[Induratio penis plastica].
BACKGROUND
To evaluate the benefit of radiotherapy with fast electrons in induratio penis plastica (IPP).


METHODS
Within 7 years we treated 58 patients with manifested clinically induratio penis plastica. We applied single dose of 3 Gy 2-3 times weekly and a maximum dose of 24-30 Gy. Follow-up was 2 years and included documentation of subjective discomforts (induration, deviation and painful erection).


RESULTS
Induration (27.6%) and deviation (24.1%) of the erected penis are little improved, but in two-third of patients (65%) with painful erection defined relief could be obtained. It could also be shown that patients with short history of symptoms had best chances for a successful treatment. Side effects were not seen.


CONCLUSIONS
In our experience radiotherapy is not suitable for all stages of IPP. Only patients in the early stages of IPP-especially the ones who suffer from painful erection-should be considered suitable for treatment with ionising radiation.
Pambor
Claudia
C
Klinik für Strahlentherapie der Otto-von-Guericke-Universität Magdeburg, Magdeburg. claudia.pambor@medizin.uni-magdeburg.de
Gademann
Günther
G
D000328:Adult; D000368:Aged; D019583:Dose Fractionation, Radiation; D004387:Dupuytren Contracture / Q000150:complications; D004583:Electrons / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology / Q000517:prevention & control; D010410:Penile Erection / Q000502:physiology; D010411:Penile Induration / Q000150:complications / Q000503:physiopathology / Q000532:radiotherapy*; D011879:Radiotherapy Dosage; D013997:Time Factors; D016896:Treatment Outcome