Extracorporeal shockwave therapy for Peyronie's disease: who benefits?

Abstract:

BACKGROUND AND PURPOSE:Extracorporeal shockwave therapy (ESWT) has been reported to improve the symptoms of Peyronie's disease. However, the response rates to this treatment appear to be variable. This study aimed to determine whether any patient or plaque characteristics are associated with a better outcome. PATIENTS AND METHODS:A series of 36 patients with Peyronie's disease received ESWT as a primary treatment. Subjective response rates were compared on the basis of patient age, degree of pretreatment penile curvature, predisposing medical factors, duration of disease, and extent of plaque calcification. RESULTS:Ten men (27.8%) reported subjective improvements in curvature after ESWT. Of the factors considered, only age and pretreatment curvature influenced outcomes: 50% of the men below the mean age reported improvement compared with 5.6% of older men and 62.5% of men with mild curvature reported improvement compared with 8.3% of those with severe curvature. CONCLUSION:The response to EWST is not the same for all men with Peyronie's disease. Younger men and those with milder curvature have the best outcomes.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Taylor J,Forster JA,Browning AJ,Biyani CS

doi

10.1089/end.2006.20.135

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

135-8

issue

2

eissn

0892-7790

issn

1557-900X

journal_volume

20

pub_type

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