August 2019 - Cram Osteopaths - Osteopaths in Glasgow, Ayr and Muirhead

Archive for August 2019

Clinical Efficacy of Shockwave Therapy For Peyronie’s Disease

Peyronie’s Disease is a problem that affects men all over the world and causes the formation of scar tissue called “plaque” in the penis. The cause of the disease is unclear, but many doctors think that after a trauma (e.g. hitting or bending), there is bleeding inside the penis, which leads to plaque formation. Mostly, men don’t even notice this type of trauma. Some researchers also believe that the disease has genetic origins. Whatever the reason, Peyronie’s Disease can affect men of all age groups. Men suffering from this disease have difficulty in getting an erection or get a painful and curved erection, instead of a straight one. In other words, this disease also causes erectile dysfunction disorder (ED). If you feel pain and suffering when you have an erection, you may have Peyronie’s Disease.

The Treatment Of Peyronie’s Disease

Two methods are used in the treatment of this disease: oral treatment and surgical intervention (penile implant surgery). Doctors decide which of these will be used according to the severity of the disease. Oral treatment requires the use of drugs such as “pentoxifylline” for a long time. The surgical intervention allows the removal of plaque formation in the penis. However, both treatment options have several problems.

  • Oral treatment continues for a very long time and has many side effects. If you are receiving treatment for another disease, this option is often not applicable because there is a possibility that the drugs will interact with each other. The efficacy of oral treatment is also very low and does not produce any results in many patients.
  • Surgery is more effective but unfortunately causes the penis to shorten. In this process, the diseased tissue is cut out and the area where the erection takes place naturally becomes smaller. Moreover, surgical intervention is not a definitive solution, as plaques can regenerate elsewhere in the penis. Some doctors even think that this treatment option worsens the problem.

In other words, none of the available treatments provide a definitive solution for Peyronie’s Disease and each has multiple problems.

ESWT Is The Alternative Treatment For Peyronie’s Disease

ESWT therapy, which has been used since the 1980s, means the application of low-intensity shock waves from outside the body and allows the tissue to heal itself without feeling any pain or requiring anaesthesia. This is a non-invasive treatment option and consists of multiple sessions. Each session lasts an average of 15 minutes and the clinician applies shock waves to the problem areas with a specially manufactured probe.

This method, used for the treatment of kidney stones and orthopedic problems, is also effective in the treatment of erectile dysfunction disorders. In addition, there are multiple clinical trials that prove its effectiveness and against Peyronie’s Disease.

The first trial was made in 2019 by the Urology departments of the Universities of Catania and Naples (*). This test shows that after the ESWT treatment, plaque size decreased by 15 cm2, erection length increased by 1 cm, and the penis has begun to erect at a straighter angle. The second research was conducted by The University of Western Australia in 2017-2018 (**). In this study, ESWT treatment was applied to the participants for 10 minutes and then some measurements were made with penile duplex doppler ultrasound scan (PDDU). After a 4-week therapy session, a decrease in plaque counts was observed in all participants. In other words, there are two clinical trials that prove that ESWT is an effective and alternative treatment for Peyronie’s Disease.

(*) https://www.ncbi.nlm.nih.gov/pubmed/30929330

(**) https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373696

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shock wave therapy

A New And Non-Invasive Treatment Of Erectile Dysfunction

Erectile dysfunction or disorder (ED) is a much more common problem than you might think: Statistics show that almost 40% of 40-year-olds experience this problem. With age, this rate increases by up to 70%. ED is not only a problem affecting middle-aged men: One in four men under the age of 40 has faced this problem at some point in their lives. In other words, ED can be one of the most common medical problems affecting men all over the world.

Although ED patients are sexually stimulated, they cannot achieve an erection or maintain their erection for long enough to have sexual intercourse. There are many psychological or physiological causes of this condition, but the most common cause is reduced blood flow to the penis. The penis is actually a “spongy” tissue filled with blood, which consists of many cavernous bodies. During an erection, the blood fills these bodies and makes the penis erect. If there is a decrease in blood flow to the cavernous bodies, an erection cannot take place or cannot continue for a long time: This type of ED is called “vascular erectile dysfunction”. In other words, it is a problem with your vascular system – there is something wrong with your blood flow to the penis.

The “Usual” Treatment Of Erectile Dysfunction

Vascular erectile dysfunction has traditionally been treated orally. This is still the most common treatment today. In some cases, injection therapies may also be preferred. However, clinical tests show that these traditional treatment methods have two main problems:

• Their side effects and risks are quite high. The oral treatment has many side effects and especially affects your digestive system. Injection treatment has a lot of risks because it requires the injection to be made exactly at the right spot: Otherwise, it can become dangerous. Moreover, it’s a quite painful process.
• They’re almost ineffective. Both oral and injection therapies are not as effective as expected. Despite the risks and side effects they have, they cannot provide the desired level of results. As age gets older, their effect rates are decreasing. In fact, they are completely ineffective on some patients and do not provide any results.

Fortunately, there is now a new option for the treatment of vascular erectile dysfunction: extracorporeal shock wave therapy. This revolutionary treatment option has almost no side effects, no risks, and can be administered in a non-invasive, completely painless manner.

What Is Extracorporeal Shock Wave Therapy?

It’s not a new way to treat medical problems with shock waves. Since the 1980s, ESWT has been used in the treatment of various problems, especially orthopedic ones. The sound waves used to break kidney stones can be applied to different parts of the body by changing their intensity and energy. This method of therapy is more effective than you think: Shock waves pass through the skin, affecting tissues and accelerating blood flow in the area where they are applied. In this context, they stimulate the body’s self-healing mechanisms and provide a natural recovery.

It is called “extracorporeal” because there is no surgery and shock waves are created outside the body. This is literally a non-invasive treatment: No anesthesia is required and no pain is felt during the procedure. The blood flow in the areas where shock waves are applied accelerates and new vessels are formed. As can be guessed, ESWT can also increase blood flow in the penis: In fact, this may be the easiest and simplest way to solve the problem of vascular erectile dysfunction.

How Does ESWT Work?

We can answer this question by explaining how EDfsw device works. Using a probe, the clinician applies low-intensity shock waves to various points of the penis. The energy of the shock waves may be low or high depending on the applied area. These are audible sound waves: No pain is felt. Shock waves affect tissues and create new vessels in the treated areas and increase blood flow. In other words, the main cause of the vascular erectile dysfunction problem can be treated in this way. This innovative method does not pose any risk, but if one of the following applies to you, you must inform the clinician before the application:

• If you are on an anticoagulant drug (i.e. warfarin)
• If there is an infection or implant in the area to be treated
• If you have a tumor in your body

How Long Does ESWT Take To Work?

ESWT treatment consists of a series of sessions and each session lasts an average of 15 minutes. Completion of the treatment usually requires 6 to 10 sessions. This number can be different for each patient. Even if there is no improvement after the first few sessions, all of them need to be completed.

ESWT is the most innovative treatment of the vascular erectile dysfunction problem and its effects are clinically proved. The majority of the patients who use this treatment report very positive results in terms of achieving an erection and staying erect. The United Kingdom is one of the countries where this treatment is most widely used, but ESWT is also applied in hospitals in lots of other countries too. Visit https://www.ed-therapy.info/ to find the nearest treatment center. Vascular erectile dysfunction can be treated and ESWT may be the solution you are looking for: Don’t wait any longer to improve your quality of life.

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