Outcomes of a Novel Penile Traction Device in Men with Peyronie’s Disease: A Randomized, Single-Blind, Controlled Trial

Ziegelmann, Matthew; Savage, Joshua; Toussi, Amir; Alom, Manaf; Yang, David Y.; Köhler, Tobias; Trost, Landon

doi:10.1097/ju.0000000000000245

Cited by 54 publications

(53 citation statements)

References 4 publications

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“…The length was most commonly measured on the dorsal surface from the penile base (pubo‐penile junction) to the tip of the glans (meatus), whereas girth was most commonly measured in the flaccid state at one or more levels along the penis shaft. More specifically, these two measuring methods were explicitly described in 48 [13–22,25–36,38–53,60–69] and 39 papers [13–25,27,31–42,44,48,54,60–69], respectively.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 39 studies [31–69] evaluated non‐invasive (16 papers) [31–44,68,69] and surgical interventions (23 papers) [45–67] aiming to increase penile size in men with concomitant pathologies, including PD (20 studies) [31–39,45–55], ED (12 studies) [40–44,56–62], and other conditions such as buried penis, micropenis, previous pathology repair, corporal fibrosis, and late‐onset hypogonadism (seven studies) [63–69].…”

Section: Resultsmentioning

confidence: 99%

“…This review included a total of 57 studies [13–69] assessing interventions for penile lengthening and/or enlargement in 1764 healthy men complaining of a small penis (18 studies) [13–30] and 2587 men with concomitant penile pathologies (39 studies) [31–69] consisting mostly of PD and ED. Of the 57 studies included in the review, 25 assessed non‐invasive interventions [13,17–24,31–44,68,69] and 32 evaluated surgical procedures [14–16,25–30,45–67], for a total of 2192 and 2159 men, respectively.…”

Section: Resultsmentioning

confidence: 99%

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Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

et al. 2020

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Objective To systematically review the literature in order to investigate the efficacy and safety of surgical and non‐invasive penile enhancement procedures for aesthetic and therapeutic purposes. Methods A systematic search for papers investigating penile enhancement procedures was performed using the MEDLINE database. Articles published from January 2010 to December 2019, written in English, including >10 cases, and reporting objective length and/or girth outcomes, were included. Studies without primary data and conference abstracts were excluded. The main outcome measure was objective length and/or girth improvement. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement. Results Out of 220 unique records, a total of 57 were reviewed. Eighteen studies assessed interventions for penile enhancement in 1764 healthy men complaining of small penis. Thirty‐nine studies investigated 2587 men with concomitant pathologies consisting mostly of Peyronie's disease and erectile dysfunction. Twenty‐five studies evaluated non‐invasive interventions and 32 studies assessed surgical interventions, for a total of 2192 and 2159 men, respectively. Non‐invasive interventions, including traction therapies and injection of fillers, were safe and mostly efficacious, whereas surgical interventions were associated with minor complications and mostly increased penile dimensions and/or corrected penile curvature. Overall, the quality of studies was low, and standardized criteria to evaluate and report efficacy and safety of procedures, as well as patient satisfaction, were missing. Conclusion The quality of the studies on penile enhancement procedures published in the last decade is still low. This prevents us from establishing recommendations based on scientific evidence regarding the efficacy and safety of interventions that are performed to increase the penis size for aesthetic or therapeutic indications.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

et al. 2020

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“…Another study by Ziegelmann et al . evaluated outcomes with a new traction system known as the Restorex (Pathright Medical, Plymouth, MN, USA) 64 . A total of 100 patients were randomized to PTT daily for 30–90 min versus no traction for 3 months.…”

Section: Non‐invasive Therapymentioning

confidence: 99%

Peyronie’s disease: Contemporary evaluation and management

2020

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Peyronie's disease is a common yet poorly understood condition characterized by penile pain, curvature, sexual dysfunction and psychological bother. Peyronie's disease represents a penile wound healing disorder, and is thought to arise from exuberant scarring in response to penile trauma in genetically predisposed men. In the absence of active treatment, the majority of men experience stable or worsening symptoms, with few reporting spontaneous resolution in penile curvature or other deformity. In contrast, penile pain improves or resolves in the majority of men. Treatment options vary based on symptom severity and stability. Several oral therapies are commonly prescribed, although to date there are no strong data to support any oral agents as monotherapy for Peyronie's disease. Other options including penile traction therapy and intralesional injections result in modest improvements for many patients, particularly when used early after symptom onset. Penile straightening through approaches, such as penile plication and plaque incision or partial excision and grafting, represent the most rapid and reliable approach to correct penile curvature once the symptoms have stabilized. Side-effects vary based on the type of surgery carried out, and include penile shortening, sensation changes and erectile dysfunction in the minority of men. In patients with drug refractory erectile dysfunction and Peyronie's disease, placement of a penile prosthesis will address both issues, and is associated with high levels of patient satisfaction. The current review provides a practical approach to the modern evaluation and management of patients presenting with Peyronie's disease.

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“…RestoreX is a penile traction device that uses a ratcheting body with springs to generate longitudinal and oppositional angular forces and is used for between 30 and 90 min per day. A randomized study of 110 men with stable disease and curvature greater than 30° showed that after 3 months, there was an 11° curvature reduction in the treatment group and a 1.3° increase in the control group [31].…”

Section: Mechanical Therapy: Traction and Vacuummentioning

confidence: 99%

Medical Management of Peyronie’s Disease: Review of the Clinical Evidence

Teloken

Katz

2019

Medical Sciences

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Peyronie’s disease is a condition that causes abnormal healing of the tunica albuginea, causing penile curvature. It is difficult to treat and its management is continuing to evolve. Proposed non-surgical treatments have included oral, topical, intralesional, extracorporeal shockwave, and traction therapy. The study of Peyronie’s disease is made difficult by heterogeneity in the timing of presentation, severity and characteristics of deformity, and associated complaints. Moreover, meta-analyses of studies are difficult due to inconsistencies across study endpoints and the duration of treatments. This article reviews the current clinical evidence and guideline recommendations, with a focus on an improvement in penile curvature.

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Outcomes of a Novel Penile Traction Device in Men with Peyronie’s Disease: A Randomized, Single-Blind, Controlled Trial

Cited by 54 publications

References 4 publications

Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

Peyronie’s disease: Contemporary evaluation and management

Medical Management of Peyronie’s Disease: Review of the Clinical Evidence

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