Il jelq vero è proprio va evitato. La chirurgia viene effettuata, ma solo in casi estremi perchè non c’è garanzia di miglioramento e comunque non certo sui legamenti (viene invece asportata la parte cicatriziale della tunica).
Per quanto riguarda la pompa come utilizzo per il tuo caso:
The role of vacuum pump therapy to mechanically straighten the penis in Peyronie’s disease
Amr Abdel Raheem, Giulio Garaffa, Tarek Abdel Raheem, Michelle Dixon, Amanda Kayes, Nim Christopher, David Ralph
Article first published online: 23 APR 2010
PATIENTS AND METHODS
Modelling of the tunica albuginea has been shown to be possible during penile implant surgery and this principle has been applied as an alternative conservative therapy. In all, 31 patients with PD (mean duration 9.9 months; mean age 51 years, range 24–71) completed the study. Over a 12-week period, the patients used a vacuum device (Osbon ErecAid®, MediPlus, High Wycombe, UK) for 10 min twice daily. The assessment at study entry and at completion after 12 weeks included the International Index of Erectile Function questionnaire, a perceived pain intensity score, stretched penile length measurement and the angle of penile deformity after an intracavernous injection with prostaglandin E1.
RESULTS
There was a clinically and statistically significant improvement in penile length, angle of curvature and pain after 12 weeks of using the vacuum pump. Of the 31 patients, 21 had a reduction in the angle of curvature by 5–25°, three had worsening of the curvature and there was no change in the remaining seven. The curvature was corrected surgically in 15 patients while the remaining 16 (51%) were satisfied with the outcome.
CONCLUSION
Vacuum therapy can improve or stabilize the curvature of PD, is safe to use in all stages of the disease, and might reduce the number of patients going on to surgery.
http://onlineli brary.wiley.com … 10.09365.x/full
Per quanto riguarda l’estensore:
J Sex Med. 2008 Jun;5(6):1468-73. doi: 10.1111/j.1743-6109.2008.00814.x. Epub 2008 Mar 26.
Penile traction therapy for treatment of Peyronie’s disease: a single-center pilot study.
Levine LA, Newell M, Taylor FL.
Source
Department of Urology, Rush University Medical Center, Chicago, IL, USA. drlevine@hotmail.com
bstract
INTRODUCTION:
Peyronie’s disease (PD) is a fibrotic disorder of the penis whose etiopathophysiology remains unclear. At this time, there is no known reliable nonsurgical treatment. This study reviews our experience with external penile traction therapy to correct the deformity associated with this disorder.
AIM:
To evaluate prolonged external penile traction as a nonsurgical treatment for PD.
METHODS:
Ten men with PD completed this noncontrolled pilot study of traction therapy using the FastSize Penile Extender. Nearly all (90%) had failed prior medical therapy. Traction was applied as the only treatment for 2-8 hours/day for 6 months. All subjects underwent pre- and post-treatment physical examination including measurement of stretched flaccid penile length (SPL) and biothesiometry.
MAIN OUTCOME MEASURES:
Curvature and girth were measured during erection before and after treatment with dynamic duplex ultrasound. Assessment of erectile and sexual function was further assessed with the International Index of Erectile Function and Quality of Life Specific to Male Erection Difficulties (QOL-MED) questionnaires. At 3 and 6 months post-treatment, SPL was measured and subjective assessment of deformity by the patient was recorded.
RESULTS:
Subjectively all men noted reduced curvature estimated at 10-40 degrees, increased penile length (1-2.5 cm) and enhanced girth in areas of indentation or narrowing. Objective measures demonstrated reduced curvature in all men from 10-45 degrees; average reduction for the group was 33% (51-34 degrees). SPL increased 0.5-2.0 cm and erect girth increased 0.5-1.0 cm with correction of hinge effect in four out of four men. International Index of Erectile Function-erectile function domain increased from 18.3-23.6 for the group. Changes in quality of life by QOL-MED were not found to be statistically significant in this small series. There were no adverse events including skin changes, ulcerations, hypoesthesia or diminished rigidity.
CONCLUSION:
Prolonged daily external penile traction therapy is a new approach for the nonsurgical treatment of PD. Further study appears warranted given the response noted in this pilot study.
http://www.ncbi .nlm.nih.gov/pu … 7?dopt=abstract
Un altro più recente:
J Sex Med. 2009 Feb;6(2):558-66. doi: 10.1111/j.1743-6109.2008.01108.x. Epub 2008 Dec 2.
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.
Gontero P, Di Marco M, Giubilei G, Bartoletti R, Pappagallo G, Tizzani A, Mondaini N.
Source
Urology Department, University of Torino, Torino, Italy. paolo.gontero@unito.it
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 degrees 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. Changes in penile length over baseline and erectile function (EF) domain scores of the International Index of Erectile Function (IIEF) constituted secondary end points.
MAIN OUTCOME MEASURES:
Patients were counselled on the use of the penile extender for at least 5 hours per day for 6 months. Photographic pictures of the erect penis and measurements were carried out at baseline, at 1, 3, 6, and 12 months (end of study). The IIEF-EF domain scores were administered at baseline and at the end of study. Treatment satisfaction was assessed at end of study using a nonvalidated institutional 5-item questionnaire.
RESULTS:
Penile curvature decreased from an average of 31 degrees to 27 degrees at 6 months without reaching the effect size (P = 0.056). Mean stretched and flaccid penile length increased by 1.3 and 0.83 cm, respectively at 6 months. Results were maintained at 12 months. Overall treatment results were subjectively scored as acceptable in spite of curvature improvements, which varied from "no change" to "mild improvement."
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 degrees, and no severe ED may have led to outcomes underestimating the potential efficacy of the treatment.
http://www.ncbi .nlm.nih.gov/pu … 1?dopt=abstract
Non so se capisci l’inglese ma comunque quello che dicono questi studi è che la terapia con la pompa a vuoto e/o estensori può essere efficace in casi come il tuo. Ripeto che non devi aspettarti miracoli e che devono essere usate sempre forze molto basse. Per questo motivo escluderei gli esercizi manuali.
