Platelet-rich plasma may be one of the new therapies for penile deviation in Peyronie’s disease. In this video on UroChannel, Dr. med. Dr. phil. Stefan Buntrock, a board-certified urologist and sexologist from Göttingen, takes us on an intriguing journey through the realm of Platelet Rich Plasma (PRP) therapy for Peyronie's disease.
PRP, short for Platelet Rich Plasma, is an exciting medical innovation that harnesses the power of a patient's own blood to promote healing and tissue regeneration. Dr. Buntrock expertly guides us through the concept, highlighting its safety and non-invasive nature. He emphasizes that while PRP has shown promise, it is not yet established as a standard treatment for Peyronie's disease.
Dr. Buntrock shares his skepticism about relying solely on PRP for Peyronie's disease, advocating for a holistic approach. He cites studies in animals and patients that suggest PRP can induce positive changes, but he stresses the need for combining PRP with systemic medicines, local injections, shockwaves, and mechanical traction for a comprehensive solution.
He dives into fascinating studies, such as one involving 90 patients who received PRP combined with Hyaluronic acid, showcasing significant improvements in curvature. Another study, from 2023, demonstrates a reduction in angulation and improvements in erectile function and penis size with PRP injections.
While these results are encouraging, Dr. Buntrock highlights the unanswered questions surrounding PRP therapy. Patient selection, the inflammatory phase of Peyronie's disease, and the presence of calcified plaques all factor into the equation. He reminds us that PRP is still considered experimental for Peyronie's disease, with guidelines recommending its use only in clinical trials.
In his compassionate approach to patient care, Dr. Buntrock encourages those suffering from Peyronie's disease to explore PRP as a potential treatment option, given its feasibility and low complication rate. He underscores the importance of understanding that PRP is off-label treatment and that its long-term efficacy remains uncertain. For those facing the challenges of severe curvature, it might be worth considering PRP as an alternative to surgery.
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