Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Management Of Unsuspected Peyronie?s Disease With Ultrasound Therapy Among Egyptian Population | 3481
ISSN: 2161-069X
Journal of Gastrointestinal & Digestive System
Open Access
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Peyronie's disease is a fibrotic disorder of the tunica albuginea of the penis resulting in varying degrees of penile curvature and
sexual dysfunction. Diagnosis of the disorder is made by detailed sexual history and focused physical examination. A wide range of
medical treatments has been employed to treat the disorder. Medical treatment as Verapamil and some evidence exists to support the
use of colchicine, potaba, L-carnitine and liposomal superoxide dismutase. The surgical treatment of Peyronie's disease is a viable and
recommended alternative for men with compromised sexual function due to severe curvature or lesions causing penile instability. The
use of Ultrasound session is one of the alternative choice of corrective procedure and should be tailored to each patient after a detailed
evaluation of disease severity and sexual function
Objective:
To investigate epidemiological and clinical features of Peyronie's disease in an unselected group of patients who visit Urology
Clinic for sexual problem not related to Peyronie?s disease and the outcome of ultrasound session as a noninvasive treatment for
Peyronie?s disease.
Patients & Methods:
A series of 720 consecutive cases with sexual complaints was evaluated regarding to the age at diagnosis, the
presence of general diseases, and the outcome of ultrasound sessions as a line of treatment on the improvement of the disease. The
medical history which could be possibly related with the onset of the disease was investigated as well. The effect of ultrasound therapeutic
session was assessed. We use plaque size, penile curvature, penile pain, erectile function, and patient satisfaction as points of treatment
evaluation.
Results:
148 patients (20.56%) had Peyronie?s disease (PD). Age of our patients ranged from 33 to 77 years old with Mean 43.97,
DM presents in 147 patients (20.42%) while HTN presents in 111 patients (15.42%). Penile trauma was observed in 34/148 patients
(22.9%). Ultrasound sessions was scheduled for all patients, 6/148 patients (4.0%) discontinue therapy, 37/148 patients (25%) had good
improvement, 69/148 patients (46.62%) had weak response, 33/148 patients (22.29%) had no response
Conclusions:
The mean age of patients at diagnosis, the site of penile scars, and the outcome of ultrasound sessions could reach the
satisfactory response. Thus, due to the diminution of pain spontaneously or after treatment, the patients with Peyronie's disease may
have a normal life with satisfactory sexual function.
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