Krystyna Kwaśny, Marek Chorąży, Dariusz Bielecki, Rafał Kurzyk, Henryk Knapik

Krystyna Kwaśny, Marek Chorąży, Dariusz Bielecki, Rafał Kurzyk, Henryk Knapik – The treatment of Peyroni’s disease by combined laser and ultrasound therapy: a trial. Fizjoterapia Polska 2002; 2(3); 181-184

Abstract
Background. Given the known impact of laser beams and ultrasound waves on human tissues, the authors decided to assess the results of therapy using these modalities for a relatively unfamiliar illness: Peyroni’s disease, also known as soft penile sclerosis. The theoretical premise was that a laser beam targeted at atherosclerotic plaque would cause initial softening, after which the ultrasound wave would knock out the calcium molecules from the plaque structure, lead to its breakdown. This was expected to result in resolution or reduction of fibrotic plaque, as well as regression or reduction of the angle of penile curvature. Undoubtedly the synergistic action of both methods should also be of significance here, as for example the analgesic effects of laser and ultrasound.Material and methods. The tests were performed in the period 1996 – 2001 on 25 men who presented with various levels of sclerotic lesions in the vicinity of the cavernous bodies of the penis. We attempted to measure the impact of the proposed therapy on the size of fibrotic plaque, penile curvature and pain symptoms.Results. Of the patients we studied, 22 (88%) were found to have fibrous plaques. In 12 of these cases (54.5%), the plaques had disappeared completely after therapy, while in 8 patients (36.4%) the sclerotic lesions were significantly reduced. No improvement was seen in 2 patients (9%). Conclusions. The results we obtained confirmed the theoretical premises; however, verification over a longer follow-up period is necessary.

Key words:
soft penile sclerosis, Physical Medicine, Peyroni’s disease

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