Evaluation of Low-Intensity Extracorporeal Shock Wavein the Treatment of Peyronie’s Disease: A Single ArmObservational Study

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Tarih

2022

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info:eu-repo/semantics/openAccess

Özet

Introduction: The purpose of this study was to determine the efficacy of low-intensity extracorporeal wave therapy (Li- ESWT) in the treatment of Peyronie’s disease (PD). Methods: Li-ESWT was used to treat 41 patients applied with PD using the Duolith SD1 Ultra device. In Peyronie’s patients, a total of 300 beats (3,000 strokes 0.25 mJ/mm2) were applied to the penile region to be Li-ESWT with clinical emphasis, that is, on the palpable Peyronie’s plaque, once a week for 6 weeks. The method’s reproducibility and efficacy were determined by comparing penile discomfort, penile curvature, penile plaque size, and International Index of Erectile Function (IIEF-5) score values in Peyronie’s patients at baseline and 3 months, 6 months, and 1 year after Li-ESWT treatment. Results: While there was a statistically significant decrease (p<0.001) in Vas score before and after Li-ESWT treatment at 3, 6, and 12 months, the change in angulation in IIEF-5 scoring and plaque size was not significant (p=0.950, p=0.162, p=0.162, respectively). Discussion and Conclusion: These results showed us that Li-ESWT treatment in PD did not provide angulation, shrinkage of penile plaque and improvement in sexual functions, except for reducing the penile pain complaint of the patients during erection. Findings indicate that Li-ESWT alleviates penile pain associated with PD. However, it did not appear to be useful in terms of reducing penile curvature, plaque size, or sexual function.

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Haydarpaşa Numune Medical Journal

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Cilt

62

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1

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