Patients were encouraged to use the traction device for at least 5 hours per day up to a maximum of 9 hours. Evaluation took place at months 1, 3, and 6. The treatment finished at month 6 and at month 12 another evaluation took place. Fifteen patients finished the study and reported

a median daily use of the penile traction device of 5.5 hours. Penile curvature decreased from a mean of 31°; to 27°;, which was not statistically significant. Improvements were noted in mean flaccid and stretched penile length: 1.3 and #Lumacaftor keyword# 0.83 cm, respectively. No further changes of curvature or penile length were noted at the last 12-month follow-up.49 The investigation of traction devices as therapy tools for PD is still in its infancy. Although no large multicenter, controlled trials Inhibitors,research,lifescience,medical have been published to date, initial data seem promising. Combination therapy of penile traction and nonsurgical therapy options may also be a promising alternative. Conclusions There is still a great need for further investigation of the Inhibitors,research,lifescience,medical pathology of PD to

make clear recommendations for patients suffering from penile narrowing, deviation, and painful erections due to PD. Various conservative treatment modalities have been examined, some showed promising data whereas others were not useful at all. There is no gold standard available for the nonsurgical therapeutic approach. The best approach from our Inhibitors,research,lifescience,medical point of view is multimodal therapy. Patients who suffer from severe penile deviation, narrowing, or indentation, who report disease stability for at least 3 months, and who specify to have a curvature that impedes sexual intercourse should be advised to undergo surgical correction of PD. Main Points The acute presentation of Peyronie’s disease (PD) is treated conservatively, and surgical approaches are only attempted if

Inhibitors,research,lifescience,medical the following four criteria are met: (1) severe curvature, narrowing, or indentation for more than 1 year; (2) PD stability for at least 3 months; (3) curvature that impedes sexual intercourse; and (4) severe penile shortening. There is no standard surgical procedure in PD treatment. Surgical categories until being used as therapy options include plication/wedge resection procedures to shorten the convex side of the tunica, lengthening of the concave side with graft material, or implantation of penile prosthesis for men with severe erectile dysfunction caused by PD. The acute painful phase of PD should be treated conservatively. Several therapy regimens are available that may stabilize or reduce penile deformity and improve sexual function. Nonsurgical treatment options include oral, topical, intralesional, external energy, and combination therapies. The best approach for PD treatment from our point of view is multimodal therapy.