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Author Topic: VED study from the UK  (Read 7736 times)

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newguy

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VED study from the UK
« on: May 20, 2010, 12:22:04 AM »



Brief summary below. Check the attached pdf for entire study.


The role of vacuum pump therapy to mechanically straighten the penis in Peyronie's disease.

Raheem AA, Garaffa G, Raheem TA, Dixon M, Kayes A, Christopher N, Ralph D.

Department of Urology, St Peter's Hospitals and The Institute of, Urology, London, UK.

Abstract

OBJECTIVE To assess the efficacy of vacuum therapy in mechanically straightening the penile curvature of Peyronie's disease (Peyronies Disease).

PATIENTS AND METHODS Modelling of the tunica albuginea has been shown to be possible during penile implant surgery and this principle has been applied as an alternative conservative therapy. In all, 31 patients with Peyronies Disease (mean duration 9.9 months; mean age 51 years, range 24-71) completed the study. Over a 12-week period, the patients used a vacuum device (Osbon ErecAid(R), MediPlus, High Wycombe, UK) for 10 min twice daily. The assessment at study entry and at completion after 12 weeks included the International Index of Erectile Function questionnaire, a perceived pain intensity score, stretched penile length measurement and the angle of penile deformity after an intracavernous injection with prostaglandin E1.

RESULTS There was a clinically and statistically significant improvement in penile length, angle of curvature and pain after 12 weeks of using the vacuum pump. Of the 31 patients, 21 had a reduction in the angle of curvature by 5-25 degrees , three had worsening of the curvature and there was no change in the remaining seven. The curvature was corrected surgically in 15 patients while the remaining 16 (51%) were satisfied with the outcome.

CONCLUSION Vacuum therapy can improve or stabilize the curvature of Peyronies Disease, is safe to use in all stages of the disease, and might reduce the number of patients going on to surgery.
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Hawk

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Re: Measurement Methods
« Reply #1 on: July 04, 2010, 10:45:07 PM »

In answer to the question, "Why do they measure stretched penis length instead of erect length?"

Doctors always seem to use stretched length and I think it is for good reason.  Erection length varies because erection intensity varies.  In addition, changes in body fat cause variations in the length of penis that extends beyond the body.  Properly conducted, the stretched penis length measurements eliminate these variables.

Stretched length is consistent if done properly.  I think it is usually referred to as "Bone Pressed Flaccid Length" of (BPFL).  A ruler is pressed against the pubic bone rather than just to the skin surface of the lower abdomen.  The reference point remains the same regardless of fat gain or loss.  Unlike erections, stretched length remains the same so you now have a consistent way to measure tissue state as measured from a consistent reference point.
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Prostatectomy 2004, radiation 2009, currently 68 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums
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