title: Effectiveness of antioxidants (propolis, blueberry, vitamin E) associated with verapamil in the medical management of Peyronie's disease: a study of 151 cases.
abstract: A total of 151 patients (age: 24-74 years, mean: 55 ± 10.3) diagnosed with Peyronie's disease were enrolled in a non-surgical treatment. In addition to medical histories and physical examinations, all patients underwent the following tests: penile ultrasound, IIEF questionnaire and photographic documentation. The penile curvature was measured by taking a photograph during maximum erection. All 151 patients were treated at different times and with different combinations of drugs, and afterwards, they were clinically studied and divided into five different treatment groups: 1st = verapamil (injection + iontophoresis) + vitamin E + topical diclofenac + blueberries; 2nd = verapamil (injection + iontophoresis) + vitamin E + topical diclofenac + propolis; 3rd = verapamil (injection) + vitamin E + topical Diclofenac; 4th = verapamil (iontophoresis) + vitamin E + topical diclofenac; 5th = verapamil (injection + iontophoresis) + topical diclofenac + blueberries + propolis. All patients were treated for 6 months after which they underwent the same follow-up tests as performed prior to the treatment. The following was achieved: group 1 had the most reduction in plaque size (-66.4%; p = 0.000), group 2 obtained the highest rate where penile curvature disappeared (24.5%; p = 0.019); the best results with reference to decrease in curvature angle were reached by the 2nd group (-14°) and group 1 obtained -9.6° (p = 0.000).
authors.affiliation: Andrology Service, Regina Apostolorum Hospital, Albano Laziale, Rome, Italy. paulisg@tiscali.it
authors.forename: G
authors.initials: G
authors.lastname: Paulis
authors.forename: R
authors.initials: R
authors.lastname: D'Ascenzo
authors.forename: P
authors.initials: P
authors.lastname: Nupieri
authors.forename: G
authors.initials: G
authors.lastname: De Giorgio
authors.forename: G
authors.initials: G
authors.lastname: Orsolini
authors.forename: T
authors.initials: T
authors.lastname: Brancato
authors.forename: R
authors.initials: R
authors.lastname: Alvaro
mesh_terms: D000328:Adult; D000368:Aged; D000975:Antioxidants / Q000627:therapeutic use; D029798:Blueberry Plants / Q000378:metabolism*; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D016861:Cyclooxygenase Inhibitors / Q000627:therapeutic use; D004008:Diclofenac / Q000627:therapeutic use; D006801:Humans; D007478:Iontophoresis; D008297:Male; D008875:Middle Aged; D010410:Penile Erection / Q000502:physiology; D010411:Penile Induration / Q000188:drug therapy*; D010413:Penis / Q000502:physiology; D010936:Plant Extracts / Q000627:therapeutic use; D011429:Propolis / Q000627:therapeutic use*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014700:Verapamil / Q000627:therapeutic use*; D014810:Vitamin E / Q000627:therapeutic use*; D055815:Young Adult
chemical_list: D000975:Antioxidants; D002121:Calcium Channel Blockers; D016861:Cyclooxygenase Inhibitors; D010936:Plant Extracts; D014810:Vitamin E; D004008:Diclofenac; D011429:Propolis; D014700:Verapamil