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Nonsurgical treatment shows advantages in Peyronie's disease
Medical Xpress / Wolters Kluwer Health / Journal of Urology ^ | Oct. 10, 2023 | Benjamin Green et al

Posted on 10/16/2023 9:09:00 PM PDT by ConservativeMind

For men with Peyronie's disease (PD), nonsurgical treatment including injections of collagenase clostridium histolyticum (CCH) produces high satisfaction with sexual outcomes—with fewer adverse events compared to surgery.

Peyronie's disease is a condition in which the penis becomes curved due to scar-like tissue called plaque, resulting from an abnormal healing response after injury.

Surgery has long been the standard treatment for PD. In 2014, the US FDA approved CCH as a nonsurgical alternative. Treatment includes injections of CCH, with the aim of breaking down the plaque tissue causing the penile curvature.

Forty men with PD were randomly assigned to CCH injection therapy or surgery. Nonsurgical treatment included CCH injections, followed by the use of a traction device (RestoreX) to help stretch and shape the penis plus the oral medication sildenafil. Most patients underwent multiple courses of CCH treatment.

Men assigned to surgical treatment underwent appropriate surgery to reduce their penile curvature, followed by use of RestoreX traction plus sildenafil.

After three months, 50% of men assigned to CCH reported being "very satisfied" with their outcomes, compared to 21% in the surgery group. Men in the CCH group also reported better erectile function: 100% versus 68%. However, scores on a standard erectile function score were similar between groups.

Men undergoing surgery had greater improvement in penile curvature: 65 degrees, compared to 32.5 degrees in the CCH group. Penile length increased by an average of one centimeter with CCH injections, compared to a one-half centimeter reduction with surgery.

Orgasmic function was better in men assigned to CCH; most other subjective outcomes were similar between groups. Adverse event rates were higher in the surgery group: four times higher overall than with CCH.

Although surgery produces greater improvement in penile curvature, sexual function and overall patient satisfaction appear higher with CCH injection therapy.

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS:
Non-surgical repair made for the happiest patients, despite a bit less perfection in the outcome.
1 posted on 10/16/2023 9:09:00 PM PDT by ConservativeMind
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To: Mazey; ckilmer; goodnesswins; Jane Long; BusterDog; jy8z; ProtectOurFreedom; matthew fuller; ...

The “Take Charge Of Your Health” Ping List

This high volume ping list is for health articles and studies which describe something you or your doctor, when informed, may be able to immediately implement for your benefit.

Email me to get on either the “Common/Top Issues” (20 - 25% fewer pings) or “Everything” list.

2 posted on 10/16/2023 9:09:33 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind
TMI

3 posted on 10/16/2023 9:14:35 PM PDT by Governor Dinwiddie (Lord, grant thy people grace to withstand the temptations of the world, the flesh, and the devil.)
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To: Governor Dinwiddie

Paula Jones-make her a proven liar?


4 posted on 10/16/2023 9:15:48 PM PDT by DIRTYSECRET (e allowed )
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To: DIRTYSECRET

Bill wasn’t crooked until he stuck it in crooked Hillary


5 posted on 10/16/2023 9:22:37 PM PDT by Right Brother (Pray for God's intervention to stop UMCRevMom's invasion of Free Republic)
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To: ConservativeMind

I guess that length adjustable splint idea never did become a common, accepable treatment for this condition. //


6 posted on 10/16/2023 9:28:22 PM PDT by lee martell
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To: ConservativeMind

Some good news - the impeached *Bubba will continue to date.


7 posted on 10/17/2023 12:40:05 AM PDT by Libloather (Why do climate change hoax deniers live in mansions on the beach?)
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To: ConservativeMind

I look forward to watching TV with my granddaughter when those commercials come on.

NOT !!!


8 posted on 10/17/2023 1:36:39 AM PDT by Laslo Fripp (Semper Fidelis)
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To: DIRTYSECRET

“It will all dissipate under the weight of its own inadmissibility” — Hillary Clinton


9 posted on 10/17/2023 2:57:20 AM PDT by jerod (Nazi's were essentially Socialist in Hugo Boss uniforms... Get over it!)
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To: DIRTYSECRET

Slick’s crookedness cost him $300,000.


10 posted on 10/17/2023 3:38:14 AM PDT by hardspunned (Former DC GOP globalist stooge)
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To: ConservativeMind
Why do people need straight carrots?


11 posted on 10/17/2023 4:05:15 AM PDT by maddog55 (The only thing systemic in America is the left's hatred of it!)
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To: ConservativeMind

“ despite a bit less perfection in the outcome.”

Well, don’t get bent out of shape over it.


12 posted on 10/17/2023 4:17:03 AM PDT by MPJackal ("From my cold dead hands." )
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To: maddog55

There once was a fellow from Kent...


13 posted on 10/17/2023 4:48:58 AM PDT by billorites (freepo ergo sum)
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To: ConservativeMind

Hate those crooked carrot ads...


14 posted on 10/17/2023 5:51:43 AM PDT by Chauncey Gardiner (Vivamus stultus ignarus mori )
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To: Right Brother

Heh!

;-)


15 posted on 10/17/2023 3:32:07 PM PDT by Tunehead54 (Nothing funny here ;-)
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