Treating Peyronie’s Disease with Penis Pump, Traction and Shockwave Therapy – How Effective?

Peyronie’s Disease is a connective tissue disorder involving the growth of fibrous plaques in the soft tissue of the penis. The disease is characterized by the development of fibrous scar tissue inside the penis that causes curved, painful erections.

A slight bend or curve in the penis is normal. Many men are born with a naturally occurring arch referred to in medical literature as a congenital curvature.  By natures design this is usually noticeable as soon as young men become mature, and begin to have a sex life.

Peyronie’s Disease Symptoms

How do you know that a congenital penile curvature has progressed beyond normal and healthy? Symptoms of Peyronie’s disease may develop slowly over time or appear overnight.  If you have any penis bends that display one or more of the following symptoms, contact a medical professional right away to make an appointment.

  1. Scar tissue felt under the skin. Lumps caused by scar tissue are plaque that feels like either flat lumps or bands of hard tissue.
  2. Penile pain causes problems in bed. Sexual arousal causes penile pain.
  3. Penis bends when you try to achieve an erection. Deformity caused by scar tissue prevents the normal stretching of the sides of the penis when an erection occurs. The degree of the curvature plays a role in diagnosing the severity of your condition.
  4. Shortening of the penis occurs. When the Tunica albuginea (fibrous envelope of the sponge-like regions of the penis) does not expand, the penis becomes smaller and/or thinner.
  5. Erectile Dysfunction decreases the value of life. Sexual intercourse becomes too painful or erections are not achievable due to Peyronie’s disease. Cases of Peyronie’s disease often lead to depression in men, who suffer mentally as well the obvious physical pain associated with sexual arousal.

Peyronie’s Disease Causes

There seems to be no single cause of Peyronie’s disease, nor is there a single consensus among physicians as to why the condition occurs exactly.  Several factors can contribute to cases of Peyronie’s disease. Below are a few known causes:

  • Damage during sexual intercourse
  • An accident during athletic activities
  • Genetic disposition to the condition
  • Autoimmune disease–a disorder in which the body’s immune system attacks the body’s own cells and organs

Treatment for Peyronie’s Disease

Somewhere around 13% of Peyronie’s cases resolve themselves naturally without medical intervention. For this reason, there are some physicians that will wait 12 months after the onset of the issue before administration of a treatment.  Of course, every incidence of the disease and treating physician are unique.  Those seeking medical treatments for Peyronie’s disease have oral drugs, Injections, surgical procedures and devices available for treatment.

PENIS PUMP

The FDA issued a non-binding recommendation that the use of a penis pump may aggravate already existing conditions such as Peyronie’s disease.  This guidance document was issued December 28, 2004 by the FDA. there have been several clinical investigations into the use of a penis pump to treat Peyronie’s disease.

The British Journal of Urology published a study titled “The role of vacuum pump therapy to mechanically straighten the penis in Peyronie’s disease” that concluded vacuum therapy can improve or stabilize the curvature of Peyronie’s Disease, and it is safe to use in all stages of the disease and might reduce the number of patients going to surgery.

PENILE TRACTION

Penile Traction for Peyronie’s disease treatment is a nonsurgical approach that involves the use of a device also known as a penis extender. Some men without Peyronie’s disease also use penile extenders with the hope they will make their penis longer.

Penile extenders are composed of a plastic ring that fits around the head of the penis and is attached to two movable metal rods that run down the sides of the penis. These rods apply tension upward by placing pressure on a plastic support that rests against the body. Penile traction therapy can be used both with or without other therapies, including injectable and oral medications.

Traction Therapy to prevent Peyronie’s is not approved by the FDA. studies have been published that support and reject its effectiveness.

Additional studies will be needed to support the effectiveness of traction therapy to treat Peyronie’s Disease and achieve FDA approval.

SHOCKWAVE THERAPY

Extracorporeal Shockwave therapy is administered from a medical device via an in-office procedure.  The procedures are non-invasive, drug-free, and surgery free.  The treatment typically involves 6 to 12 office visits or therapeutic sessions.

The British Journal of Urology published a clinical study titled “Peyronie’s disease-the Plymouth experience of extracorporeal shockwave treatment.”  There findings were that extracorporeal shockwave therapy is well tolerated, with no serious complications.  A multicenter randomized controlled trial should be conducted to further invest this treatment and assess the long term follow-up.

How Common Is Peyronie’s Disease

It is difficult to find conclusive information about how many men are affected by Peyronie’s disease. A study in International Journal Of Impotence Research reports that 8.2% of men under the age of 40 are affected. Wikipedia estimates that the number of men affected is about 10% of men around the world. 

In a clinical study titled “The association between Peyronie’s and Dupuytren’s disease” consisting of 415 males, 22% of men reported having Peyronie’s disease.  These men also had Dupuytren’s disease, as there is believed to be a strong correlation in the interconnection of these two disease states.

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