Tested by
X NATIONAL CONGRESS OF THE
SPANISH ASSOCIATION OF ANDROLOGY
(ASOCIACIÓN ESPAÑOLA
DE ANDROLOGÌA - ASESA)
March 28, 29 and 30, 2001, Alicante
(SPAIN)
Report Title
TREATMENT OF PEYRONIE´S DISEASE
VIA MECHANICAL TRACTION, JES EXTENDER®
A prospective study in 26 males
INTRODUCTION:
The traction force applied upon the
tissues results in an adaptation reaction at a structural level, due to
the suppression of an inhibitor factor related with cellular division,
which thereby results in cellular duplication and therefore, the expansion
of the tissues. This principle has successfully been applied for quite
some time for different medical purposes, among which the treatment of
skin lesions, the loss of tissue and post-radiation scars are the most
important. The origin of the fibrotic plaque in Peyronie´s disease
still remains an unanswered question.
The histological studies carried
out so far confirm the presence of high concentrations of type-III collagen
in the plaque, having been compared with hyperplastic scar tissue and keloids.
The “maturation” of the fibrous tissue scars is produced via the translocation
of collagen fibers, which takes place secondary to the traction forces
that the fibroblasts oppose to the cellular contraction forces. The higher
the concentration of type-III collagen in the fibrotic tissue, the stronger
the contraction force is. The continuous mechanical
traction on the penis in Peyronie´s disease stimulates cellular
division and, therefore, the expansion of the healthy tissues and finally
exerts an opposing force to the contraction force of the collagen.
POPULATION AND METHODS:
A prospective study has been
performed in 26 males who had been diagnosed as having Peyronie´s
disease and were treated during a 6 month-period with the mechanical traction
devise, Jes Extender?,
exerting a pressure in the range of 1,200 and 1,500 g. The mean age was
50.8 (30 – 68) years old and the mean evolution time of the disease was
25.6 (2 – 72) months.
Multiple fibrotic plaques were identified
in 6 cases and just one in 19 patients. The long axis of the plaque was
equal to or less than 3 cm in 20 cases; 11 patients referred sensorial
disturbances of the penis and 21 presented with erectile
dysfunction.
OUTCOMES:
Mean values of the assessed parameters
before the enrollment, and at 3 and 6 months after treatment was performed
are expressed in Table I.
CONCLUSIONS:
After a 6-month treatment, the plaque
disappeared in 7 cases (26.9%) and a marked decrease in the number, size
and consistency of the plaque was observed in 18 (69.2%). Likewise, 13
(61.9%) patients recovered their erectile function and 10 (90.9%) recovered
their sensitivity in the penis.
The mechanical traction on the penis
has a beneficial effect on the fibrotic plaque that is usually clinically
evident via the reduction of the size and consistency of the plaque, the
correction of the curvature angle, the recovery of the length
of the penis, and the improvement in the quality of the erection.
Oral Presentation by:
J. Ruiz-Romero, MD; J. Ponce
de León, MD - Department of Urology and Andrology, Clínica
Tres Torres, w/ Dr. Carulla, 112 – 08017 Barcelona (España).
J. Ruiz-Romero, MD; J. Ponce de León,
MD
Department of Urology and
Andrology, Clínica Tres Torres, w/ Dr. Carulla, 112 – 08017 Barcelona
(Spain).
Doctor Approved
Our extender device has been created
by Jorn Ege Siana (M.D., I.A.M.S.S., A.S.P.R.S.) a leading doctor in Plastic
and General Surgery. Due to his world known penile extension principles,
medical doctor Jorn Ege Siana has enjoyed international recognition as
a leading expert in this field.
Background Informaton on Jorn Ege
Siana, M.D.:
Medical Doctor (MD) - June 1983,
School of Medicine, University of Copenhagen. Specialist in Plastic Surgery
and General Surgery with in Sweden, Denmark and Germany. Since 1991, own
private practices in Plastic Surgery and General Surgery, in Copenhagen,
Berlin and Frankfurt. Resident in Plastic Surgery at Mount Sinai Hospital
under the City University of New York, New York University Hospital and
Manhattan Eye, Ear and Throat Hospital under The New York University.
He is currently a director and founder
of Scandinavian Clinic of Plastic Surgery in Denmark and Germany
Doctor Jorn Ege Siana is a member
of:
Member of American Society of Plastic
& Reconstructive Surgery, A.S.P.R.S.
Founding member of International
Association of Male Sexual Surgery, I.A.M.S.S.
Since 1994, when the first prototypes
were developed, thousands of clinics all over the world widely use our
extender
device as a safe method for penis enlargement.
You can feel safe ordering and using
ProExtender™.
This product has been proven to work by thousands of men who were unhappy
with their penis size before.
Questions and answers
Below are the most frequently asked
questions/answers about the ProExtender™:
Will the girth decrease, stay
the same or increase??
Due to the general tissue expansion
the girth increases as well as the length. The average increase in length
is 24%, and for girth 19% increase.
The silicone tube slips out of
the notches!
This is usually caused by washing
the tube frequently in warm water. Get new tubes from ProExtender™
Aps.
It feels like the circulation
is cut off and i have soreness from the silicone tube
Get either “Soft Attach” or “Comfort
Strap”. Both are additions to the front piece widening the area of pressure,
when tightening the tube. Soft Attach slips on to the silicone tube, where
as the Comfort Strap is a whole new plastic front piece, including a 1
inch wide strap.
Note: Soft Attach and Comfort strap
can in extreme cases of soreness be used in combination with either Protection
Pad or cohesive gauze.
I have the problem that the gland
slips out from underneath the silicone tube ?
Tighten the silicone tube.
If this causes circulation problems and discomfort in the gland, use the
protection Pad as described in the instructions manual, page 10.
If this doesn't solve the problem entirely, get some: "Riklastic", "Cohesive
elastic securing bandage". Measurements: 6cm/2,5 m. Wrap the bandage
around the back of the gland, and combine with the Protection Pad, before
the silicone tube is fastened un top of both the Protection Pad and the
bandage.
Discomfort/circulation problems can
also be avoided by taking a 5 min. break every 2 hours. These breaks do
not affect the final result.
Securing Bandage can be ordered at
ProExtender™ Aps., or buy it at your local drugstore.
I have no reading of the traction
force on the hexagonal piston
Solutions:
a) Make sure you are using the longest
sidebars, allowed by your current penis length
b) Push the plastic front piece
toward yourself, making the springs press home, before fixating the gland
with the silicone band
c) Make sure to leave 1mm space
between the thumbscrews and both the plastic ring and the hexagonal pistons,
before expanding the length by turning the screws inward. The thumb screws
should in other words, expand on both sides of the screw finger handle.
Caution: Do not continue turning
the thumbscrews inward, when the screw has expanded to the maximum (thread
becomes visible in the ends). This will cause the ProExtender™ to disassemble!
Will the enlargement mean 'weaker'
erections?
No, in fact some users feel their
erections get stronger due to the increased cell activity and blood flow
from the treatment.
Can the ProExtender™ be worn at
work and while you sleep?
If you have non physical job, the
ProExtender™
can be worn under boxer shorts and loose fitting trousers. It may prove
difficult to keep on during sleep, if you twist and turn a lot . The only
way to determine this is by trying.
Can the treatment go on for as
long as I want, and will I keep getting results ?
The enlargement will continue as
the treatment continues.
Does the use of the ProExtender™
require medical experience or the help of a Doctor?
No! The ProExtender™ comes with
an easy to understand instruction's manual.
Does the ProExtender™ require
a certain length or thickness of the penis?
No! The ProExtender™ is developed
for penises of all proportions. It can also be used on circumcised penises.
Does the effect recede over time?
No! The enlargement of the penis
is permanent.
Are there any side effects?
No the use of the ProExtender™ have
no influence on erection, urination or fertility. The ProExtender™ does
not cause allergy. Some initial soreness is normal.
What happens in case of erection
while the ProExtender™ is worn?
The ProExtender™ either adjusts
to the given erection angle or simply glides off smoothly to be applied
again.
Do I have to follow a fixed treatment
pattern?
No, you can wear the ProExtender™
as you please. The result depends only, on the total amount of hours worn,
and the traction involved.
Does the ProExtender™ help in
case of a curved penis?
Yes! The ProExtender™
has proved efficient in straightening the penis.
http://www.proextender.com
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