Treatments

Peyronie Penis Curvature Shock Wave Therapy

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peyronie

The penis goes into erection by making a 90 degree angle. Inclination in any direction other than this position is called penile curvature (peyronie).

Penile curvature may be congenital or may occur later on for various reasons. The basis of congenital Peyronie's disease is the failure of one of the two spongy tissues that make the penis erect, and the curve of the penis to this undeveloped side. The penile curvature disorder that occurs afterward is usually seen in individuals over the age of 50. Peyronie's disease occurs due to the formation of calcification between the spongy tissue that provides the hardening of the penis and the sheath that surrounds this tissue. It is more common in diabetic patients

As in the treatment of erectile dysfunction (impotence) with Modus ED SWT, shock waves trigger the tissues and cells to which it is applied, thus accelerating the formation of new blood vessels and blood flow in the spongy tissue in the penis. Thus, the factors that cause curvature in the penis are eliminated.

What are the Differences from Other Treatment Methods?

We can divide the classical treatment methods of penile curvature other than ED SWT into two as Acute Period and Chronic Period Peyronie's. Since the plaques that cause penile curvature in the acute period are not fully formed yet, drug therapy is used. For this reason, it is very important to diagnose in the acute period. When the early diagnosis cannot be made and the disease passes into the chronic phase, drug treatments cannot be very effective. Instead, surgical treatments are necessary. This treatment method does not give definite results and is also a risky treatment method. Damage to the vascular and nerve structure of the penis during the operation poses the risk of completely losing the erection. After the surgery, hormone therapy is applied to suppress erection so that the stitches in the penis do not burst.

In the treatment of Modus ED SWT, there is no need for any medication or surgical intervention. It can be used safely in a very short time and in all disease stages (acute, chronic) without the need for any drugs, sedation or sedatives.

Since the focused shock waves will only affect the focused point in the penis, there is no such thing as the destruction of the nerve and vascular structure of the penis, as in surgical interventions.

In addition, since there is no need for surgical intervention, undesirable situations such as bursting of the sutures during erection do not occur, especially in individuals who have undergone surgery.

What is Low Density Shock Wave Therapy?

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In the low-intensity shock wave therapy of Modus ED SWT, shock waves cause mechanical stress and micro-trauma when applied to an anatomical area. This mechanical stress and microtrauma triggers a series of biological reactions that increase blood flow and trigger neovascularization of tissue. Thus, as a result of shock waves increasing the blood flow to the penis and creating new vessels, the erection problem of the penis is eliminated.

How is ED SWT Applied?

Improvement in erection problem and reduction in pain were detected in patients who underwent Modus ED SWT treatment. With low-energy shock waves applied, tissue healing is achieved in Peyronie's plaques in the acute phase, which causes the plaque to shrink. Thus, it contributes to the sexual life of the patients with a quality erection.

The application is done as at least 1 or 2 sessions per week. Depending on the age and size of the plate, 6-24 sessions are required. The session takes 20 minutes. Shock waves are applied to the shaft and crus of the penis.

Before the session, applications such as drugs, sedation, anesthesia are not applied to the patient. At the end of the session, the patient can continue his daily life from where he left off.

Side Effects

Before treatment, sedation, sedatives, etc. No preparation is required. There are no side effects such as pain, ache, swelling, bruising, burning and irritation during or after the procedure.

What is Peyronie's Disease?

Peyronie's disease, first described by Gigot de La Peyronie in 1743, is a connective tissue disorder manifested by the formation of fibrous plaques in the penis. Although it varies between individuals, the symptoms of patients are seen as anomalies such as penile curvature, shortening, narrowing, and painful erection with plaque formation in the penis.

How is Peyronie's Disease Diagnosed?

Another name for Peyronie's disease is penile curvature. However, not all penile curvature is Peyronie's disease. Congenital penile curvature is different from Peyronie's disease. Congenital penile curvature, also known as the Sunnah of the Prophet, does not cause plaque formation or pain as in Peyronie's disease. Therefore, the biggest difference between congenital penile curvature and Peyronie's disease is painful erection. The first symptom of Peyronie's disease is pain during erection. Under normal conditions, the penis is at a ninety-degree angle when erected. Apart from this, curves to the right, left, down or up indicate penile curvature. In addition to penile curvature, Peyronie's disease also presents with painful erection, shortening of the penis size, palpable hardness in the penis or erectile dysfunction.

Stages of Peyronie's Disease

The initial stage of Peyronie's disease is defined as the acute stage, and the later stage is defined as the chronic stage.

Peyronie's Disease Initial Symptoms

The symptoms of Peyronie's disease vary according to the stages of the disease. The initial phase is expressed as the acute period and pains are seen in the penis during this period. However, these pains are not permanent. In this period, as the penis bends and plaque formation begins, hardness is felt on the penis. When the acute period of Peyronie's disease is not treated, it can last for approximately 18 months.

Peyronie's Disease Chronic Period Symptoms

The decrease or disappearance of pain in the penis and the persistence of penile curvature for 3 months are indicators of the transition to the chronic stage. In the chronic phase, the plaques are harder than in the acute phase, and other deformities can be observed other than the curvature of the penis. The most common deformity in the acute phase of Peyronie's disease is the hourglass deformity. However, in the chronic period, shortening of the penis and Erectile dysfunction, that is, impotence, can also be seen as symptoms in patients.

Incidence of Peyronie's Disease

Peyronie's disease is generally seen in men between the ages of 40-70 and is a disease with a higher incidence over the age of 50. In a study, it was reported that approximately 32000 Peyronie's disease diagnoses were made each year and its prevalence was 0.39%. In another study, it was concluded that the prevalence of the disease varied between 0.5% and 13.1%. However, considering the low rate of admission to hospital due to sexual dysfunctions in the world in general, it can be said that these figures will be higher.

What Causes Penile Curvature?

Penile curvature is not only caused by Peyronie's disease. There are also congenital penile curvatures. There is no consensus in the medical world about the causes of Peyronie's disease. However, it is known that many different reasons can cause penile curvature. Some of the factors that cause Peyronie's disease can be listed as follows.

  • Trauma or acute traumas during sexual intercourse,
  • Being over 40,
  • Smoking,
  • Sexually transmitted diseases
  • Diabetes,
  • Genetic predisposition.
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Congenital Penile Curvature

In cases where the development of one of the three spongy tissues in the penis is delayed during development in the mother's womb, congenital curvature of the penis may occur. Generally, congenital penile curvatures are not understood until puberty. However, if the urinary hole, which is called "Hypospadias" in the medical language, is in a different place on the penis, it can be called penile curvature over time.

How Does Penile Curvature Occur?

Penile curvature may occur due to some different diseases, some traumas or genetic factors. Some traumas that occur during sexual intercourse are the most common causes of penile curvature. As a result of the traumas that occur in the penis, blood vessels can cause plaque in the penis over time. As a result of plaque formation in the penis, curvature is seen in the penis over time. Especially in men, the risk of penile sprain is higher, as traumas in the penile region are difficult to heal in advanced ages.

Penile Curvature Diagnosis

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Early diagnosis is very important in Peyronie's disease. If penile curvature is diagnosed before it occurs, treatment is done much faster and treatment is completed before penile curvature occurs. For this reason, it is very important for men who observe penile pain or stiffness on the penis to see a specialist urologist without wasting time. When a physician is consulted as a result of such complaints, physicians primarily evaluate the patient's history and other chronic diseases, if any. Then, he performs physical control of the penile region and requests blood and urine tests. In addition to these examinations, the patient's vascular pathways and nerves on the penis are observed through ultrasound and MR.

Early Diagnosis in Penile Curvature

When men experience sexual dysfunction, they may be shy about applying to the hospital for some traditional reasons. However, it should not be forgotten that the earlier the diagnosis is made, the easier the treatment of these diseases, as in all other diseases. However, it should not be forgotten that there are very easy solutions such as ESWT Shock Wave Therapy in sexual disorders with the developing technology today. For this reason, it is very important for men who feel pain and stiffness on the penis in Peyronie's disease to apply to a hospital as soon as possible for early diagnosis of the disease.

Penile Curvature Treatment

In the treatment of Peyronie's disease, the course of the disease and the findings observed in the patient are important factors in determining the treatment method. While deciding on the treatment method, the patient's erection quality, symptoms such as pain in the penis, as well as the patient's psychological state are also decisive for the treatment method. In addition, whether the disease is in the acute or chronic phase is also effective in the treatment process of Peyronie's disease. Although only observation is a choice in Peyronie's diseases in the acute phase, this method is generally not preferred by patients and physicians. The aim of treatment in Peyronie's disease is to shrink or disappear the plaque formed in the penis. For this purpose, oral, intralesional or topical treatment methods are used.

Penile Curvature Treatment Methods

Oral treatment methods Intralesional Treatment Methods Topical Treatment Methods
Procarbosine Corticosteroids Verapamil
Vitamin E Verapamil H-100 gel
POTABA Clostridium Collagenase ESWT Shock Wave Therapy
Tamoxifen Interferon Traction Devices
Colchicine Hyaluronic acid
Carnitine Derivatives
PDE5I

Penile Curvature and Modus ED ESWT Shock Wave Therapy

Modus ED ESWT Shock Wave Therapy is widely used because it has no side effects in many sexual dysfunctions in men and is a very easy treatment method. Shock Wave therapy is a method preferred by both physicians and patients in many diseases such as Erectile Dysfunction, prostatitis and Peyronie's disease.

Modus ED ESWT treatment, which is applied especially in the acute period in Peyronie's disease, aims to eliminate both plaque and pain in the penis. For this purpose, shock waves are sent to the area where there is plaque on the penis. Shock Wave Therapy is performed in sessions, and a session takes an average of 15-20 minutes. Although the duration of treatment varies according to the patient's condition, it can vary from 6 sessions to 24 sessions. Since the treatment does not have any side effects, the number of sessions can be determined by the physicians according to the condition of the disease. Treatment is usually planned as 1-2 sessions per week. During the treatment period, patients continue their normal lives and do not feel any pain during the session.

Don't Risk Your Health

  1. “Erişkin yaş hipospadias onarımında tubularized-incised plate urethroplasty yönteminin etkinliği ” “Cem Başataç” “İstanbul Bilim Üniversitesi, Tıp Fakültesi, Üroloji Ana Bilim Dalı, İstanbul”
  2. Amasyalı, Uzm Dr Akın Soner. “Peyronie hastalığının medikal tedavisinde neler değişti: 2015 güncelleme.” Androloji Bülteni(2015): 169-173.
  3. Wimpissinger, F., A. Parnham, and G. Gutjahr. “Plak insizyonu ve ven greftlemesi yapılan peyroni hastalarının 10. yılı: Zamanın önemi var mı?” JSM 13.1 (2016): 120-128.

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Advantages

  • Shock waves are applied to the penis externally, not surgically. Thus, the patient does not go under the knife.
  • It does not require applications such as drugs, anesthesia, prosthesis.
  • In penile curvature surgeries, drugs that suppress the male hormone are generally used to prevent the stitches in the penis from slipping during erection. Since there is no surgical intervention in shock wave therapy, such heavy treatments do not have to be applied.
  • The most feared thing in Peyronie's disease is the recurrence of the disease. With Modus ED SWT, peyronie's disease is completely eliminated.
  • The patient continues his daily life after the treatment.
  • No side effects.

Age

90%

Success Rate

80%

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