TREATMENT OF
PEYRONIE’S DISEASE
WITH CONTINUOUS TRACTION: OUR EXPERIENCE
MATERIAL AND METHODS
Number of patients = 8
Age average = 60,5 years (interval: 50-68 years)
Criteria of Objective Diagnostic
Deviation |
0º |
<
30º |
30-60º |
>
60º |
Total |
| BEFORE TREATMENT |
0 |
2 |
4 |
2 |
8 |
| AFTER TREATMENT |
3 |
4 |
1 |
0 |
8 |
No. of Plaques |
0 |
1 |
2 |
+4 |
Total |
| BEFORE TREATMENT* |
0 |
4 |
2 |
2 |
8 |
| AFTER TREATMENT |
4** |
2 |
2 |
0 |
8 |
*In all cases, consistency of plaques were
fibrous
**Plaque Disminution afected both size and consistency. |
|
AVERAGE |
INTERVAL |
| cm |
inch |
cm |
inch |
| BEFORE TREATMENT |
11.7 |
4.8 |
7.5-17.4 |
3.1-7.2 |
| AFTER TREATMENT |
13.4 |
5.8 |
10.5-19 |
4.4-8 |
Criteria of Subjective Diagnostic
|
Without
difficulties |
With
difficulties |
Not
possible |
Total |
| BEFORE TREATMENT |
0 |
5 |
3 |
8 |
| AFTER TREATMENT |
3 |
5 |
0 |
8 |
Pain
Before treatment
Painful stage = 2
Painless stage = 6
After treatment
The 2 patients that were under painful stage of Peyronie’
Disease,
referred penile pain resolution after 2 - 3 months of treatment.
Penile Length
Before treatment
Subjective Penile Shortening = 8
Shortening sensation varied from 2 cm. to 5 cm.
After treatment
Initial length Recuperation = 1
Lengthening of > 2 cm. = 4
Lengthening of < 2 cm. = 3
Without modification = 0
Shortening = 0
TREATMENT
All patients were treated with continuous traction using The Jes-Extender®,
adjusting it with a force of traction between 1.200g. and 1.500g.
The amount of time (total of daily hours of
use) varied:
5 patients used it between 6 and 9 hours a day.
3 patients used it between 9 and 12 hours a day.
FOLLOW-UP
Average = 16,8 weeks (Range:8-24 weeks)
Force of traction = 1.200 - 1.500 g.
Use of The Jes Extender® :
< 6 hours/day = 0
6 - 9 hours/day = 5
9 - 12 hours/day = 3
CONCLUSIONS
Continuous traction with The Jes Extender® seems to be an
adequate terapeutic option to treat Peyronie’s disease, because it permits
to:
- Decrease penile incurvation
- Decrease size and consistency of fibrous plaques
- Recovery of penile length
MECHANISM OF ACTION (HYPOTHESIS)
It is logical to think that traction force supplied by The Jes Extender®
compensates and oppossites fibrous plaque retraction force
Ruiz-Romero, J., M.D., Ponce de León
Roca, J., M.D.
Unitat d'Urologia i Andrologia. Clínica Tres Torres. Barcelona (Spain)
c/ Roux 76 - 08017 BARCELONA
Telephone : (+34) 3 204 13 00 - Fax: (+34) 3 280 64 88 |
