title: The non-surgical treatment of Peyronie's disease.
abstract: Forty-five patients with Peyronie's disease are described. No patient received treatment for one year from the time of presentation. Three had a complete resolution of their symptoms and signs during this period. The remaining patients received injections of triamcinolone hexacetonide (Lederle) into the plaques at 6-weekly intervals for 36 weeks. Thirty-three per cent had complete or marked improvement in their symptoms; those responding were younger patients with small, firm, discrete plaques in the distal penis. We recommend a non-operative approach in this group. Surgery or chemotherapy should be reserved for those older patients with harder, larger or confluent plaques.
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D010411:Penile Induration / Q000150:complications / Q000628:therapy*; D012075:Remission, Spontaneous; D013997:Time Factors; D014222:Triamcinolone Acetonide / Q000031:analogs & derivatives / Q000627:therapeutic use
chemical_list: D014222:Triamcinolone Acetonide; C005900:triamcinolone hexacetonide