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Peyronies Disease (bent or curved penis) 

Peyronies disease, a condition of uncertain cause, is characterized by a plaque, or hard lump, that forms on the penis. Cases of Peyronie's range from mild to severe. Symptoms may develop slowly or appear overnight. The sexual problems resulting from this, can disrupt a couple's physical and emotional relationship and lead to lowered self-esteem for the man. In a small percentage of patients with the milder form of the disease, inflammation may resolve without causing significant pain or permanent bending. 

Studies 

The plaque itself is benign, or noncancerous. At times, pain, bending, and emotional distress prohibit sexual intercourse. 

One study found Peyronie's disease occurring in 1 percent of men. Men with Peyronies disease usually seek medical attention because of painful erections and difficulty with intercourse. Experts usually recommend surgery only in long-term cases in which the disease is stabilized and the deformity prevents intercourse. Peyronie's has been treated with some success by surgery. 

The two most common surgical methods are removal or expansion of the plaque followed by placement of a patch of skin or artificial material, and removal or pinching of tissue from the side of the penis opposite the plaque, which cancels out the bending effect. The first method can involve partial loss of erectile function, especially rigidity. The second method, known as the Nesbit procedure, causes a shortening of the erect penis. Some preliminary testing indicates the symptoms can be relieved by a Jes-Extender stretching device, but more research needs to be done. 

Treatment with Jes-Extender 

The Jes-Extender has proven more successful for the permanent treatment of Peyronie's disease, than some surgical treatments. The test results, are carried out by Doctor J. Ruiz-Romero and Doctor J. Ponce de León Roca, of Barcelona, Spain:. 

Plaques 

Penile measurement 

Penetration 

Criteria of Subjective Diagnostic Penile Measurement 

Pain

Pain Before treatment 
Painful stage = 2 
Painless stage = 6 

After treatment 
The 2 patients that were under painful stage of Peyronie' Disease, referred penile pain resolution after 2 - 3 months of treatment. 

Penile Length: 

Before treatment 
Subjective Penile Shortening = 8 
Shortening sensation varied from 2 cm. to 5 cm. 

After treatment 
Initial length Recuperation = 1 
Lengthening of > 2 cm. = 4 
Lengthening of < 2 cm. = 3 
Without modification = 0 Shortening = 0 

Peyronies disease treatment 

All patients were treated with continuous traction using The Jes-Extender®, adjusting it with a force of traction between 1.200g. and 1.500g. 

The amount of time (total of daily hours of use) varied: 
5 patients used it between 6 and 9 hours a day. 
3 patients used it between 9 and 12 hours a day. 

Follow-up 

Average = 16,8 weeks (Range:8-24 weeks) 
Force of traction = 1.200 - 1.500 g. 

Use of The Jes-Extender® : 
< 6 hours/day = 0 
6 - 9 hours/day = 5 
9 - 12 hours/day = 3 

Conclusions 

Continuous traction with The Jes-Extender® seems to be an adequate therapeutic option to treat Peyronie's disease, because it permits to:

- Decrease penile incurvation 
- Decrease size and consistency of fibrous plaques 
- Recovery of penile length 

MECHANISM OF ACTION (HYPOTHESIS) 

It is logical to think that traction force supplied by The Jes-Extender® compensates and minimizes fibrous plaque retraction force