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KMID : 1037120190370030339
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The World Journal of Men′s Health
2019 Volume.37 No. 3 p.339 ~ p.346
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Extracorporeal Shock Wave Therapy in Peyronie's Disease: Clinical Efficacy and Safety from a Single-Arm Observational Study
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di Mauro Marina
Russo Giorgio Ivan
Camera Pier Andrea Della
Di Maida Fabrizio
Cito Gianmartin
Mondaini Nicola
Capece Marco
Falcone Marco
Sessa Francesco
Mari Andrea
Campi Riccardo
Sabini Carlotta
Serni Sergio
Gacci Mauro
Minervini Andrea
Carini Marco
Cimino Sebastiano
Morelli Girolamo
Cocci Andrea
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Abstract
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Purpose: In this study, we aimed to determine the role of extracorporeal shockwave therapy (ESWT) in the management of Peyronie's disease (PD).
Materials and Methods: A total of 325 patients suffering from PD were enrolled in this single-arm clinical study. All patients were received ESWT using a schedule of 1 treatment/wk. Penile curvature was measured by a goniometer after intracavernosal drug-induced erection using Alprostadil. Plaque size was measured with a ruler and sexual function assessed by the international index of erectile function (IIEF)-15 score. Severity of erectile dysfunction was classified as severe (IIEF-15 ≤10), moderate (IIEF-15 between 11 and 16), or mild (IIEF-15 between 17 and 25). Results were evaluated at baseline and 3 months after the treatment.
Results: All the patients completed the study protocol. Median age was 59.0 years (55.0?64.0 years). After treatment, the median (interquartile range, IQR) plaque size reduced from 1.78 cm2 (1.43?2.17 cm2) to 1.53 cm2 (1.31?1.96 cm2) (p<0.001); the median (IQR) penile length in erection increased from 13.0 cm (12.0?14.0 cm) to 14 cm (13.0?15.0 cm) (p<0.001) and the median (IQR) penile curvature from 30.4° (22.2°?35.4°) to 25.0° (20.2°?30.4°) (p<0.001). We also observed a decrease in pain assessed by visual analogue scale (7 vs. 3; p<0.001), an improvement in each of the IIEF sub-domains (p<0.001) and an improvement in all three PD questionnaire domains (p<0.001).
Conclusions: Based on our findings, ESWT could be considered a safe and efficient minimally invasive option for the management of the patients suffering from PD.
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KEYWORD
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Erectile dysfunction, Extracorporeal shockwave therapy, Penile diseases, Penile induration, Peyronie's disease, Treatment
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