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Induratio penis plastica (IPP)

Induratio penis plastica (IPP)
Quote: L. Weißbach, E.A. Boedefeld, T. Widmann, Foreword to Report of the IPP Symposium 1984, Urological University Clinic Bonn-Venusberg, M. Brimberg, Druck- and Verlagsgesellschaft mbH, Aachen, (1985).

“It has been almost 250 years since the first description of induratio penis plastica (IPP) and there are still speculations on etiology. To date, a causal treatment of this ailment is not in sight. Until the development of a symptom classification, the assessment of success of a treatment was mostly subjective.”

This still hold true for the year 2003. Today we still have no scientific explanation for spiral-shaped calluses in der tunica albuginea. In some individuals an uncontrolled formation of plaques occurs with a deviation of the penis that may make erection or penetration painful or prevent it altogether.


Attempts at conservative therapy, be it with medication, soft x-rays, electromechanical shock waves or the penetration of iontophoretic agents (administration of medication via an electrical field) have – if at all – had only a symptomatic and passing effect.

A last resort, these plaques can be surgically corrected by excision and the resulting defects concealed by alloplastic or allogenic material, or the body’s own tissue. It can be assumed that this will remain the only possible treatment for severe cases in the immediate future. In a high percentage of cases the excision depending on the size of the plaques removed unfortunately causes a restriction or complete loss of erection, that can often only be compensated for by the implantation of a penis prosthesis.

A specialist recently told us the moving story a patient with IPP who refused to undergo surgery. The angle of lateral deviation of his penis was extreme at approx. 90°. The curvature made sexual intercourse impossible.

The specialist decided to try a treatment with Phallosan. Only 3 months after the start of treatment involving traction (pull) on the penis in the opposite direction, a significant decrease in deviation was observed (angle of deviation 60°). After 6 months the deviation had reduced to 30°, so that the patient was once again able to engage in pain-free sexual intercourse. The case has been documented with photographs, treatment is still underway. The specialist in attendance intends to publish a case study of the therapy in a medical journal.

We are well aware that these plaques will not be removed by the use of Phallosan. The above-named patient, however, delivered proof that if the penis is subjected to constant traction in the direction opposite to the curvature, the latter can be considerably reduced over a period of a few months, or at least the process can be inhibited. Admittedly, long-term results are not yet available. We are unable to confirm whether and from which point in time a permanent remission can be assumed.

It is possible that with this chronic syndrome a treatment in short intervals will be required – as a maintenance therapy, so to speak. Nevertheless, the success of this treatment encourages us to recommend treatment with Phallosan in individual cases, in particular before the patient resorts to surgical measures. It is also a prudent choice because it does not preclude further treatment options.

See also:
Clinical evidence of penis enlargement through the successful treatment of incurvate penis (IPP)

 
 
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