HOW IS PEYRONIE´S DISEASE TREATED?

International Society for Sexual Medicine “How is Peyronie’s disease treated?” ANDROPEYRONIE (MEDICAL PEYRONIE EXTENDER)

Traction Therapy for Peyronie's Disease | ISSM
sex-health-brief}www.issm.info

Traction therapy following surgery for Peyronie’s disease may increase actual and perceived penile length for some men, according to new research published in the Journal of Sexual Medicine.

Peyronie’s disease, a wound-healing disorder, causes areas of hardened scar tissue called plaques to form on the penis. These plaques lead to decreased flexibility, resulting in a noticeable penile curvature during erection. Some men with Peyronie’s disease experience pain and are unable to have intercourse.

Surgery is one treatment option. Two types of surgeries pertain to this study. The first is called tunica albuginea plication (TAP) and involves stitching the area on the opposite side of the plaques to straighten the curvature. The other procedure is partial plaque excision and grafting (PEG), in which a surgeon makes an incision in the plaque and fills it with graft material.

One common complication of surgery for Peyronie’s disease is penile shortening, which can be a serious concern.

In this study, American researchers from Rush University Medical Center in Chicago worked with four groups of men. (A total of 134 men participated.) Two groups had TAP surgery, the other two had PEG procedures. For each type of surgery, one group had traction therapy and the other did not.

Traction therapy ( ANDROPEYRONIE ) involved wearing a traction device on the penis for a recommended 2–6 hours each day starting 3–4 weeks after surgery. From that point, patients were advised to use the device for three months. The goal of traction therapy (ANDROPEYRONIE) was to keep the penis straight as it healed and prevent length loss.

Stretched penile length measurements were taken before and after treatment. In addition, all men were mailed a questionnaire that asked about their perceptions of penile length change and their pre- and post-surgery satisfaction.

For the men who underwent TAP :

• The mean length change was 0.85 cm.

• 68% perceived erect length gain.

• 0% perceived erect length loss.

• 32% perceived no change in erect length.

For men who underwent TAP without traction therapy:

• The mean length change was -0.53 cm.

• 7% perceived erect length gain.

• 79% perceived erect length loss.

• 14% perceived no change in erect length.

For men who underwent PEG and traction therapy ( ANDROPEYRONIE ):

• The mean length change for was 1.48 cm.

• 47% perceived erect length gain.

• 0% perceived erect length loss.

• 53% perceived no change in erect length.

For men who underwent PEG without traction therapy:

• The mean length change was 0.24 cm.

• 14% perceived erect length gain.

• 57% perceived erect length loss.

• 29% perceived no change in erect length.

Overall, 69% of all participants were satisfied with their surgical outcome.

There were no complications or changes in penile sensation associated with traction therapy.

The researchers concluded that traction therapy can preserve some measured and perceived penile length after surgery for Peyronie’s disease. However, because of the psychological implications of penile length and outcome satisfaction, it is important for men to have realistic expectations before they have surgery.

Resources

International Society for Sexual Medicine

“How is Peyronie’s disease treated?”

http://www.issm.info/sexual-health-qa/how-is-peyronies-disease-treated

Journal of Sexual Medicine

Rybak, James, MD, et al.

“A Retrospective Comparative Study of Traction Therapy vs. No Traction Following Tunica Albuginea Plication or Partial Excision and Grafting for Peyronie’s Disease: Measured Lengths and Patient Perceptions”

(Full-text. First published online: August 17, 2012)

http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02849.x/abstract

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Want A Longer Penis? Traction (andropenis) Beats Surgery, Say Researchers

 

Men who want surgery to increase the length of their penis should try non-invasive methods like penile traction device (andropenis) or  extenders first, and in some cases, even try therapy to make them feel more confident about their bodies, said Italian urologists  in   a paper published in the April print issue of the British Journal of Urology International.

 Marco Orderda and Paolo Gontero of the University of Turin carried out a research review and concluded that penile extender andropenis   were more effective than other non-invasive methods like vacuum devices, exercises and botox injections.

 They also noted that surgery was not necessarily the perfect solution that some might assume it to be.

 Gontero, an Associate urology Professor, told the media:

 "Based on current evidence, we suggest that penile extender (andropenis), not surgery, should be the first-line treatment for men seeking a   penile lengthening procedure."

 "Surgery is characterised by a risk of complications and unwanted outcomes and lack of consensus among the medical profession   on the indications for surgery and the techniques used. That is why a non-invasive technique is preferable," said   Gontero.

 In some cases, psychological satisfaction is often just as important as physical changes, Orderda and Gontero noted.

 Gontero said urologists are often approached by men worried about the size of their penis, even though in most cases, the penis is   of normal size.

 But there are some conditions such as Peyronie's disease and congenital abnormalities that can leave a man with a shorter than   normal penis, as can surgical procedures like radical prostatectomy for men with prostate cancer.  Lack of skin due to chronic   inflammation or aggressive circumcision can also make the penis appear smaller.

 And another condition is "hidden penis", often seen in obese older men whose belly fat and skin overlies the penis.

 According to most of the studies that they reviewed, a penis was considered normal if its length when flaccid was more than 4   cm, and when erect, was more than 7.5 cm, but this also depended on height and BMI.  The length was measured along the dorsal   or upper side.

 Gontero said that no studies have yet compared surgical and non-invasive methods of increasing penis length (andropenis).

 "However our review suggests that penile extenders represent an effective and durable method of penile lengthening, capable of   elongating the penis by an average of 1.8cm with minimal side effects. This compares favourably with surgery, which is much   more invasive for the patient," he added.

  Gontero and Oderda reviewed five evidence-based studies of penile surgery on a total of 121 men, and six evidence-based studies of non-surgical interventions covering a total of 109 men, 72 of whom used the penile extenders.    All the studies were published between 2000 and 2009.

 They found that surgical procedures resulted in average flaccid length increases of 1.3 to 2.5 cm, while studies of three types of   penile extender (andropenis) resulted in average flaccid length increases of 0.5 to 2.3 cm.

 Penile extender (andropenis) usually require the penis being in traction for several hours a day for several months, and the researchers wondered whether the gains were worth it.

 A small number of the men who used penile extenders reported experiencing bruising, temporary discoloration, pain and   itching.

 One study that looked at the long term effects of repeated vacuum treatment in 37 men found no significant change in penis   length after six months, although it reported a degree of psychological satisfaction for some men.  One man reported experiencing   numbness, and another man had a haematoma (blood under the tissue).

 Another study they reviewed showed that botox may have a temporary effect in increasing flaccid length and decreasing penile   retraction, while a further study suggested that using penoscrotal rings with an erectile dysfunction drug could help anxious men   maintain an erection, but the reviewers could only find two case reports that measured how effective these devices  were.

 Ordeda and Gontero noted that despite the fact the idea appeals to a lot of men, and that it is widely discussed on the internet,   probably because it is cheap and involves  no invasive procedures, there is no evidence that exercises can help a man lengthen his   penis.

 Many men who feel their penis is too small are often surprised to discover that it is in the normal size range.  This means there is a   role for therapy in helping these patients, said the reviewers, who recommended they try cognitive behavioral therapy to improve  their perception of their body image.

  Written by: Catharine Paddock, PhD

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HOW IS PEYRONIE´S DISEASE TREATED?

Traction Therapy for Peyronie's Disease | ISSM
sex-health-brief}www.issm.info

HOW IS PEYRONIE ´ S ILLNESS DEALT WITH?

International Society for Sexual Medicine "How is Peyronie's disease treated?" ANDROPEYRONIE (MEDICAL PEYRONIE EXTENDER).

Traction therapy following surgery for Peyronie’s disease may increase actual and perceived penile length for some men, according to new research published in the Journal of Sexual Medicine.

Peyronie's disease, a wound-healing problem, creates locations of solidified scar tissue called plaques to base on the penis. These plaques bring about lowered flexibility, leading to a recognizable penile curvature throughout erection. Some guys with Peyronie's disease experience pain and also are not able to make love.

Surgical treatment is one treatment alternative. 2 sorts of surgical treatments refer to this research study. The first is called tunica albuginea plication (TAP) and involves stitching the area on the opposite side of the plaques to straighten out the curvature. The various other treatment is partial plaque excision and grafting (PEG), in which a cosmetic surgeon makes a cut in the plaque and also fills it with graft product.

One usual problem of surgical treatment for Peyronie's condition is penile shortening, which can be a severe issue.

In this study, American scientists from Rush University Medical Center in Chicago collaborated with 4 teams of males. (An overall of 134 guys took part.) Two teams had TAP surgical procedure, the various other 2 had PEG treatments. For every kind of surgical treatment, one team had grip therapy as well as the other did not.

Traction therapy (ANDROPEYRONIE) included putting on a traction device on the penis for a suggested 2-- 6 hrs every day starting 3-- 4 weeks after surgical treatment. From that point, clients were recommended to make use of the tool for 3 months. The goal of traction therapy (ANDROPEYRONIE) was to maintain the penis straight as it healed as well as stop size loss.

Stretched penile length measurements were taken in the past as well as after treatment. In addition, all men were mailed a survey that asked about their assumptions of penile length adjustment and their pre- and post-surgery satisfaction.

For the guys who undertook TAP:

- The mean length change was 0.85 cm.

- 68% viewed upright length gain.

- 0% viewed upright size loss.

- 32% perceived no adjustment in upright size.

For males that underwent TAP without traction treatment:

- The mean length modification was -0.53 cm.

- 7% regarded erect size gain.

- 79% viewed erect size loss.

- 14% viewed no adjustment in erect length.

For males who went through PEG as well as grip therapy (ANDROPEYRONIE ):

- The mean length adjustment for was 1.48 cm.

- 47% viewed upright size gain.

- 0% regarded upright length loss.

- 53% perceived no adjustment in erect length.

For guys who underwent PEG without grip therapy:

- The mean size change was 0.24 centimeters.

- 14% perceived erect size gain.

- 57% viewed erect length loss.

- 29% regarded no modification in erect length.

Generally, 69% of all individuals were satisfied with their surgical result.

There were no complications or changes in penile experience associated with traction treatment.

The researchers wrapped up that traction treatment can maintain some measured and also viewed penile length after surgical treatment for Peyronie's illness. Nevertheless, due to the emotional ramifications of penile size and also outcome contentment, it is necessary for males to have practical expectations before they have surgery.

Resources

International Society for Sexual Medicine

“How is Peyronie’s disease treated?”

http://www.issm.info/sexual-health-qa/how-is-peyronies-disease-treated

Journal of Sexual Medicine

Rybak, James, MD, et al.

“A Retrospective Comparative Study of Traction Therapy vs. No Traction Following Tunica Albuginea Plication or Partial Excision and Grafting for Peyronie’s Disease: Measured Lengths and Patient Perceptions”

(Full-text. First published online: August 17, 2012)

http://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2012.02849.x/abstract

Novel Peyronie’s Disease Treatment Shows Efficacy

 

Novel Peyronie’s Disease Treatment Shows Efficacy

Novel Peyronie’s Disease Treatment Shows Efficacy, andropeyronie penis extender therapy peyronie

Novel Peyronie’s Disease Treatment Shows Efficacy

https://www.renalandurologynews.com/erectile-dysfunction-ed/novel-peyronies-disease-treatment-shows-efficacy/article/342089/

Penile traction therapy PTT (andropeyronie)is an effective treatment for the acute phase of Peyronie’s disease (PD), Spanish researchers reported in The Journal of Sexual Medicine(2014; 11:506-- 515).

Juan Martínez-Salamanca, MD, PhD, of the Department of Urology at the Autonomous University of Madrid as well as colleagues examined 55 clients who underwent PTT, a novel penile extender device therapy (andropeyronie), for 6 months for severe phase (AP) of Peyronie's. These people were compared to 41 patients in the intense stage of Peyronie's condition that received no active treatment.

From standard, imply curvature in individuals treated with PTT had lowered from 33 ° to 15 ° at 6 months as well as 13 ° at 9 months, with a mean reduction of 20 °. Erectile feature as well as firmness improved substantially, and also the percentage of people unable to attain infiltration reduced from 62% to 20%.

The requirement for surgical procedure was decreased in 40% of people who would or else have actually been eligible, and the complexity of surgeries was more streamlined in 1 out of 3 people. PTT was related to the removal of sonographic plaques in 48% of clients treated.

The non-active therapy team had a considerable increase in penile defect, where function and also firmness intensified as well as stretched flaccid penile size had reduced.

"PTT appears an efficient therapy for the AP of PD in regards to pain decrease, penile curvature decline, as well as improvement in sex-related function," the writers concluded.

Traction and Traction Device for Correcting Peyronie’s Disease

 

Traction and Traction Device for Correcting Peyronie’s Disease

Peyronie’s disease is a curvature abnormality of the male penis that is marked by a multitude of disturbing symptoms such as; curvature deficits, painful penile spasms, erectile dysfunction and a reduction in the overall size of the penis.

Several medicinal and also invasive treatments are readily available to manage the signs of this problem; however, conventional remedies such as grip tools are thought about exceptional owing to very little threat of negative impacts as well as long-term impairments.

What are Penile Traction Device? (andropeyronie).

Penis lengthening gadget (additionally known as andropeyronie) comprises of a plastic ring (that fits at the base of the penis) and two steel poles that holds the ring in place through flexible fitting. The goal of this setup is to preserve ideal traction of the penile shaft in order to develop sufficient pressure outwards, for purposeful support.

It is vital to remember that the strength of the used traction is moderate to enable the prolongation of penile cells as a result of high rate of manufacturing and deposition of tissue matrix to make sure optimal remodelling of penile muscular elements.

The rationale behind making use of traction devices in the management of Peyronie's condition is the reality that relentless pressure over the bent, warped rub of the penile shaft can assist in the activation of remodelling as well as restoration systems to recover regular composition and also physiology.

Efficiency of Traction as well as Traction Device (ANDROPEYRONIE).
Research study and scientific data indicates that controlled use of grip gadgets aid in the growth of penile cells (both in transverse as well as straight fashion). It is without a doubt the least expensive and most efficient treatment that assists backwards the curvature abnormalities without exacerbating the risk of damaging impacts. Most notably, the person fulfillment scores as well as conformity price is likewise exceptional with grip tool (andropeyronie); because individuals are not called for to undergo embarrassing physical examinations as well as long hours of waiting at doctor's workplace. The financial expense of therapy is lower without heavy examination fees and also cumbersome expense of expensive medications.

Although these tools are made to augment the girth of the penis however elongation of straight penile shaft is the pillar of treatment goal. The added benefit of enhancement in girth is thought about a great mix for a lot of individuals. Besides, thick and long penis is a true blessing for lots of specifically in a challenging Peyronie's disease in which penile reducing is a chief grievance.

Some Tips to Improve the Quality of Results.

Specialists believe that grip is a superb modality of treatment in individuals with moderate condition such as curvature problem of no more than 50 degrees, with minimal ED as well as or else steady disease. The high quality of results can be boosted by:.

The regularity of the andropeyronie application as well as the quantity of the force used establishes the end result of the therapy.
The andropeyronie must not be used for longer periods than encouraged and also toughness of traction pressure must be tapered to greater staminas in a gradual way.
For ideal results, begin slowly and also gradually boost the duration of traction (for up to 8 to 9hours/ day); however, solitary episode of traction application need to not go beyond 2 hours.
There must be a minimum of 20 mins break in between 2 consecutive sessions. Traction ought to be begun with moderate as well as can be enhanced slowly or as advised.
Negative Effects of Penis Traction Device.
Based upon professional information, andropeyronie traction device is primarily well endured yet the safety and also long term benefits are mostly reliant upon the person's usage and also conformity to directions. After using the gadget, it ought to be taken out after optimum of 2 hours. A lot of frequently reported negative results with poorly controlled usage are itching and discomfort of the head of the 

andro peyronie FDA Correction of curved penis: up to 60% correction

andro peyronie FDA Correction of curved penis: up to 60% correction

Conditions: Peyronies Disease

Traction Therapy for Peyronie’s Disease

https://www.andropeyronie.com/

Do you work with men who have Peyronie’s disease? If so, they might be considering non-surgical treatment options. One is traction therapy and a recent Journal of Sexual Medicine study has shown some encouraging results.

Peyronie’s Disease — Some Basics

First, however, let’s go over some basics about Peyronie’s disease. It’s thought to stem from a penile injury that does not heal properly. Such an injury could happen during sports or vigorous intercourse, but sometimes, a man doesn’t even know that he has injured his penis.

For men with Peyronie’s disease, areas of hardened scar tissue called plaques form below the skin’s surface. These plaques cause the penis to lose some of its flexibility and bend.

Peyronie’s disease occurs in two stages. In the acute phase (the first 6 to 18 months), the plaques form and the penis curves. Many men experience pain, erectile dysfunction (ED), and penile shortening. Intercourse may become difficult.

In the chronic stage, the disease becomes more stable. Usually, the curve doesn’t worsen, but men still can still have problems with ED and intercourse.

Significant emotional distress can also occur during each stage.

Treatment for Peyronie’s disease depends on its severity. For some men, the situation resolves on its own or the curve is not bothersome. For others, the curve is so severe that they cannot have intercourse at all. These men may consider surgical treatment once the disease reaches the chronic stage.

What is Traction Treatment?

Guy that undergo traction treatment for Peyronie's condition use a clinical gadget especially designed to carefully draw the penis in the contrary direction of the curve.

A current study by Spanish scientists located that this method had excellent results for guys in the severe stage of Peyronie's condition.

Fifty-five individuals (imply age 50) underwent traction treatment making use of the Andropeyronie gadget, a typically utilized brand. A control team of 41 clients (indicate age 48) had no treatment. All of the men had acute-state Peyronie's illness.

The males getting grip treatment were advised to wear the tool for at least six hrs a day, yet no more than nine hrs. Clients were likewise informed to get rid of the gadget for at least 30 minutes every 2 hrs to avoid glans ischemia. This group additionally had penile sonography to evaluate the condition of their plaques.

After six months of therapy, the guys in the grip therapy group saw a variety of improvements:

· Mean penile curvature at erection was lowered from 33 levels at baseline to 15 levels.

· Mean penile size increased from 12.4 centimeters at standard to 13.7 centimeters.

· The men reported less pain and also improved erectile feature and hardness.

· More men had the ability to permeate a companion.

· Sonographic plaques went away in 48% of the clients.

· The demand for surgery was minimized in 40% of the clients. Amongst the guys who did require surgical procedure, concerning one 3rd had the ability to have simpler treatments.

· These results were maintained at a 9-month follow-up point.

On the other hand, the males that got no treatment did not fare so well:

· After six months, their mean degree of curvature enhanced from 29 degrees at standard to 51 degrees after 6 months.

· Mean penile length decreased from 14.5 centimeters at standard to 12.1 centimeters.

· They reported extra pain as well as poorer erectile function and also hardness.

· Fewer men had the ability to pass through a companion.

· After 9 months, there were no considerable enhancements.

Compliance with therapy was an important aspect for the traction therapy team. The males put on the tool for a mean of 4.6 hours a day. Nonetheless, those who wore it for greater than 6 hours a day normally had much better outcomes.

Overall, the scientists wrapped up that penile traction treatment "seems an efficient therapy" for men in the intense stage of Peyronie's disease, as discomfort, curvature, and sex-related function enhanced in their study group.

Is penile grip therapy right for your patients? Maybe, especially if they are inspired to wear the tool for the recommended quantity of time. Nevertheless, only a urologist can answer this inquiry for certain. Clinicians are encouraged to refer their people with Peyronie's illness to the proper experts.

Print this short article or see it as a PDF data here: Traction Therapy for Peyronie's Disease

Resources

Andromedical Corp./ Andropeyronie.

" FAQ-- Method and also Instructions".

http://www.andropeyronie.com/faqs.

The Journal of Sexual Medicine.

Martínez-Salamanca, Juan I., MD, PhD, et al.

" Acute Phase Peyronie's Disease Management with Traction Device: A Nonrandomized Prospective Controlled Trial with Ultrasound Correlation".

( Full-text. Very first published online: November 22, 2013).

http://onlinelibrary.wiley.com/doi/10.1111/jsm.12400/full.

Sexual Medicine Society of North America.

" Peyronie's Disease".

http://www.sexhealthmatters.org/peyronies-disease.

Urology Care Foundation.

" Peyronie's Disease".

( Last upgraded: March 2013).

http://www.urologyhealth.org/urology/index.cfm?article=115.

https://www.andropeyronie.com/curved-penis-correction-peyronie/.

Bent Penis and also Peyronie.

It is very constant for the penis to be slightly rounded, and as people are not totally in proportion most males have a slight deviation away. This penile curvature is a natural phenomenon and also might not always signify any shortage or trouble.

Nonetheless, if the penis has a much more substantial curvature or is greatly curved upwards or to either of the sides or even downwards, this can in some cases suggest greater problems or perhaps a problem known as Peyronie's illness. A bent or bent penis is not always a repercussion of this illness, though, as it can be a repercussion of previous injury or accident (normally throughout sex or sporting activity), or perhaps an abnormality existing since birth. On the various other hand, the Peyronie's disease does not always show it-self with a curvature.

Some of the cases of penis curvature which occur later in life heal or improve naturally over time. This should happen within a year or maximum two. When the abnormalities are not too severe and do not hinder sexual activities the penis enhancement treatment is not really necessary. Even though, many patients do not need treatment because of the performance reasons, they want to improve the aesthetic appearance of their penis. To achieve this, two principle methods are available: penis enlargers and corrective surgery, the former being less invasive but slower than the latter. At this point it is also important to underline though, that a curved penis can also prevent a normal penis growth .

Curve Correction Extenders

Probably the best ratio between price, aggressiveness and effectiveness of the treatment still remains in the field of approaching Peyronie’s disease and other curved penis problems with penis extender specially adapted for this kind of treatment. The only downside of it being, it takes time and therefore patience to reach a satisfactory result.

The device can be medically prescribed by the personal physician, urology specialist or the patient can buy it by his-own initiative.

How Penile Extenders Correct Curvatures?

The device works in the same way as a normal penis enlarger that is used to attain a bigger penis. It is applying traction to the penis in the longitudinal direction and thus forcing it to stretch and consequently to grow, but at the same time, it is applying grater force on the shorter side and so pressuring it to correct the curvature. The shorter side will thus be stretched harder to elongate it a bit more. While this might seem a painful or at least uncomfortable procedure, the penis accustoms it-self to the constant pressure quickly and the patient does not feel annoyance after a short adaptation period.

Extender Correction Results

Different reports and studies have shown that stretching devices can partially correct congenital or acquired curvatures like Peyronie’s up to 40%; though, this procedure requires patience and discipline, as the device has to be used for several months. Absence of side effects makes them a good alternative to surgery. In some cases of less severe curvatures, penis extenders can also produce an additional penis enhancement.