cancel
Showing results for 
Search instead for 
Did you mean: 

BLOG: Penile traction therapy

PCFA_OC_Manager
Community Manager
Community Manager
0 0 258

Penile Therapy Banner2.jpg

Following a radical prostatectomy one of the potentials complications is a slight shortening of the length of the penis. This is because where the prostate is taken out a gap remains. The surgeon has to close the gap by reconnecting the urethral stump, which runs through the penis, to the bladder. Pulling the urethra internally towards the pelvis, pulls on the penis as well, potentially resulting in a relative shortening of the penis. Toussi et al and team at the Mayo Clinic in the United States have conducted a trial investigating the value of a penile traction device to assist patients with penile lengthening after surgery1.

History of penile traction devices

Penile traction therapy is not a new concept and several devices have been on the market for many years. The limitation of their use is the long duration of application from 2-9 hours per day to be effective. Due to discomfort, treatment compliance may be hindered resulting in poor outcomes.

The RestoreX device

This a new device which has an improved clamp mechanism, alteration in force delivered and ability to dynamically increase traction. Due to the new design patients only have to wear the device for 30 mins per day.

Illustration.jpg

Fig 1: demonstrating key differentiators of RestoreX from other traction devices.2

Trial design

Eighty two men were enrolled in the clinical trial. It was randomized control trial so some received no penile traction therapy (PTT), some received PTT for 30 minutes per day for five days a week and the remainder 30 minutes twice per day for 7 days a week. Treatment was started one month after surgery and continued for up to five months.

Results

At 5 months the treatment group had on average 1.6cm increase in length as opposed to the controls at 0.3cm. In terms of patient satisfaction there was a 56% satisfaction rate in treatment versus 13% percent in the control group.

An additional beneficial outcome was noted. Erectile function was preserved or improved at greater rates among men treated with PTT versus the controls. There was also significant improvement in intercourse satisfaction and sexual encounter profile scores. There were no changes noted in the orgasmic and sexual desire scores. A lower medication requirement (Viagra, Cialis) was observed as well as the need for self-injections (intracavernosal) for erectile dysfunction. “A total of 93% indicated that they would recommend it to a friend, and 87% noted that they would utilize PTT post prostatectomy if they could redo therapy; 84% of treated men also reported that treatment resulted in a meaningful improvement overall.”

Adverse effects

Mild redness, discomfort and altered sensation were the only reported adverse effects from the device, resolving quickly when device usage was stopped making it very tolerable overall.

Limitations to study

Self-reported study limitations include that the study is conducted by the device designer, there is limited long term follow up, the average age of the participants is 60 years and the effectiveness in older age groups is unknown. External validation is required.

Conclusion

This is the first study that has demonstrated the improvement of erectile function with a device alone without requiring on demand medication. RestoreX has shown success in improving penile length in other diseases such as Peyronie’s disease. The results from this trial are promising and may inform the regular use of penile traction therapy as a recognised treatment option following a radical prostatectomy in the near future.

Reference

  1. Toussi A, Ziegelmann M, Yang D et al. Efficacy of a novel penile traction device in improving penile length and erection function post prostatectomy: Results from a single center randomized, Controlled trial. Journal of Urology 2021.
  2. www.sciencedirect.com/science/article/pii/S1743609520309395#fig1

PCFA_OC_Manager_0-1647918584950.jpeg

About the Author

Kalli Spencer

MBBCh, FC Urol (SA), MMed (Urol), Dip.Couns (AIPC)

Kalli is an internationally renowned Urological Surgeon, specialising in oncology and robotic surgery. He trained and worked in South Africa, before relocating to Australia where he has worked at Macquarie University Hospital and Westmead Hospital. His passion for what he does extends beyond the operating room, through public health advocacy, education and community awareness of men’s health, cancer and sexuality.

Kalli has been involved with the Prostate Cancer Foundation of Australia for many years, advocating for improved cancer care and facilitating community prostate cancer support groups.


Help is Available

Prostate Cancer Specialist Telenursing Service

If your life has been impacted by prostate cancer, our Specialist Telenursing Service is available to help. If you would like to reach out to the PCFA Prostate Cancer Specialist Telenurse Service for any questions you have about your prostate cancer experience, please phone 1800 22 00 99 Monday - Friday 9am - 5pm, Wednesday 10am-8pm (AEST).

Prostate Cancer Support Groups

PCFA is proud to have a national network of affiliated support groups in each state and territory of Australia consisting of men and women who have a passion for assisting others who encounter prostate cancer. This network is made up of over 170 affiliated groups who meet locally to provide one-to-one support, giving a vision of life and hope after treatment. Call us on 1800 22 00 99 to find your local group.

MatesCONNECT Telephone-based peer support

MatesCONNECT is a telephone-based peer support program for men affected by prostate cancer. If you’ve recently been diagnosed with prostate cancer, our MatesCONNECT service can connect you to a trained volunteer who understands what you’re going through. All of our volunteers have been through prostate cancer. Simply call us on 1800 22 00 99 to be connected with a volunteer.

Newly diagnosed? or need to find more information? Access the PCFA resources here.

House Rules

To help keep this community a welcoming, supportive and caring place we have put together a small list of dos and don'ts for you to think about when posting on our forum, research blog or video gallery. For further information please see our  terms and conditions.

Adhere to PCFA’s five core values of Integrity, Optimism, Compassion, Respect and Commitment.

Our online forum is for you to share experiences with others and does not contain specific medical, counselling or legal advice.  If you require professional advice specific to your individual circumstances we encourage you to see a medical professional, legal professional or counsellor.

No commercial or promotional activity. While members may share information about resources they have found helpful, the PCFA Online Community forum should not be used for the promotion of goods and services. This includes commercial entities passing themselves off as individuals and people who frequently post links to external health professionals or other services.

Be kind to each other - many people using the community are going through a difficult time. A few kind words can go a long way. Please welcome new posters – it can be very nerve-wracking to post on the forum for the first time.

If you or someone you know is suffering from mental health issues, such as depression or anxiety, we encourage you to seek assistance and contact Beyond Blue Tel:1300 224 636 or Lifeline Tel:13 11 14

Speak your mind freely, but please be sensitive to the feelings and experiences of others - you might not always agree, but you can agree to disagree in a peaceful manner.

Don't use offensive language -if a user is found to be using offensive language during their conversations the moderators reserve the right to edit the thread, without warning.

Don't use all capital letters in your posts - it's considered ‘shouting' online and it makes posts difficult to read.

Give each other the benefit of the doubt - please remember that it is all too easy for the tone and meaning of posts to be misinterpreted. Think carefully before replying to a discussion. it It is important to remember that things written rather than said can feel much stronger, so please bear this in mind when reading other people's messages.

Please respect the moderators - their job is to keep the forum safe and constructive so that everybody gets to have his or her fair say.

Stay on topic - try to focus on the original topic. In particular, don't change subject in the middle of an existing thread - just start a new thread.

Read what's already on the forum before posting - you may be repeating what others have already said or asked.

We want PCFA's Online Community to be a secure and helpful environment for all of the community. So please remember that by using PCFA's Online Community you are agreeing to follow our terms and conditions.