13/02/2015
Another question, more related to Male Health, but I'm figuring the knowledge base will come from Women's Health Physiotherapists, particularly those with many years of experience...
It's a nasty thing called Peyronnies Disease and is becoming increasingly evident in my post-prostatectomy patients. Curvature of the p***s leads to an inability to have sexual in*******se in severe cases or will cause great discomfort for women in milder cases. Generally understood as reduced blood flow to the corpus cavernosum contributing to the build up of fibrotic tissue, the contributing factors can be multi-factorial. Cardio-Vascular disease, rising age, injury during vigorous sexual activity but most notably in my caseload, as a result of reduced 'housekeeping erections' following radical prostatectomy.(1500 average housekeeping(nocturnal) erections/year that is). Seems men are coming out of the woodwork- literally- in recent months seeking advice from our multi-disciplinary clinic. As surgery is not a viable option in most cases, as a Men's Health Physiotherapist, I have been asked to look into appropriate Physiotherapy treatment modalities. Nb for a long time it has been assumed that the ICI pe**le injections cause this problem , but only recently has this been ruled out. A younger pt with better CV health seems to be much more effected than an older pt with atherosclerosis etc...
Interestingly, over dinner with Sarah Haag and Sandy Hilton in Chicago last December, Physiotherapy techniques for Peyronnies were discussed and indeed, it seems there is a history. So I'm looking for evidence and a protocol before I begin .......eg Daily ultrasound regime for 3 weeks? Traction appliance? ? Cialis medication for 24 hour erectile blood flow? A combo?
Finally, I feel, with the combined experience and thought processing of the WHFB page, it may be possible to indeed come up with a protocol of our own...through international 24 hour round table discussion, with hmmm
how many PT's now Gerrard & Michelle? PROST!
BTW< if you don't know anything about Peyronnies, would really appreciate you looking it up and sharing anything you find.. New areas of Physiotherapy are relevant to all of us! Thanks!