3,115 results match your criteria: "Peyronie Disease"

Peyronie's disease (PD) is an underdiagnosed and undertreated fibroproliferative disorder associated with the formation of plaques that results in penile curvature and discourages some men from seeking medical consultation. The PD self-assessment app, a digital application (app), was developed to increase PD awareness, provide men with a self-screening and educational tool for PD, and help eliminate barriers to seeking consultation with a physician. Prior to deployment, 4 board-certified urologists provided qualitative reviews on the app's usability and utility as a screening tool.

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Objective: To compare the safety profile and clinical outcomes of Altieri-modified Nesbit corporoplasty using two different anesthesia methods including spinal anesthesia and local anesthesia.

Materials And Methods: A total of 40 patients with congenital penile curvature (CPC) and Peyronie's disease (PD) underwent Altieri-modified Nesbit corporoplasty. Group 1 (n = 20) received spinal anesthesia, and Group 2 (n = 20) received local anesthesia.

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Healing of Peyronie's disease after multimodal antioxidant treatment. A case series.

Arch Ital Urol Androl

October 2024

Bambino Gesù Children's Hospital, IRCCS (Istituti di Ricovero e Cura a Carattere Scientifico), Rome.

Introduction: Peyronie's disease (PD) is characterized by fibrosis of the penile tunica albuginea. Conservative treatment options may involve oral and/or injectable medications.

Materials And Methods: This case series includes four patients with PD in the first phase.

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Background: Our team recently published outcomes of a novel technique for the administration of Collagenase Clostridium histolyticum (CCH), which resulted in improved curvature outcomes and reduced number of CCH injections required.

Aim: To provide a detailed and illustrated description of our CCH-administration technique.

Methods: A descriptive summary is provided of the technique, including drug administration, protocol modifications, and post-treatment protocols.

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Introduction: Intralesional collagenase (CCH) injection is an effective intervention for treatment of Peyronie's disease (PD). While CCH efficacy has been demonstrated in White populations, little is known about treatment efficacy in Black and Hispanic populations.

Methods: This study examined efficacy of intralesional CCH in a racially diverse population in a large integrated health care system over 15 years.

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Background: Peyronie's disease (PD) is a progressive fibrotic disorder of the penis that can induce pain and erectile dysfunction and has various treatment modalities, including surgical, pharmaceutical, and injection therapies.

Methods: The authors used electronic medical records from Kaiser Permanente Southern California, an integrated health care system that consists of 15 medical centers, and identified patients diagnosed with stable PD without concomitant erectile dysfunction from January 1, 2004, to December 31, 2020. Baseline characteristics between surgical and injection groups were compared using Chi-squared and Kruskal-Wallis tests.

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Purpose: Despite recent popularity, partial plaque excision and sealing with TachoSil has concern about tunica regeneration from graft and lack of long-term results. Previously, we introduced multiple deep grid incisions of Peyronie's plaque to minimize tunical defect with consequent veno-occlusal erectile dysfunction. To assess the efficacy of modified grid incision of plaque and sealing with collagen fleece in postoperative progress of 34 patients for 3 years.

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Article Synopsis
  • - MRI is key for checking penile pathologies because it offers high-quality images of soft tissues and can view structures from multiple angles.
  • - The review discusses MRI techniques and important anatomy related to these conditions.
  • - MRI is not only a supportive tool alongside ultrasound for trauma and infections but is also the main method for evaluating penile prostheses and complicated cases.
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Peyronie's disease is an acquired condition characterized by penile deformities caused by fibrosis of the penile tunica albuginea, leading to symptoms such as penile pain, erectile dysfunction, and other associated issues. Despite extensive research, the pathophysiology of this condition remains poorly understood, and standardized diagnostic and treatment protocols are lacking. While clinical guidelines from several professional societies exist, they do not consistently account for factors such as patient ethnicity, geography, and socioeconomic status.

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Article Synopsis
  • The study aimed to evaluate the mid- and long-term outcomes of Peyronie's disease surgery using different graft materials by analyzing 115 patients treated by a single surgeon from 2014 to 2020.
  • Results showed that operations using autologous saphenous venous grafts took longer, but patients using porcine intestinal submucosal and bovine pericardial grafts experienced shorter postoperative loss of sensation and less penile length loss.
  • The research indicates that extracellular matrix grafts are generally more effective than autologous grafts, especially for patients with severe penile curvature.
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Current and Future Directions of Technology in Assessment of Peyronie's Disease.

Curr Urol Rep

October 2024

Department of Urology, Mayo Clinic Rochester, 200 First St.SW, Rochester, MN, MN 55905, USA.

Article Synopsis
  • * Ultrasonography is the preferred method for detecting calcifications and checking vascular health, but it has limitations in finding non-palpable plaques; CT and MRI provide detailed images but are expensive.
  • * New technologies like elastography and AI may enhance diagnostic accuracy when used alongside traditional methods, emphasizing the need for personalized approaches and further research to improve clinical practices.
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A review of Peyronie's disease insurance coverage.

Sex Med

October 2024

Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, United States.

Article Synopsis
  • Peyronie's disease (PD) leads to penile curvature and related issues, with various treatment options available including surgery, devices, and medications.
  • A study examined insurance coverage for these treatments across top US insurers, finding only 54% had clear policies on PD.
  • The most commonly covered treatment was collagenase injections, while shock wave therapy was universally denied, highlighting significant gaps in coverage and suggesting a need for better alignment with clinical guidelines.
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Introduction: Peyronie's and Dupuytren's diseases are benign but are source of significant functional impairment leading to considerable suffering. In this study, the aim is to investigate the association between Peyronie's and Dupuytren's diseases as well as their common and specific risk factors.

Material And Methods: From July 2022 to March 2024, we conducted a multicentric observational study on 450 patients.

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Article Synopsis
  • Penile prosthesis implantation (PPI) is an effective treatment for severe erectile dysfunction when other therapies fail, but it's complicated for patients with corporal fibrosis (CF).
  • Imaging techniques like ultrasound and MRI are essential in planning for PPI, helping to assess the severity of fibrosis before surgery.
  • The review emphasizes that careful preoperative imaging can enhance surgical outcomes and minimize complications in patients with CF.
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[New "conservative" treatments for Peyronie's disease-real alternatives or expensive pastime?].

Urologie

November 2024

Alexianer Krankenhaus Krefeld, Dießemer Bruch 81, 47805, Krefeld, Deutschland.

Article Synopsis
  • - Conservative treatments for Peyronie's disease (IPP) have been largely ineffective due to unclear causes, and the condition is known as a progressive connective tissue disorder that results from microtrauma and inflammation.
  • - New treatment methods focus on immune-modulatory and regenerative mechanisms, including therapies like shockwave therapy, platelet-rich plasma, and stem cell therapy, but there is still no significant success reported.
  • - The research into these treatments is hindered by high costs and strict regulations, which complicates efforts to properly assess their effectiveness.
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Article Synopsis
  • - The study aimed to compare continuous suture (CS) and interrupted suture (IS) techniques used in urethroplasty, focusing on their effectiveness and complication rates.
  • - A retrospective analysis included 97 patients with urethral strictures; results showed that CS had shorter operation and catheter times compared to IS, but success rates and complications were similar for both techniques.
  • - The findings suggest that while there’s no significant difference in overall outcomes, the CS technique allows for quicker surgeries and earlier catheter removal.
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Article Synopsis
  • - Collagen fleece grafting (CFG) is typically used for severe Peyronie's disease with curvatures over 60°, but this study explores its effectiveness in mild to moderate cases (less than 60°) that risk penile shortening or have symptomatic plaques.
  • - The study analyzed 89 patients who underwent surgery for Peyronie's disease, finding no significant differences in operation time or complication rates between those with mild/moderate and severe curvature.
  • - Results suggest that CFG is a viable option for achieving penile straightening in selected cases of Peyronie's disease, with similar risks for patients across different curvature severities.
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Article Synopsis
  • A 53-year-old man developed this condition after engaging in extended sexual activity the night before, while also using sildenafil.
  • An ultrasound confirmed the diagnosis, showing thrombosis in the vein and swelling, and he received conservative treatment; the case emphasizes the link between vigorous sexual activity, sildenafil use, and MD.
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Low-intensity extracorporeal shock wave therapy for Peyroniès disease: a systematic review and meta-analysis.

BMC Urol

October 2024

Department of Urology, Beijing Jishuitan Hospital, Capital Medical University, Xinjiekou East Street, West District, Beijing, 100035, China.

Article Synopsis
  • A systematic review was conducted to evaluate the effectiveness of low-intensity extracorporeal shock wave therapy (LI-ESWT) for treating Peyronie’s Disease (PD) through data from various controlled studies published until February 2023.
  • The analysis included 7 studies with 475 patients, showing that LI-ESWT significantly reduced penile plaques, improved curvature, alleviated pain, and even led to complete remission in some cases, but did not significantly improve sexual function compared to a placebo.
  • The findings suggest LI-ESWT may be beneficial for some symptoms of PD, but further high-quality studies are needed for more conclusive evidence on its long-term effectiveness.
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Article Synopsis
  • B-mode ultrasound (US) is effective in diagnosing Peyronie's disease (PD), but real-time elastography (RTE) enhances the detection of elusive penile plaques that standard US may miss.
  • The study involved 37 PD patients and demonstrated that combining RTE with standard US detected all non-palpable plaques (100% detection) compared to 61.5% with just standard US.
  • RTE also proved useful for monitoring treatment progress in PD patients, showing a significant correlation between plaque volume and diagnostic indicators throughout the treatment process.
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Purpose: The aim of this work was to analyze and contrast the effectiveness and safety of intralesional HA in the acute stage of PD with that of verapamil injection.

Methods: In this prospective, randomized clinical trial, 42 PD-affected, sexually active men between the ages of >18 and 70 participated. Two groups of patients were recruited; group A obtained weekly intralesional treatment with HA for 12 weeks, whereas group B obtained weekly intralesional therapy with verapamil for 12 weeks.

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