Preciso me corrigir!!
A cirurgia nao e o unico tratamento embora seja o melhor e mais definitivo. Em uma busca rapida a literatura medica encontrei alguns artigos que mostram tratamentos conservadores com Ulta som, shockwave, etc.
De uma olhada. VALE A PENA PERGUNTAR PRA ALGUM ESPECIALISTA...
1)ch Androl. 2003 May-Jun;49(3):205-13. Related Articles, Links
Extracorporeal shockwave therapy for peyronie disease.Groth T,Monga M.
2) J Phys Med Rehabil. 2001 Aug;80(8):583-5.
Physical treatment of Peyronie disease.
Culibrk MS, Culibrk B.
Department of Physical Medicine & Rehabilitation, Medical Center, Subotica,
Yugoslavia.
OBJECTIVE: Peyronie disease is a localized and progressive fibrosis. It is
characterized by a plaque in the tunica albuginea, which leads to penile
deformity, making sexual intercourse difficult, if not impossible. DESIGN:
During a 4-yr period, we treated 35 patients, aged 30-62 yr, in different stages
of this disease. We applied ultrasound therapy (0.5 W/cm; 10 min), infrared
radiation, and iontophoresis with 8% potassium iodide (0.2 mA; 30 min). The
patients were taught to administer therapy by themselves. The patients' diseases
were classified into three stages on the basis of subjective symptoms and
clinical findings. At the beginning of treatment, 20 patients' diseases were
classified as being in the first stage, 13 patients' diseases in the second
stage, and 2 patients' diseases in the third stage. RESULTS: By the end of
treatment, 10 patients were cured, 17 patients' diseases were classified as
being in the first stage, 8 patients' diseases were in the second stage, and
there were no patients in the third stage. CONCLUSIONS: The method is simple,
safe, painless, and inexpensive. Patients were taught to administer the therapy
by themselves. There were no side effects. Functional improvement and the
cessation of pain were noted by all the patients. The level of improvement
depended on the disease duration, the length of therapy, and the stage of the
disease.
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3) J Androl. 2003 Jan-Feb;24(1):33-4.
Peronie disease in younger men: characteristics and treatment results.
Levine LA, Estrada CR, Storm DW, Matkov TG.
Department of Urology, Rush Medical College, Chicago, Illinois 60612, USA.
We retrospectively reviewed our experience with 30 men with Peyronie disease (PD) younger than age 40 years to describe their clinical presentation, physical examination findings, and treatment outcomes. In addition, we performed a literature review to define the typical patient with PD and to compare our findings with those in the literature. The mean age of our study population was 31 years (range 18-38 years). The prevalence of patients under the age of 40 presenting with PD was 1.5%. In this population, 97% reported normal erectile capacity, and 100% presented with a palpable plaque. Medical and surgical treatments were used in the young population with results comparable to published data. According to the published literature we reviewed, patients with PD were less likely to recall a specific traumatic event, less likely to complain of painful intercourse, they had different directions of penile curvature, and different locations of penile plaques. Younger men with PD commonly present with complaints and physical examination findings that differ from the typical patient with PD.