Acute Phase Peyronie's Disease Management with Traction Device: A Nonrandomized Prospective Controlled Trial with Ultrasound Correlation
Outcome data of penile traction therapy (PTT) for the acute phase (AP) of Peyronie's disease (PD) have not been specifically studied. The aim of this study was to assess the effectiveness of a penile extender device for the treatment of patients with AP of PD. A total of 55 patients underwent P...
Gespeichert in:
| Veröffentlicht in: | Journal of sexual medicine 2014-02, Vol.11 (2), p.506-515 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 515 |
|---|---|
| container_issue | 2 |
| container_start_page | 506 |
| container_title | Journal of sexual medicine |
| container_volume | 11 |
| creator | Martínez‐Salamanca, Juan I. Egui, Alejandra Moncada, Ignacio Minaya, Javier Ballesteros, Claudio Martínez del Portillo, Luis Sola, Ignacio Carballido, Joaquín |
| description | Outcome data of penile traction therapy (PTT) for the acute phase (AP) of Peyronie's disease (PD) have not been specifically studied.
The aim of this study was to assess the effectiveness of a penile extender device for the treatment of patients with AP of PD.
A total of 55 patients underwent PTT for 6 months and were compared with 41 patients with AP of PD who did not receive active treatment (“no intervention group” [NIG]).
Pre‐ and posttreatment variables included degree of curvature, penile length and girth, pain by 0–10 cm visual analog scale (VAS), erectile function (EF) domain of the International Index of Erectile Function questionnaire, Erection Hardness Scale, Sexual Encounter Profile 2 question, and penile sonographic evaluation (only patients in the intervention group).
The mean curvature decreased from 33° at baseline to 15° at 6 months and 13° at 9 months with a mean decrease 20° (P |
| doi_str_mv | 10.1111/jsm.12400 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1492704069</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1743609515306676</els_id><sourcerecordid>1492704069</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4390-6b967352f566e5f8aecc95bba9076d9efbaed206fc9f589fd455af33d58a673d3</originalsourceid><addsrcrecordid>eNp1kMtOGzEUhi0E4tYu-gKVd5RFwHOxE3cXJQWKgCI1rC2PfVyMPHawZ4LCE_Sx63RIV-UsbOvoO7-OP4Q-FeSsyHX-lNqzoqwJ2UGHxbiuRqwgfHf7JpweoKOUngipcpX76KCsS1ZwQg7R76nqO8D3jzLlE9YxeAsnCc9tgk3rVnr5C1rwHX6x3SNeRKk6Gzyew8oq-Iqn-C74KL0OrX0Fje9jSEvIzArwLPguBudyexGtdEPEg-uiTKH3OgMxgpObwA9oz0iX4OPbfYweLr4tZlejmx-X32fTm5GqK05GrOFsXNHSUMaAmokEpThtGsnJmGkOppGgS8KM4oZOuNE1pdJUlaYTmQd1dYy-DLnLGJ57SJ1obVLgnPQQ-iSKmpdjUhPGM3o6oCr_KUUwYhltK-NaFERsxIssXvwVn9nPb7F904L-R25NZ-B8AF6sg_X7SeL65-02shomIOtYWYgiKQtegbYxCxY62P8s8gfugaEh</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1492704069</pqid></control><display><type>article</type><title>Acute Phase Peyronie's Disease Management with Traction Device: A Nonrandomized Prospective Controlled Trial with Ultrasound Correlation</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><creator>Martínez‐Salamanca, Juan I. ; Egui, Alejandra ; Moncada, Ignacio ; Minaya, Javier ; Ballesteros, Claudio Martínez ; del Portillo, Luis ; Sola, Ignacio ; Carballido, Joaquín</creator><creatorcontrib>Martínez‐Salamanca, Juan I. ; Egui, Alejandra ; Moncada, Ignacio ; Minaya, Javier ; Ballesteros, Claudio Martínez ; del Portillo, Luis ; Sola, Ignacio ; Carballido, Joaquín</creatorcontrib><description>Outcome data of penile traction therapy (PTT) for the acute phase (AP) of Peyronie's disease (PD) have not been specifically studied.
The aim of this study was to assess the effectiveness of a penile extender device for the treatment of patients with AP of PD.
A total of 55 patients underwent PTT for 6 months and were compared with 41 patients with AP of PD who did not receive active treatment (“no intervention group” [NIG]).
Pre‐ and posttreatment variables included degree of curvature, penile length and girth, pain by 0–10 cm visual analog scale (VAS), erectile function (EF) domain of the International Index of Erectile Function questionnaire, Erection Hardness Scale, Sexual Encounter Profile 2 question, and penile sonographic evaluation (only patients in the intervention group).
The mean curvature decreased from 33° at baseline to 15° at 6 months and 13° at 9 months with a mean decrease 20° (P < 0.05) in the PTT group. VAS score for pain decreased from 5.5 to 2.5 after 6 months (P < 0.05). EF and erection hardness also improved significantly. The percentage of patients who were not able to achieve penetration decreased from 62% to 20% (P < 0.03). In the NIG, deformity increased significantly, stretched flaccid penile length decreased, VAS score for pain increased, and EF and erection hardness worsened. PTT was associated with the disappearance of sonographic plaques in 48% of patients. Furthermore, the need for surgery was reduced in 40% of patients who would otherwise have been candidates for surgery and simplified the complexity of the surgical procedure (from grafting to plication) in one out of every three patients.
PTT seems an effective treatment for the AP of PD in terms of pain reduction, penile curvature decrease, and improvement in sexual function. Martínez‐Salamanca JI, Egui A, Moncada I, Minaya J, Ballesteros CM, del Portillo L, Sola I, and Carballido J. Acute phase Peyronie's disease management with traction device: A non‐randomized prospective controlled trial with ultrasound correlation. J Sex Med 2014;11:506–515.</description><identifier>ISSN: 1743-6095</identifier><identifier>EISSN: 1743-6109</identifier><identifier>DOI: 10.1111/jsm.12400</identifier><identifier>PMID: 24261900</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adult ; Aged ; Erectile Dysfunction ; Humans ; Male ; Methods ; Middle Aged ; Penile Erection ; Penile Induration ; Penile Induration - diagnostic imaging ; Penile Induration - physiopathology ; Penile Induration - therapy ; Penis - diagnostic imaging ; Penis - physiopathology ; Penis - surgery ; Peyronie's Disease ; Prospective Studies ; Therapy ; Traction ; Traction - instrumentation ; Treatment Outcome ; Tunica Albuginea ; Ultrasonography ; Young Adult</subject><ispartof>Journal of sexual medicine, 2014-02, Vol.11 (2), p.506-515</ispartof><rights>2014 International Society for Sexual Medicine</rights><rights>2013 International Society for Sexual Medicine</rights><rights>2013 International Society for Sexual Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4390-6b967352f566e5f8aecc95bba9076d9efbaed206fc9f589fd455af33d58a673d3</citedby><cites>FETCH-LOGICAL-c4390-6b967352f566e5f8aecc95bba9076d9efbaed206fc9f589fd455af33d58a673d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjsm.12400$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjsm.12400$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24261900$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martínez‐Salamanca, Juan I.</creatorcontrib><creatorcontrib>Egui, Alejandra</creatorcontrib><creatorcontrib>Moncada, Ignacio</creatorcontrib><creatorcontrib>Minaya, Javier</creatorcontrib><creatorcontrib>Ballesteros, Claudio Martínez</creatorcontrib><creatorcontrib>del Portillo, Luis</creatorcontrib><creatorcontrib>Sola, Ignacio</creatorcontrib><creatorcontrib>Carballido, Joaquín</creatorcontrib><title>Acute Phase Peyronie's Disease Management with Traction Device: A Nonrandomized Prospective Controlled Trial with Ultrasound Correlation</title><title>Journal of sexual medicine</title><addtitle>J Sex Med</addtitle><description>Outcome data of penile traction therapy (PTT) for the acute phase (AP) of Peyronie's disease (PD) have not been specifically studied.
The aim of this study was to assess the effectiveness of a penile extender device for the treatment of patients with AP of PD.
A total of 55 patients underwent PTT for 6 months and were compared with 41 patients with AP of PD who did not receive active treatment (“no intervention group” [NIG]).
Pre‐ and posttreatment variables included degree of curvature, penile length and girth, pain by 0–10 cm visual analog scale (VAS), erectile function (EF) domain of the International Index of Erectile Function questionnaire, Erection Hardness Scale, Sexual Encounter Profile 2 question, and penile sonographic evaluation (only patients in the intervention group).
The mean curvature decreased from 33° at baseline to 15° at 6 months and 13° at 9 months with a mean decrease 20° (P < 0.05) in the PTT group. VAS score for pain decreased from 5.5 to 2.5 after 6 months (P < 0.05). EF and erection hardness also improved significantly. The percentage of patients who were not able to achieve penetration decreased from 62% to 20% (P < 0.03). In the NIG, deformity increased significantly, stretched flaccid penile length decreased, VAS score for pain increased, and EF and erection hardness worsened. PTT was associated with the disappearance of sonographic plaques in 48% of patients. Furthermore, the need for surgery was reduced in 40% of patients who would otherwise have been candidates for surgery and simplified the complexity of the surgical procedure (from grafting to plication) in one out of every three patients.
PTT seems an effective treatment for the AP of PD in terms of pain reduction, penile curvature decrease, and improvement in sexual function. Martínez‐Salamanca JI, Egui A, Moncada I, Minaya J, Ballesteros CM, del Portillo L, Sola I, and Carballido J. Acute phase Peyronie's disease management with traction device: A non‐randomized prospective controlled trial with ultrasound correlation. J Sex Med 2014;11:506–515.</description><subject>Adult</subject><subject>Aged</subject><subject>Erectile Dysfunction</subject><subject>Humans</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Penile Erection</subject><subject>Penile Induration</subject><subject>Penile Induration - diagnostic imaging</subject><subject>Penile Induration - physiopathology</subject><subject>Penile Induration - therapy</subject><subject>Penis - diagnostic imaging</subject><subject>Penis - physiopathology</subject><subject>Penis - surgery</subject><subject>Peyronie's Disease</subject><subject>Prospective Studies</subject><subject>Therapy</subject><subject>Traction</subject><subject>Traction - instrumentation</subject><subject>Treatment Outcome</subject><subject>Tunica Albuginea</subject><subject>Ultrasonography</subject><subject>Young Adult</subject><issn>1743-6095</issn><issn>1743-6109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtOGzEUhi0E4tYu-gKVd5RFwHOxE3cXJQWKgCI1rC2PfVyMPHawZ4LCE_Sx63RIV-UsbOvoO7-OP4Q-FeSsyHX-lNqzoqwJ2UGHxbiuRqwgfHf7JpweoKOUngipcpX76KCsS1ZwQg7R76nqO8D3jzLlE9YxeAsnCc9tgk3rVnr5C1rwHX6x3SNeRKk6Gzyew8oq-Iqn-C74KL0OrX0Fje9jSEvIzArwLPguBudyexGtdEPEg-uiTKH3OgMxgpObwA9oz0iX4OPbfYweLr4tZlejmx-X32fTm5GqK05GrOFsXNHSUMaAmokEpThtGsnJmGkOppGgS8KM4oZOuNE1pdJUlaYTmQd1dYy-DLnLGJ57SJ1obVLgnPQQ-iSKmpdjUhPGM3o6oCr_KUUwYhltK-NaFERsxIssXvwVn9nPb7F904L-R25NZ-B8AF6sg_X7SeL65-02shomIOtYWYgiKQtegbYxCxY62P8s8gfugaEh</recordid><startdate>201402</startdate><enddate>201402</enddate><creator>Martínez‐Salamanca, Juan I.</creator><creator>Egui, Alejandra</creator><creator>Moncada, Ignacio</creator><creator>Minaya, Javier</creator><creator>Ballesteros, Claudio Martínez</creator><creator>del Portillo, Luis</creator><creator>Sola, Ignacio</creator><creator>Carballido, Joaquín</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201402</creationdate><title>Acute Phase Peyronie's Disease Management with Traction Device: A Nonrandomized Prospective Controlled Trial with Ultrasound Correlation</title><author>Martínez‐Salamanca, Juan I. ; Egui, Alejandra ; Moncada, Ignacio ; Minaya, Javier ; Ballesteros, Claudio Martínez ; del Portillo, Luis ; Sola, Ignacio ; Carballido, Joaquín</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4390-6b967352f566e5f8aecc95bba9076d9efbaed206fc9f589fd455af33d58a673d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Erectile Dysfunction</topic><topic>Humans</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Penile Erection</topic><topic>Penile Induration</topic><topic>Penile Induration - diagnostic imaging</topic><topic>Penile Induration - physiopathology</topic><topic>Penile Induration - therapy</topic><topic>Penis - diagnostic imaging</topic><topic>Penis - physiopathology</topic><topic>Penis - surgery</topic><topic>Peyronie's Disease</topic><topic>Prospective Studies</topic><topic>Therapy</topic><topic>Traction</topic><topic>Traction - instrumentation</topic><topic>Treatment Outcome</topic><topic>Tunica Albuginea</topic><topic>Ultrasonography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martínez‐Salamanca, Juan I.</creatorcontrib><creatorcontrib>Egui, Alejandra</creatorcontrib><creatorcontrib>Moncada, Ignacio</creatorcontrib><creatorcontrib>Minaya, Javier</creatorcontrib><creatorcontrib>Ballesteros, Claudio Martínez</creatorcontrib><creatorcontrib>del Portillo, Luis</creatorcontrib><creatorcontrib>Sola, Ignacio</creatorcontrib><creatorcontrib>Carballido, Joaquín</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of sexual medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martínez‐Salamanca, Juan I.</au><au>Egui, Alejandra</au><au>Moncada, Ignacio</au><au>Minaya, Javier</au><au>Ballesteros, Claudio Martínez</au><au>del Portillo, Luis</au><au>Sola, Ignacio</au><au>Carballido, Joaquín</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Phase Peyronie's Disease Management with Traction Device: A Nonrandomized Prospective Controlled Trial with Ultrasound Correlation</atitle><jtitle>Journal of sexual medicine</jtitle><addtitle>J Sex Med</addtitle><date>2014-02</date><risdate>2014</risdate><volume>11</volume><issue>2</issue><spage>506</spage><epage>515</epage><pages>506-515</pages><issn>1743-6095</issn><eissn>1743-6109</eissn><abstract>Outcome data of penile traction therapy (PTT) for the acute phase (AP) of Peyronie's disease (PD) have not been specifically studied.
The aim of this study was to assess the effectiveness of a penile extender device for the treatment of patients with AP of PD.
A total of 55 patients underwent PTT for 6 months and were compared with 41 patients with AP of PD who did not receive active treatment (“no intervention group” [NIG]).
Pre‐ and posttreatment variables included degree of curvature, penile length and girth, pain by 0–10 cm visual analog scale (VAS), erectile function (EF) domain of the International Index of Erectile Function questionnaire, Erection Hardness Scale, Sexual Encounter Profile 2 question, and penile sonographic evaluation (only patients in the intervention group).
The mean curvature decreased from 33° at baseline to 15° at 6 months and 13° at 9 months with a mean decrease 20° (P < 0.05) in the PTT group. VAS score for pain decreased from 5.5 to 2.5 after 6 months (P < 0.05). EF and erection hardness also improved significantly. The percentage of patients who were not able to achieve penetration decreased from 62% to 20% (P < 0.03). In the NIG, deformity increased significantly, stretched flaccid penile length decreased, VAS score for pain increased, and EF and erection hardness worsened. PTT was associated with the disappearance of sonographic plaques in 48% of patients. Furthermore, the need for surgery was reduced in 40% of patients who would otherwise have been candidates for surgery and simplified the complexity of the surgical procedure (from grafting to plication) in one out of every three patients.
PTT seems an effective treatment for the AP of PD in terms of pain reduction, penile curvature decrease, and improvement in sexual function. Martínez‐Salamanca JI, Egui A, Moncada I, Minaya J, Ballesteros CM, del Portillo L, Sola I, and Carballido J. Acute phase Peyronie's disease management with traction device: A non‐randomized prospective controlled trial with ultrasound correlation. J Sex Med 2014;11:506–515.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>24261900</pmid><doi>10.1111/jsm.12400</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1743-6095 |
| ispartof | Journal of sexual medicine, 2014-02, Vol.11 (2), p.506-515 |
| issn | 1743-6095 1743-6109 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1492704069 |
| source | Wiley Online Library - AutoHoldings Journals; MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Adult Aged Erectile Dysfunction Humans Male Methods Middle Aged Penile Erection Penile Induration Penile Induration - diagnostic imaging Penile Induration - physiopathology Penile Induration - therapy Penis - diagnostic imaging Penis - physiopathology Penis - surgery Peyronie's Disease Prospective Studies Therapy Traction Traction - instrumentation Treatment Outcome Tunica Albuginea Ultrasonography Young Adult |
| title | Acute Phase Peyronie's Disease Management with Traction Device: A Nonrandomized Prospective Controlled Trial with Ultrasound Correlation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T14%3A46%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Acute%20Phase%20Peyronie's%20Disease%20Management%20with%20Traction%20Device:%20A%20Nonrandomized%20Prospective%20Controlled%20Trial%20with%20Ultrasound%20Correlation&rft.jtitle=Journal%20of%20sexual%20medicine&rft.au=Mart%C3%ADnez%E2%80%90Salamanca,%20Juan%20I.&rft.date=2014-02&rft.volume=11&rft.issue=2&rft.spage=506&rft.epage=515&rft.pages=506-515&rft.issn=1743-6095&rft.eissn=1743-6109&rft_id=info:doi/10.1111/jsm.12400&rft_dat=%3Cproquest_cross%3E1492704069%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1492704069&rft_id=info:pmid/24261900&rft_els_id=S1743609515306676&rfr_iscdi=true |