There are now 3 published, well performed, placebo-controlled trials examining the benefits of ESWT for Peyronie’s, none of them have shown any benefit with respect to penile deformity, although some have suggested quicker reduction of pain. Realize though, that pain will typically resolve on its own. There
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I have not seen any beneficial effects of iontophoresis with verapamil and/or dexamethasone in improving plaque calcification in my experience or in the published. Therefore, in my patients who present with substantial plaque calcification iontophoresis is not recommended and in fact, there is no known non-surgical treatment
Read more →Electromotive drug administration (EMDA) has been reported to have benefit when used for Peyronie’s disease in several publications. It appears that the best combination of drugs as reported by DiStasi is when verapamil (10 mg) and dexamethasone (4 mg) are used 3-4 times per week for at
Read more →Various forms of external energy have been used to treat PD in non-randomized trials including topical ultrasound and lasers. The mechanism is unknown, but it has been suggested that ultrasound and laser treatment may enhance tissue healing. I am not familiar with any studies which have demonstrated
Read more →I recommend that you examine the topic section within this website on the use of shockwaves, and previous answers to questions on this subject. Basically at this point there is no evidence that the use of shockwaves for Peyronie’s disease is an effective therapy. Several patients have
Read more →Whenever a test has been ordered the physician (and the patient) should ask themselves how the results of the test will alter the plan of treatment. If the answer is “not much” then the test is probably not indicated. Over history, numerous imaging studies have been employed
Read more →Extracorporeal shock wave therapy (ESWT) is a therapy where shock waves are aimed at tissue or structures to disrupt them. It has been used in many conditions although it has been used most frequently for the fragmentation of stones inside the body, such as gallstones and kidney
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