Autophotography in evaluation of functional penile disorders

Kelâmı, A.

doi:10.1016/0090-4295(83)90210-8

Cited by 78 publications

(45 citation statements)

References 2 publications

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“…In addition, objective measures are limited to autophotography performed by the patient before and after treatment. 57 These studies showed mean improvement in deformity of 10-311 in 28-53.7% of men treated. Mean curvature improvement by degree was not reported in most of the published studies, but was noted to be 10-311 in two studies.…”

Section: External Energy Therapymentioning

confidence: 99%

Review of current nonsurgical management of Peyronie's disease

Levine

2003

Int J Impot Res

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The current nonsurgical treatment options for men with Peyronie's disease is reviewed. The treatments currently employed and published in the English literature are discussed. A wide variety of nonsurgical treatment options are available to the practicing physician, including oral and topical medications, intralesional injection therapy, as well as employing external energy sources to drive medicine into the tunica albuginea by iontophoresis or direct stimulation of plaque change by shock wave therapy. Nonsurgical treatment of Peyronie's disease clearly has a place in the armamentarium of the practicing urologist. Oral therapy appears to have little therapeutic benefit. Injection and topical approaches deserve further attention. Yet, no single treatment stands out as the most effective remedy for all men with Peyronie's disease. Further controlled, large-scale studies are necessary to establish the benefits of these nonsurgical approaches. In the meantime, combination therapy appears to make sense in the nonsurgical treatment of men with Peyronie's disease.

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Section: External Energy Therapymentioning

confidence: 99%

Review of current nonsurgical management of Peyronie's disease

Levine

2003

Int J Impot Res

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“…The curvature (degree of angulation) was documented by means of photography using the Kelâmi technique during an intracavernous pharmacon injection test 10 mg Prostaglandin E 1 (Caverject 2 ). 13 The follow-up consisted of a standardized telephone and=or personal interview to inquire about penile straightening. If recurrent curvature was reported, the patient was invited for presentation in our outpatient department for exact evaluation and documentation.…”

Section: Diagnostic Approachmentioning

confidence: 99%

Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

et al. 2002

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This study evaluated the long-term outcome of the Essed -Schroeder procedure for correcting congenital penile curvature using non-absorbable Goretex 2 sutures. The Essed -Schroeder procedure was performed in 35 patients with congenital ventral penile curvature (minimum 30). Follow-up included a standardized interview with measurement of angulation. Twenty-three of 35 patients were available for complete long-term follow-up (average 34.3 months). The mean preoperative ventral curvature was 54. In 17=23 patients, the penis remained straightened. Recurrent curvature (average 23 ) was observed in six of 23 patients. Fifteen of 23 patients complained of penile shortening (average 1.8 cm). Two of 23 patients reported disturbing side effects that were caused by plication nodes. In most cases, the results of penile straightening by the Essed -Schroeder procedure are excellent with a high grade of subjective satisfaction. Regarding the main problem, that is recurrent curvature, there is no decisive advantage of applying Goretex 2 sutures. Discomfort caused by plication nodes can be reduced to a minimum by using a combination of soft Goretex 2 sutures with the 'inverting stitch-technique'.

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“…A second injection was planned to be administered if necessary to achieve full erectile response, but this was never necessary since all patients were able to achieve full rigidity with the first ICI. The penile deviations were assessed on the basis of photo archives gathered in the outpatient clinic using the Kelami method [7] and calculated using a paper protractor. [8] The following parameters were assessed before intervention: Pain on erection using a visual pain scale of 1-10, [9] satisfaction with vaginal penetration according to the international index of erectile dysfunction (IIEF)15 scale score, [10] penile deviation (in degrees), [7] and plaque size (cm 2 ) as assessed using ultrasonography + ICI PGE1, 20 µg.…”

Section: Patientsmentioning

confidence: 99%

Hydroelectrophoresis for Transdermal Administration of Verapamil or of Hyaluronic Acid in Peyronie's Disease: A Prospective, Open Label, Multicenter Study

Cavallini

Maretti

2018

J Med Res Innov

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Aim and Objective: This study aims to assess the efficacy of a new electromotive system for the transcutaneous delivery of verapamil or of hyaluronic acid to improve the symptoms of Peyronie's disease (PD) in patients with a curvature deformity of <30° at the beginning of therapy. Methods and Materials: A total of 61 PD patients were studied. 30 were randomly assigned to receive verapamil 10 mg/session (Isoptin®, BGP Products, Rome-Italy) (Group 1, median age 56 years, range 49-62), and 31 were randomly assigned to receive hyaluronic acid 8 mg/session (Sinovial®, IBSA, Lodi-Italy) (Group 2, median age 58 years, range 51-56). There were 10 sessions, 2 sessions/week for each drug. Each drug was transdermally administered using the hydroelectrophoresis technique and carried out using a Hydro4 and apparatus (Swiss4Med SA, Morbio Inferiore, Switzerland). With respect to the efficacy of the drugs studied, the end points were side effects, pain, erectile function, penile deviations and plaque area (cm 2 ) before, and 3 and 6 months after drug administration. The differences were assessed using the Mann-Whitney rank test (unmatched groups) or using the Wilcoxon signed-rank test (matched groups). The differences between the groups in terms of side effects were assessed using the Chi-square test. Results: No significant difference emerged among the baseline values of the two groups. Pain, erectile function, plaque area, and penile deformity significantly improved in both groups after treatment, but a notably higher improvement occurred in the patients in whom hyaluronic acid was administered. Only a few negligible side effects occurred in the Group 1 patients treated with verapamil, with no significant difference between the groups. Conclusion: Administration of both hyaluronic acid and verapamil using the Hydro4 and apparatus is a safe and efficient method for PD therapy.

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Autophotography in evaluation of functional penile disorders

Cited by 78 publications

References 2 publications

Review of current nonsurgical management of Peyronie's disease

Review of current nonsurgical management of Peyronie's disease

Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

Hydroelectrophoresis for Transdermal Administration of Verapamil or of Hyaluronic Acid in Peyronie's Disease: A Prospective, Open Label, Multicenter Study

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