title: Effects of Stem Cell Treatment in Human Patients With Peyronie Disease.
abstract: BACKGROUND
  Peyronie disease (PD) is a connective tissue disorder involving the formation of fibrous plaques in the tunica albuginea. Abnormal plaques and scar tissue create a chronic state of inflammation, causing increased curvature of the penis as well as erectile dysfunction.
  
  
  OBJECTIVE
  To determine the feasibility and effects of using placental matrix-derived mesenchymal stem cells (PM-MSCs) in the management of PD.
  
  
  METHODS
  In a prospective study, patients with PD were injected with PM-MSCs, and followed up at 6-week, 3-month, and 6-month intervals to assess changes in plaque volume, penile curvature, and erectile function status (measured using peak systolic velocity, end-diastolic velocity, and the International Index of Erectile Function questionnaire).
  
  
  RESULTS
  In the 5 patients enrolled in the study, statistically significant increases in peak systolic velocity occurred after PM-MSC injection (P<.01). Of a total of 10 plaques managed, 7 had disappeared completely at 3-month follow-up. Changes in end-diastolic velocity, stretched penile length, and penile girth were not statistically significant.
  
  
  CONCLUSIONS
  To our knowledge, this study is the first on the use of stem cells to manage PD in humans. The results suggest that PM-MSCs may be beneficial and effective as a nonsurgical treatment in patients with PD. Future studies with long-term follow-up in a larger sample of patients are warranted. (ClinicalTrials.gov number NCT02395029).
authors.forename: Jason A
authors.initials: JA
authors.lastname: Levy
authors.forename: Melissa
authors.initials: M
authors.lastname: Marchand
authors.forename: Leanne
authors.initials: L
authors.lastname: Iorio
authors.forename: Gilles
authors.initials: G
authors.lastname: Zribi
authors.forename: Michael P
authors.initials: MP
authors.lastname: Zahalsky
mesh_terms: D005240:Feasibility Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D045164:Mesenchymal Stem Cell Transplantation / Q000379:methods*; D008875:Middle Aged; D010411:Penile Induration / Q000628:therapy*; D011446:Prospective Studies; D013997:Time Factors