 Induratio Penis Plastica |
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This urological disease, also called Peyronie's disease or "induratio penis plastica", starts with pain in the penis and circumscribed calcifications of the penis shaft and may lead to greater or lesser penile deviation and, finally, chronic pain and/or the inability to engage in sexual intercourse.
The cause is a connective tissue disease. IPP is more frequent among diabetics (and also alcoholics, for example) and is then often combined with Dupuytren's contracture. There is a spontaneous healing of approximately 20% of cases. The various treatments depend on the individual complaints and the stage of the disease. In early stages, local cortisone injections, iontophoresis or ultrasound are indicated. Oral treatment with vitamin E (tocopherol) or aminobenzoic acid (PABA) is also given but is not very successful or induces many side effects. There are other drug-based treatment options that are indicated in specific cases. Surgery or analgesic radiotherapy are used in the chronic ("stable") stage. Urological ESWT as a "non-incisional plaque-incision" was first used in 1989. Shockwaves are indicated in early stages (to treat the pain) and in the later stages of the IPP (to reduce the degree of deviation). This procedure has proved its efficacy as between 40% and 90% of treated men are improved some months after treatment. However, this variant of urological ESWT requires further scientific investigation before it can be accepted by health insurance schemes. We use the STORZ Duolith SD1 for penis treatment with the lithotripter. |
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