Iontophoresis treatment: Do you know of any other companies besides Physion that are offering this modality? I found numerous companies that make portable devices similar to Physion. Is their protocol machine different or is the iontophoresis basically the same?

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The Physion device is unique in that it provides a reservoir, which is attached and sited directly over the Peyronie’s plaque. This is why it is not a particularly good device or approach for patients with downward or ventral curvature as it is difficult to get exposure to the underlying plaque through the urethra. On the other hand, the other iontophoresis devices which are on the market, use a pad which is saturated with the chemical. As of this time, there are no studies which have been done on patients with Peyronie’s Disease that demonstrate that these other devices do result in actual transfer of the drug into the underlying plaque. One study did show that with the Physion device that 71% of patients had measurable levels of Verapamil within their plaque when this procedure was performed prior to a surgical incision of plaque. Therefore at this time it does not appear that all iontophoresis devices are the same until further studies are performed.

Previous I have seen literature describing the use of penis traction devices, such as the Pro-Extender, to treat Peyronie’s. Unlike vacuum devices, these traction devices are used for 8-12 hours a day. What is your opinion on this approach?
Next There has been considerable discussion on various forums about the three cylinder vacuum erection device study being done in Birmingham, Alabama by the Birmingham Urology group. What is your best considered opinion about vacuum therapy, especially using the three cylinder VED, for PD symptoms? Also, what is your opinion of the hand manipulated jelqing or milking action being suggested for penile enhancement and/or enlargement?
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