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Medical, non‐invasive, and minimally invasive treatment for Peyronie’s disease: A systematic review
Author(s) -
ElSakka Ahmed I.
Publication year - 2021
Publication title -
andrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.947
H-Index - 43
eISSN - 2047-2927
pISSN - 2047-2919
DOI - 10.1111/andr.12927
Subject(s) - medicine , peyronie's disease , systematic review , randomized controlled trial , cochrane library , intensive care medicine , medical literature , conservative treatment , medline , modalities , disease , surgery , pathology , social science , sociology , political science , law
Background The treatment of Peyronie's disease (PD) remains a dilemma as the true pathogenesis of PD remains an enigma. Consequently, new molecules and therapies continue to evolve. The safety and efficacy of conservative treatment for PD have not yet established. Objectives To provide the available information of the status of conservative therapy for PD. Methods A systematic literature search was conducted using PubMed, EMBASE, and the Cochrane Library for English‐language journal articles between January 2000 and July 2019, using the terms “Conservative treatment for PD”, “medical treatment for PD”, “non‐invasive therapies for PD” and “minimally invasive therapies for PD". This systematic review was conducted in agreement with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) system. We also manually reviewed references from selected articles. The risk of bias in the included RCTs was assessed using the Cochrane Risk of Bias Assessment tool (RoB 2). Results Conservative treatment is accepted as the initial treatment step in most of the cases. This kind of therapy includes various methods of treatment such as medical, non‐invasive, and minimally invasive therapies. Ideal management of PD is not yet available. It is not possible to assess the value of treatment without well‐designed, randomized, placebo‐controlled, large‐scale clinical studies. Conclusion Optimistically, in the near future, we may witness emergence of efficacious new agents and modalities to revolutionize medical, non‐invasive, and minimally invasive treatment of this devastating condition.