Nella foto sopra: Laser CO2

The current treatment of Induratio Penis Plastica ( IPP ) is mainly based on the use of orgoteine which provokes several adverse side effects ; aim of this work is to evaluate the clinical efficacy of an original therapeutic association made by CO2 LLLT, Diode Laser and computerized electrotherapy. Hundred male patients (age 40-72 years) affected by I.P.P. of different severity where enrolled in the study ; all patients were monitored with picturs taken in the erection phase at fixed time interval. The treatment consisted of consecutive irradiation with CO2 LLLT every day for 2-3 weeks, in scanning mode giving a total energy per session ranging from 0,001 to 0,005 Watt/cm2; the Diode Laser was used at 12 Watt with wave length of 632,8 nm and frequency of 800 Hz giving a total energy /per session of 200 Joule. Electrotherapy was set 12 Hz using rectangular waves Schwallinger 2 type. Of the total hundred patients, 58 showed optimal results with complete regression of the disease ; 33 patients showed acceptable results, while in 9 case where no improvement. Te best results were obtained when the treatment was started in the first, acute phase of the disease. Laser therapy increases the microcirculation and exerts a clear anti infiammatory action with no negative side effects. This therapeutic association seems to have a real clinical value in a disease where, up today, there are poor alternatives.

This kind of treatment has been proved effective with a number of other patients beyond the initial phase of study.

PhD Patrizia Orciari attended to: "1st Congress of the World Association for Laser Therapy" - "WALT" - Jerusalem, Israel, May 5-9 1996.