjective changes in patients with Peyronie's disease after management with shockwave therapy
Verf.angabe:Maurice Stephan Michel, M.D, Ph.D., Taras Ptashnyk, M.D., Anton Musial, M.D., Peter Braun, M.D., Sylvia Tamara Lenz, M.Sc., Peter Alken, M.D., and Kai Uwe Köhrmann, M.D.
Jahr:2003
Umfang:4 S.
Fussnoten:Published Online: 6 Jul 2004 ; Gesehen am 11.03.2022
Titel Quelle:Enthalten in: Journal of endourology
Ort Quelle:Larchmont, NY : Liebert, 1999
Jahr Quelle:2003
Band/Heft Quelle:17(2003), 1, Seite 41-44
ISSN Quelle:1557-900X
Abstract:Background and Purpose: Very few reports have been published on the management of Peyronie's disease by shockwave therapy. Existing publications on this topic are based on subjective improvement described by the patients themselves. Our aim was to determine objectively the effect of shockwave therapy on the signs and symptoms caused by Peyronie's disease. - - Patients and Methods: To date, 65 patients (age 58.4 ± 8.7 years) have been enrolled in a therapeutic pilot study. The disease duration was 33.7 ± 42.9 months. Inclusion criteria were palpable plaque together with deviation, pain (visual pain scale), or loss of distal rigidity. Clinical examination (prior to first therapy and 1, 6, and 18 months after last shockwave delivery) included palpation and sonography of the plaque (mean surface size 2.2 ± 1.1 cm2), measurement of deviation, assessment of pain and distal loss of rigidity (artificial erection induced by intracavernosal injection of 5 μg of alprostadil [Caverject]). Shockwaves (1000 impulses at 12 kV per square centimeter of plaque) were delivered to the nonerect penis once a week for a period of 5 weeks with the Minilith; Storz Medical. - - Results: Eighteen months (N = 35) after the last shockwave session, the deviation angle had decreased from 59.3° ± 38.1° to 49.3° ± 32.5° (N = 24; P = 0.1496). Pain during erection disappeared in 15 of 17 patients and was reduced in 1 other patient (P < 0.0001). There was no effect on distal rigidity in any patient. Six patients achieved satisfactory sexual intercourse (vaginal penetration) before and 15 patients after shockwave therapy. The adverse effects were small skin hematomas in 90% of patients and initial transient macrohematuria in 30%. - - Conclusion: Our study demonstrates objective and subjective changes in patients with Peyronie's disease after shockwave therapy. Artificial erection served as a control to assess improvement of the deviation angle.
DOI:doi:10.1089/089277903321196788
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1089/089277903321196788
 Volltext: https://www.liebertpub.com/doi/10.1089/089277903321196788
 DOI: https://doi.org/10.1089/089277903321196788
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1795466294
Verknüpfungen:→ Zeitschrift

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