22/11/2013 - Acute Phase Peyronie's Disease Management with Traction Device

[herpderp]

INTRODUCTION:
Outcome data of penile traction therapy (PTT) for the acute phase (AP) of Peyronie's disease (Peyronies Disease) have not been specifically studied.
AIM:
The aim of this study was to assess the effectiveness of a penile extender device for the treatment of patients with AP of Peyronies Disease.
METHODS:
A total of 55 patients underwent PTT for 6 months and were compared with 41 patients with AP of Peyronies Disease who did not receive active treatment ("no intervention group" [NIG]).
MAIN OUTCOMES MEASURES:
Pre- and posttreatment variables included degree of curvature, penile length and girth, pain by 0-10 cm visual analog scale (VAS), erectile function (EF) domain of the International Index of Erectile Function questionnaire, Erection Hardness Scale, Sexual Encounter Profile 2 question, and penile sonographic evaluation (only patients in the intervention group).
RESULTS:
The mean curvature decreased from 33° at baseline to 15° at 6 months and 13° at 9 months with a mean decrease 20° (P < 0.05) in the PTT group. VAS score for pain decreased from 5.5 to 2.5 after 6 months (P < 0.05). EF and erection hardness also improved significantly. The percentage of patients who were not able to achieve penetration decreased from 62% to 20% (P < 0.03). In the NIG, deformity increased significantly, stretched flaccid penile length decreased, VAS score for pain increased, and EF and erection hardness worsened. PTT was associated with the disappearance of sonographic plaques in 48% of patients. Furthermore, the need for surgery was reduced in 40% of patients who would otherwise have been candidates for surgery and simplified the complexity of the surgical procedure (from grafting to plication) in one out of every three patients.
CONCLUSIONS:
PTT seems an effective treatment for the AP of Peyronies Disease in terms of pain reduction, penile curvature decrease, and improvement in sexual function.

Acute Phase Peyronie's Disease Management with Tra... [J Sex Med. 2013] - PubMed - NCBI

[Mentos]

What traction device did they use?

[james1947]

I think is not so important the kind of device if it is the spring loaded type.
My remark is that the results seems too good.
I am afraid that it will be very difficult to duplicate this research with so good results.
But with all the above, it seems that the treatment in the acute state is the key, like with almost all the treatments.
Peyronies should be treated as soon as you can.

James

[DJPER]

It's the andropeyronie device. If the moderators allow it I can attach the PDF of the fulltext which I have access to. Would that be OK or not?

[Mentos]

Are you going to get one?

[DJPER]

I decided to go full monty for 6 months and evaluate thereafter. I therefore ordered a traction device and chose the penimaster pro. I am still finding out the best combination of sluice/diaphragm and insets to be able to wear it more comfortably. I wore it yesterday for about 5 hours. I guess the vacuum traction devices seem a bit more comfortable than androperoynie style ones. I guess it really doesn't matter which one you wear as long as its comfortable and you could get some hours in. It seems doable and you could definitely wear it in a stealth manner. The penimaster is a cool device but I am having trouble setting it up so that it doesn't excerpt traction on the top part of the glans only which gets uncomfortable. Any tips would be welcome. 

I did not attach the full paper because of potential copyright issues. If the site moderators want it please let me know and I will send in a PM.

Mini review:

Inclusion of acute phase peyrnoie patients taken off all medications and subjected to traction 6 hours a day for 6 months. Clear effect on all outcome parameters with improvement in curve (major in 36%) and pain. Small length gain (about 1,5 cm). Results were stable after 9 months.

Pro: Seems well conducted. Acute phase patients are included which is new data. Great results of traction however only one in three had major benefit. About half have some benefit (>10 degrees) additionally so 90% benefited a lot or some. Predictors for succes seem to adherence (6!!! hours a day although most did 4,5), young age, curvature <45 degrees, <3 months activity and lots of pain at the beginning.
Con: small sample size, photos used for curve comparisons, the "placebo" group performs surprisingly worse than might be expected and compared to other studies. No concurrent medication was allowed (which could also be considered a pro) and 20% had no plaques at baseline which is a bit puzzling. Furthermore based upon the means there was an over representation of mild cases in the group. Follow up is short (6 months of traction followed by 3 months of additional follow up).

All the best, D

[Mentos]

I've started using size genetics. Really comfortable for at home use. Not stretching it too much at first.

One concern is that the head of my penis feels cold. Hope to g.O.D this helps!

[jackp]

Mentos

If the head of your penis feels cold it means you are not getting blood flow there.  Loss of blood flow will cause other problems. That happens with a constriction ring and the reason you can only ware it for 30 minutes.

Jackp
http://jackp-penileimplant.blogspot.com

[james1947]

Mentos

I stopped using traction for the reason that my glans got cold and white. No blood flow there, not a good thing.
As Jack has said, this is the reason not to use restriction ring for more that 30 minutes. Now imagine doing at least 4 sessions of 30 minutes per day to get the minimum 2 hours traction per day that it may help. I think 2 hours per day with no blood flow can have very negative effects on the penis.

James

[Hawk]

I am not suggesting that restricted blood flow is a good thing but restricted blood flow to the glans is just part of traction and traction has been shown by Levine and other to correct both curvature and hourglass deformity.  It also has been shown to help restore size and girth.

The key is to not leave it on for over 2 hours at once and to induce good circulation prior to and right after a traction session.  This can be done via natural erection or VED.

[Mentos]

HAWK & others

IM back on traction. size genetics. But i have trouble keeping my penis strapped in... it seems to sloowly slip out of the strap although i use a foam thing they provide. any suggestions?

[inkhorn]

Mentos-I have been using Size Genetics for months. The only time I slip out is if I use too much tension in the beginning of a session. I never liked the strap with the foam, it seemed to cumbersome and I pinched myself. The tubing that came with it works good for me. I'm uncircumcised, so I the foreskin covers the head and the surgical tubing holds good behind the gland. Good luck, Inkhorn

[Mentos]

Thanks ink horn!

I may have misplaced that tubing I will look for it and give it a shot.

Angry lue told me not to use it after reviewing what this study shows. Which are pretty significant improvements vs non treatment.

[Mentos]

Found the tubing inkhorn. Giving it a shot now

[Mentos]

Right on yes the tubing holds it in well. Turn up the gland a bit tho. Thoughts or concerns about  thay?