About this trial
The purpose of this research is to determine whether or not low-intensity shockwave therapy (LiSWT) with Xiaflex treatment will result in greater improvements to the curvature of the penis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Palpable penile plaque
Dorsal, lateral, or dorsolateral penile curvature
Penile curvature > 30 degrees and < 90 degrees as measured using goniometer during objective curvature assessment
Non-calcified plaque or grade 1 calcification ("stippling", no shadowing) as determined by penile duplex Doppler ultrasound (PDDU)
Disqualifiers
Prior intralesional injections or surgery for PD.
Severe baseline penile pain.
Moderate or severe baseline ED based on IIEF-EF domain.
History of low intensity shockwave therapy for sexual dysfunction (ED or PD).
Trial design
Parallel
Treatments tested in this trial
Collagenase Clostridium Histolyticum
DrugTotal of 8 Intralesional injection (0.90 mg), administered as four separate injection series. Within each series, subjects will receive two injections, administered approximately 1-7 days apart.
Storz Duolith LiSWT
DeviceSingle low intensity shockwave therapy consistent of 1,500 shocks at a rate of 120 shocks/minute and using a power setting of 0.09 mJ/mm2. These treatments will occur four separate times, before each of the four separate CCH injection series.
Treatment groups
Trial outcomes
Primary outcomes
Change in symptom bother
Measured using the validated Peyronie's Disease Questionnaire (PDQ) subdomain symptom bother. Four questions to evaluate pain or discomfort during vaginal intercourse: responses include "not at all bothered", "a little bit bothered" , "moderately bothered", "very bothered", "extremely bothered"
Change in penetrative sexual intercourse
Measured using self-reported question: "Over the past 4 weeks: When you attempted intercourse, how often were you able to penetrate (enter) your partner?" Responses include "no sexual activity", "almost never or never" , "a few times (less than half the time)", "sometimes (about half the time)", "Most times (more than half the time)", "almost always or always.
Surgical straightening intervention
Number of subjects to require surgical straightening
Change in erectile function
Measured using the International Index of erectile Function
Sponsors and contacts
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