Peyronies disease / Induratio penis plastica (IPP) is an acquired and usually chronic disease with excessive fibrosis in the area of the tunica albuginea of the erectile tissue. The disease progresses in different phases and leads to a more or less severe deformation of the penis. The prevalence of IPP increases with age. The exact causes are as yet unclear, but a hereditary component seems to play a role.
Frequency of IPP
The frequency of occurrence of induratio penis plastica in the normal population is given in the literature as varying between 3-8 %. Induratio penis plastica is much more common in patients with erectile dysfunction and/or diabetes mellitus, where studies have shown that the incidence of induratio penis plastica is between 7.9-8.1%, with an average age of 54 years.
The piezo shockwave opens up new possibilities
With the introduction of shockwave therapy, we now have a treatment modality at our fingertips that can be used as an alternative to previous treatments.
Initial studies have shown that ESWT achieves a significant reduction in pain after only a few treatments and can prevent a progression of the disease. Furthermore, anecdotal experiences of users has shown that a straightening of a few degrees can be achieved.
Calcifications are often found in the so-called plaques, which are treated directly with ESWT (Fig. 1). Painful inflammatory processes and the progression of the disease can be stopped and the regeneration of the erectile tissue can be initiated.