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Quote from: UroToday.comThis study from from the UK may have put to rest the use of extracorporeal shock wave lithotripsy (ESWL) for the treatment of Peyronie's Disease plaques.
Quote from: UroToday.comThis study out of Sao Paolo, Brazil showed that shock wave therapy (SWT) can actually induce tissue injury to the tunica albuginea to form a Peyronie's plaque in normal tissue.
Quote from: lwillisjr on January 25, 2009, 02:30:02 PMatchoum,Welcome (unfortunately).... you will find mixed reactions here regarding the Verapamil injections. Several have had complications just from the injections. But there are documented studies where the injections did help, but I believe it was in conjunction with either VED or traction therapy in addition to the injections. I had 6 of them and didn't notice any improvement at all. I was fortunate in that I did not have any complications or side effects from the injections.
Quote from: lwillisjr on January 25, 2009, 02:30:02 PMThe ESWT topic has come up several times. It seems there is a lot of interest in it but I'm not aware of anyone on this forum who has had any treatments nor any success with it. But one thing to remember is that there is no single cure that works for everyone, so each person needs to pursue their own choices of therapies to see what works for them.
Quote from: Tim468 on January 25, 2009, 04:55:42 PMThe article on shockwave therapy is from 2003 and I have seen no good followup study published. That usually means that the early data did not pan out with larger numbers of patients, or that the original numbers were not that good to start with.Tim
Quote from: Iceman on October 21, 2008, 04:43:35 AMcan anyone comment on this:In the study, researchers at the Hôpital Foch in Suresnes, France, investigated a technique called extracorporeal shock wave therapy (ESWT), commonly used to split and break up kidney stones, to treat 54 men with Peyronie's.Of the 35 patients that had pain on erection, 91% noticed relief immediately after treatment. Twenty-nine patients (54%) noticed an improvement in penile angle, and 25 thought the plaque had been smoothed by the procedure. Overall, 61% of patients said their condition had improved after the therapy. Only 9 patients (16%) thought it was inadequate and went on to surgery."On the basis of these results, we conclude that ESWT could become a valuable tool in the therapeutic arsenal to successfully treat Peyronie's disease," write the authors in their study, which is published in the current issue Urology.
QuoteHello lwillisjr an thank you for your answers,You talk about side effects and complications from the Verapamil injections, what could they be ?
QuoteBACKGROUND: Extracorporeal shock wave therapy (ESWT) is a conservative therapy for patients with Peyronie's disease (Peyronies Disease). OBJECTIVE: To investigate the effects of ESWT in patients with Peyronies Disease. DESIGN, SETTING, AND PARTICIPANTS: One hundred patients with a history of Peyronies Disease not >12 mo who had not had previous Peyronies Disease-related treatments were enrolled in a prospective, randomized, double-blind, placebo-controlled study. Patients were randomly allocated to either ESWT (n=50) or placebo (n=50). Erectile function (EF), pain during erection, plaque size, penile curvature, and quality of life (QoL) were assessed at baseline, at 12 wk, and at 24 wk follow-up. INTERVENTION: Four weekly treatment sessions were administered. Each ESWT session consisted of 2000 focused shock waves. For the placebo group, a nonfunctioning transducer was employed. MEASUREMENTS: EF was evaluated with the shortened version of the International Index of Erectile Function (IIEF-5), pain was evaluated with a visual analog scale (VAS; 0-10), plaque size was measured in cm(2), and penile curvature was measured in degrees. RESULTS AND LIMITATIONS: After 12 wk, mean VAS score, mean IIEF-5 score, and mean QoL score ameliorated significantly in patients receiving ESWT. Mean plaque size and mean curvature degree were unchanged in the ESWT group, while a slight increase was reported in the placebo group (p-value not significant vs baseline). After 24 wk, mean IIEF-5 score and mean QoL score were stable in the ESWT group, while mean VAS score was significantly lower when compared with baseline in both groups. Interestingly, after 24 wk, mean plaque size and mean curvature degree were significantly higher in the placebo group when compared with both baseline and ESWT values. The main limitations were that the QoL questionnaire was not validated, Erectile Dysfunction was not etiologically characterized, and inclusion criteria were restricted. CONCLUSIONS: In patients with Peyronies Disease, ESWT leads to pain resolution and ameliorates both EF and QoL.
Quote from: newguy on August 30, 2009, 10:32:12 PMAre you looking for treatment in Canada specifically, or would you be able to travel to the US if necessary? If you feel that it helped you, it's a shame that the clinic closed.
Quote from: tackarama on October 26, 2009, 02:40:42 PMDoes anyone know of any Urologists in the UK offering ESWT on the NHS or has anyone got any recommendations for private practices in the UK? If it works for some people then I'm prepared to try it, well anything but surgery!!Thanks in advance. Michael
QuoteWhy are you so interested in ESWT. There are few if any success stories with this?If you haven't done so yet you might want to read some of the other topics on the forum that have led to some positive results regarding Peyronies Disease.Les
Quote from: cindybasty07 on April 04, 2010, 10:32:21 PM or to know if that is a bot or a girl
Quote from: Tim468 on July 26, 2010, 01:49:23 PMNot sure I agree LennyMan with that advice. The FastSize has been studied and found to help, and it makes sense in the same way that the VED makes sense. It cannot hurt to get blood into the penis, but it is probably the mechanical stretching that helps the penis straighten out - using any traction system.