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What is the evidence for extra-corporeal shock wave lithotripsy for treatment in Peyronie's disease and results compared with surgery?

Associated tags: extra-corporeal shock wave lithotripsy, Genitourinary, Men's health, Peyronie's disease

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Question answered:15/01/08 Warning! this question is over two years old.

NICE has produced and interventional procedure guidance on extracorporeal shock wave therapy for Peyronie’s disease. (1)

On efficacy the guidance states:

“From comparative studies, the main benefits of ESWT were the alleviation of pain and reduction of angulation of the penis. In one comparative study, 50% of patients (10/20) receiving ESWT experienced a decrease in curvature of at least 30%. Case series evidence also suggested some improvement of sexual performance.”

We suggest you read the guidance on full by following the link in the reference section as NICE offer further information on procedure and safety.

1. http://www.nice.org.uk/nicemedia/pdf/ip/IPG029guidance.pdf

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