Department of Urology, Tulane University School of Medicine, New Orleans, LA, USA.
Department of Andrology, Binh Dan Hospital, Ho Chi Minh City, Vietnam.
Sex Med Rev. 2019 Jul;7(3):508-515. doi: 10.1016/j.sxmr.2018.11.002. Epub 2019 Jan 4.
Peyronie's disease (PD) is a debilitating condition that affects a sizable number of men worldwide. Current treatment options consist of oral therapy, intralesional injections, and surgery. Penile stretching has been used as a treatment for PD, including penile traction therapy (PTT) and vacuum erection devices (VEDs), with numerous trials completed or underway.
To present and summarize the current literature on penile stretching for the treatment of PD.
Using PubMed, we performed a literature review of studies from January 1990 through July 2018 that focused on penile stretching for PD management. PTT and VED were included in the search criteria.
Penile curvature correction was effective, and stretched penile length was improved.
PD therapies that use penile stretching as a mechanical intervention to alter tissue characteristics were studied. PTT has been successful in primary penile lengthening and curvature correction in the acute phase of PD. PTT also improved length retention in men undergoing plication and incision/grafting procedures. Combination of PTT and intralesional injection therapy for PD treatment requires further investigation. There are fewer studies investigating VEDs and their role in PD management, but initial small trials suggest a role in curvature correction and penile lengthening.
Penile stretching is an effective therapy for PD. Data from limited trials suggest a role for PTT and VEDs in the management of PD, although further research is needed. Cowper MG, Burkett CB, Le TV et al. Penile Stretching as a Treatment for Peyronie's Disease: A Review. Sex Med Rev 2019;7:508-515.
佩罗尼氏病（PD）是一种影响全球大量男性的使人虚弱的疾病。目前的治疗选择包括口服治疗、病灶内注射和手术。阴茎拉伸已被用作 PD 的治疗方法，包括阴茎牵引疗法（PTT）和真空勃起装置（VED），已经完成或正在进行许多试验。
介绍和总结目前关于 PD 治疗中阴茎拉伸的文献。
我们使用 PubMed 对 1990 年 1 月至 2018 年 7 月期间的研究进行了文献回顾，这些研究的重点是 PD 管理中阴茎拉伸的治疗作用。PTT 和 VED 被纳入搜索标准。
阴茎曲率矫正有效，拉伸阴茎长度得到改善。
研究了使用阴茎拉伸作为改变组织特性的机械干预来治疗 PD 的疗法。PTT 在 PD 的急性阶段成功地进行了原发性阴茎延长和曲率矫正。PTT 还改善了接受整形和切开/移植手术的男性的长度保留。PTT 和病灶内注射治疗联合用于 PD 治疗需要进一步研究。研究 VED 及其在 PD 管理中的作用的研究较少，但初步的小型试验表明其在曲率矫正和阴茎延长方面有一定作用。
阴茎拉伸是 PD 的有效治疗方法。有限试验的数据表明 PTT 和 VED 在 PD 的管理中有一定作用，但需要进一步的研究。
