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男性佩罗尼氏病的自体脂肪源性再生细胞治疗:STRAIGHT@HEAD初步研究。

Treatment with Autologous Adipose-derived Regenerative Cells for Peyronie's Disease in Men: The Straight @head Pilot Study.

作者信息

Wiborg Majken H, Krøijer Rasmus, Laursen Birgitte S, Chakari Wahida, Jensen Charlotte Harken, Sørensen Jens Ahm, Lund Lars

机构信息

Department of Urology, Hospital South West Jutland, Esbjerg, Denmark.

Clinical Institute, University of Southern Denmark, Odense, Denmark.

出版信息

Eur Urol Open Sci. 2024 Dec 31;71:180-186. doi: 10.1016/j.euros.2024.12.005. eCollection 2025 Jan.

Abstract

BACKGROUND AND OBJECTIVE

We evaluated the effectiveness of injecting autologous adipose-derived regenerative cells (ADRCs) into plaque in men with chronic Peyronie's disease (PD).

METHODS

This pilot safety study recruited 22 Danish men with chronic PD from an outpatient clinic. Patients received one bolus of ADRCs injected into plaque, with follow-ups at 1, 3, 6, and 12 mo. The primary endpoint was a reduction in penile curvature. Secondary endpoints were serious adverse events in relation to treatment, and patient-reported results for improvements, distress, and unhappiness related to PD.

KEY FINDINGS AND LIMITATIONS

There was no significant difference in curvature after treatment. However, the participants reported subjective improvements, less distress, and a decrease in unhappiness. No severe adverse events were observed during 12-mo follow-up.

CONCLUSIONS AND CLINICAL IMPLICATIONS

Injections of ADRCs into PD plaque appear to be safe but had no significant measurable effect on penile curvature. Half of the participants reported a subjective improvement.

PATIENT SUMMARY

We studied the safety and effectiveness of injections of patient-derived regenerative cells for chronic Peyronie's disease. While the curvature of the penis did not significantly improve, the treatment was safe and some men reported a decrease in their distress and an improvement in penile shape.

摘要

背景与目的

我们评估了向患有慢性佩罗尼氏病(PD)的男性阴茎硬结内注射自体脂肪来源的再生细胞(ADRCs)的有效性。

方法

这项初步安全性研究从一家门诊诊所招募了22名患有慢性PD的丹麦男性。患者接受一次向硬结内注射ADRCs,并在1、3、6和12个月进行随访。主要终点是阴茎弯曲度的降低。次要终点是与治疗相关的严重不良事件,以及患者报告的与PD相关的改善、痛苦和不满结果。

主要发现与局限性

治疗后弯曲度无显著差异。然而,参与者报告主观上有改善、痛苦减轻且不满情绪减少。在12个月的随访期间未观察到严重不良事件。

结论与临床意义

向PD硬结内注射ADRCs似乎是安全的,但对阴茎弯曲度没有显著的可测量影响。一半的参与者报告有主观改善。

患者总结

我们研究了为慢性佩罗尼氏病注射患者来源的再生细胞的安全性和有效性。虽然阴茎弯曲度没有显著改善,但治疗是安全的,一些男性报告他们的痛苦减轻且阴茎形状有所改善。

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