For penile fibrosis that causes curvature during erection, there are treatments based on drugs, penile traction devices, penile shaping, and low-intensity shock waves.
Conservative (non-surgical) treatment for Peyronie's disease is primarily aimed at treating patients in the early stages of the disease.
This Pharmacotherapy It is indicated to relieve symptoms and prevent disease progression. Treatments may include oral administration, intralesional injections, or physical therapy.
Currently, there is no convincing evidence to support many of the oral treatments that have been used in this disease, such as vitamin E, potassium para-aminobenzoate (potaba), tamoxifen, and pentoxifylline.
Non-steroidal anti-inflammatory drugs can be used to treat pain in the acute phase, and some benefit has been shown with the use of sildenafil and other drugs to enable an erection that improves the quality of relationships in patients.
As for intralesional treatment, it consists of injecting certain drugs into the fibrous plaque that can improve penile curvature, pain, and fibrous density of the plaque. Various drugs have been used, but the most effective is collagenase. Clostridium histolyticum and interferon.
Among the physical therapiesWe can offer our patients treatment with extracorporeal shock waves to treat penile pain and penile traction therapy Alone or in combination with injectable therapy as part of a multimodal approach, it can reduce penile curvature and increase penile length.
Also useful are vacuum devices that generate an erection by causing blood to flow to the penile vessels, resulting in an erection.
