By what I know, there aren’t really succesfull treatments of PD; little backup:
Curvature of the Penis (Peyronie's Disease)
Peyronie’s disease is a curve in the penis.
Many men have a slight curve in the penis. As long as there is no pain or problem with sexual performance, men with a slightly curved penis should not be concerned and do not need to see a doctor.
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In Peyronie’s disease, inflammation and scar tissue form along the shaft of the penis. No one is certain why this problem occurs, but it may be triggered by repeated mild trauma during sexual intercourse. You may feel the inflammation and scar tissue as a painful lump or area of unusual firmness. In many men, the scar tissue causes the penis to bend or shorten because it prevents the penis from expanding normally. Men with Peyronie's often have difficulty achieving a firm erection, but it is unclear whether this occurs first or is caused by the scar tissue.
Peyronie’s disease may occur in up to 1% of the population. Most men with the problem are between the ages of 45 and 60. The disease runs in families and appears more common in white men. In 30 % of men, Peyronie’s is associated with the formation of scar tissue in other parts of the body, including the palms of the hands (Dupuytren’s contracture), the soles of the feet (plantar fibromatosis) and the eardrums (tympanosclerosis).
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Symptoms
About half of men with Peyronie’s disease will first notice pain during intercourse. Symptoms may appear suddenly, or may develop slowly over time. Often the penis will feel firm or lumpy at the painful site.
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f the penis has been injured by sudden trauma, most men will be able to recall the event. Often there will be a sensation or sound of a "snap" followed by loss of erection and the appearance of a bruise. Part of the penis will remain painful for a time, but usually the area will heal over time. ….
Diagnosis
Your doctor will ask you about your symptoms and will examine your penis, looking for tender, firm areas of scar tissue (plaques) during a physical examination. Usually, this is all that is needed to diagnose the problem. If your doctor needs more information, he or she may order an X-ray to look for calcium deposits in scar tissue, or ask you to bring in photographs of your erect penis to better determine the extent of the damage. In addition, men who are considering surgery may be asked to undergo specialized testing of sexual function to determine the best method of repairing the problem.
Expected Duration
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How long Peyronie’s disease lasts is difficult to predict. In more than a third of men, there is gradual improvement over 12 to 18 months without any specific treatment. In others, the scarring is permanent or worsens over time.
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Treatment
Most men with curvature of the penis, regardless of the cause, do not need any treatment. Men with Peyronie’s disease who experience pain or difficulty with intercourse sometimes are offered medical treatment. Options include the following:
- Oral medications such as vitamin E, para-aminobenzoic acid (a B vitamin) and colchicine (sold as a generic)
- Injections of cortisone or other medications into the scar tissue
- Ultrasound or radiation therapy
Most of these treatments do not have serious side effects. However,
none of these treatments has clearly been shown to improve the problem. Corrective surgery sometimes is offered to men with more bothersome or disfiguring symptoms. Usually, such surgery is delayed for at least a year after symptoms first appear because one-third to one-half of men with Peyronie’s disease improve on their own without treatment.
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Extenders, as I said, don’t do miracles, but if the curvature isn’t severe it’s possible to have some correction. This is the last study on the subject:
Titre du document / Document title Use of Penile Extender Device in the Treatment of Penile Curvature as a Result of Peyronie’s Disease. Results of a Phase II Prospective Study
Auteur(s) / Author(s)
GONTERO Paolo ; DI MARCO Massimiliano ; GIUBILEI Gianluca ; BARTOLETTI Riccardo ; PAPPAGALLO Giovanni ; TIZZANI Alessandro ; MONDAINI Nicola ;
Résumé / Abstract
Introduction. Pilot experiences have suggested that tension forces exerted by a penile extender may reduce penile curvature as a result of Peyronie’s disease. Aim. To test this hypothesis in a Phase II study using a commonly marketed brand of penile extender. Methods. Peyronie’s disease patients with a curvature not exceeding 50° with mild or no erectile dysfunction (ED) were eligible. Fifteen patients were required to test the efficacy of the device assuming an effect size of >0.8, consistent with an "important" reduction in penile curvature. ………….
Conclusions.
In our study, the use of a penile extender device provided only minimal improvements in penile curvature but a reasonable level of patient satisfaction, probably attributable to increased penile length. The selection of patients with a stabilized disease, a penile curvature not exceeding 50°, and no severe ED may have led to outcomes underestimating the potential efficacy of the treatment.
Revue / Journal Title The journal of sexual medicine ISSN 1743-6095 Source / Source 2009, vol. 6, no2, pp. 558-566 [9 page(s) (article)]
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