{"id":27326,"date":"2017-05-08T12:29:18","date_gmt":"2017-05-08T15:29:18","guid":{"rendered":"https:\/\/www.alexandremiranda.com.br\/?page_id=27326"},"modified":"2025-10-25T17:49:45","modified_gmt":"2025-10-25T20:49:45","slug":"peyronies-shockwave-therapy","status":"publish","type":"page","link":"https:\/\/www.alexandremiranda.com.br\/en\/terapia-de-onda-de-choque-peyronie\/","title":{"rendered":"Shockwave - Peyronie's disease"},"content":{"rendered":"

[et_pb_section fb_built=”1″ fullwidth=”on” admin_label=”Se\u00e7\u00e3o” _builder_version=”4.16″ global_colors_info=”{}”][et_pb_fullwidth_header title=”Doen\u00e7a de Peyronie – Terapia por Ondas de Choque” subhead=”Novo tratamento n\u00e3o invasivo para curvatura peniana adquirida” text_orientation=”center” content_max_width=”none” title_font_color=”#ffffff” subhead_font_color=”#ffffff” admin_label=”Cabe\u00e7alho de Largura Completa” _builder_version=”4.16″ title_text_color=”#ffffff” subhead_text_color=”#ffffff” background_color=”#98927a” background_layout=”light” button_one_letter_spacing_hover=”0″ button_two_letter_spacing_hover=”0″ global_colors_info=”{}” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”on” button_one_letter_spacing__hover=”0″ button_two_letter_spacing__hover_enabled=”on” button_two_letter_spacing__hover=”0″ button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”4.16″ background_color=”rgba(152,146,122,0.54)” transparent_background=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” global_colors_info=”{}”][et_pb_row column_structure=”1_4,3_4″ admin_label=”Linha” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”3_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_toggle title=”INTRODU\u00c7\u00c3O” open=”on” admin_label=”Caixa de Altern\u00e2ncia” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]As tecnologias\u00a0minimamente invasivas vem ganhando espa\u00e7o no tratamento da doen\u00e7a de Peyronie, principalmente nos pacientes que se encontram no in\u00edcio da doen\u00e7a (fase aguda). Dentre as novas modalidades temos a terapia de onda de choque de baixa intensidade.<\/p>\n

Muitos trabalhos cient\u00edficos tem demonstrado sua efic\u00e1cia na redu\u00e7\u00e3o da dor (quando presente), tamanho da placa (calcifica\u00e7\u00e3o), melhora da rigidez peniana (fun\u00e7\u00e3o er\u00e9til), estabiliza\u00e7\u00e3o \u00a0da doen\u00e7a, parando sua progress\u00e3o e melhorando a qualidade de vida do paciente.
\n[\/et_pb_toggle][et_pb_image src=”https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2025\/10\/SW_PD2.jpg” alt=”T\u00e9cnica de terapia a laser para tratamento de problemas na sa\u00fade masculina.” title_text=”SW_PD2″ align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” admin_label=”Imagem” _builder_version=”4.27.4″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” use_border_color=”off” border_color=”#ffffff” border_style=”solid” animation=”left” sticky=”off” global_colors_info=”{}”][\/et_pb_image][et_pb_text admin_label=”Texto” _builder_version=”4.27.4″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” background_layout=”dark” hover_enabled=”0″ use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

Onda de choque de baixa intensidade sendo aplicada na placa calcificada, presente na doen\u00e7a de Peyronie.<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Se\u00e7\u00e3o” _builder_version=”4.16″ background_color=”rgba(152,146,122,0.28)” transparent_background=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” global_colors_info=”{}”][et_pb_row column_structure=”1_4,3_4″ admin_label=”Linha” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”3_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_toggle title=”Veja os resultados apresentados em um estudo prospectivo, randomizado, duplo cego, placebo-controlado” open=”on” admin_label=”Caixa de Altern\u00e2ncia” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]<\/p>\n

\n
\n
\n

A First Prospective, Randomized, Double-Blind, Placebo-Controlled Clinical Trial Evaluating Extracorporeal Shock Wave Therapy for the Treatment of Peyronie\u2019s Disease<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n

Palmieri A, Imbimbo C, Longo N, Fusco F, Verze P, Mangiapia F, et al. A first prospective, randomized, double-blind, placebo-controlled clinical trial evaluating extracorporeal shock wave therapy for the treatment of Peyronie’s disease. Eur Urol. 2009;56(2):363-9.
\n[\/et_pb_toggle][et_pb_image src=”https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2017\/05\/LISWT-Peyronie.001.jpeg” align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” admin_label=”Imagem” _builder_version=”4.16″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” use_border_color=”off” border_color=”#ffffff” border_style=”solid” animation=”left” sticky=”off” global_colors_info=”{}”][\/et_pb_image][et_pb_text admin_label=”Texto” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]<\/p>\n

Gr\u00e1fico mostrando melhora da dor peniana nos pacientes que fizeram a onda de choque, comparando com os que n\u00e3o fizeram<\/p>\n

[\/et_pb_text][et_pb_image src=”https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2017\/05\/LISWT-Peyronie.002.jpeg” align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” admin_label=”Imagem” _builder_version=”4.16″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” use_border_color=”off” border_color=”#ffffff” border_style=”solid” animation=”left” sticky=”off” global_colors_info=”{}”][\/et_pb_image][et_pb_text admin_label=”Texto” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]Gr\u00e1fico mostrando melhora da rigidez\u00a0peniana nos pacientes que fizeram a onda de choque, comparando com os que n\u00e3o fizeram
\n[\/et_pb_text][et_pb_image src=”https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2017\/05\/LISWT-Peyronie.003.jpeg” align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” admin_label=”Imagem” _builder_version=”4.16″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” use_border_color=”off” border_color=”#ffffff” border_style=”solid” animation=”left” sticky=”off” global_colors_info=”{}”][\/et_pb_image][et_pb_text admin_label=”Texto” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]Gr\u00e1fico mostrando melhora da\u00a0qualidade de vida nos pacientes que fizeram a onda de choque, comparando com os que n\u00e3o fizeram
\n[\/et_pb_text][et_pb_image src=”https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2017\/05\/LISWT-Peyronie.004.jpeg” align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” admin_label=”Imagem” _builder_version=”4.16″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” use_border_color=”off” border_color=”#ffffff” border_style=”solid” animation=”left” sticky=”off” global_colors_info=”{}”][\/et_pb_image][et_pb_text admin_label=”Texto” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]Gr\u00e1fico mostrando melhora do tamanho final da placa (calcifica\u00e7\u00e3o, caro\u00e7o palp\u00e1vel no p\u00eanis)\u00a0dos pacientes que fizeram a onda de choque, comparando com os que n\u00e3o fizeram
\n[\/et_pb_text][et_pb_image src=”https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2017\/05\/LISWT-Peyronie.005.jpeg” align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” admin_label=”Imagem” _builder_version=”4.16″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” use_border_color=”off” border_color=”#ffffff” border_style=”solid” animation=”left” sticky=”off” global_colors_info=”{}”][\/et_pb_image][et_pb_text admin_label=”Texto” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]Gr\u00e1fico mostrando ao fim de 24 semanas\u00a0uma curvatura menor\u00a0nos\u00a0pacientes que fizeram a onda de choque, comparando com os que n\u00e3o fizeram
\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”4.16″ background_color=”rgba(152,146,122,0.54)” transparent_background=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” global_colors_info=”{}”][et_pb_row column_structure=”1_4,3_4″ admin_label=”Linha” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”3_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_toggle title=”CONCLUS\u00c3O” open=”on” admin_label=”Caixa de Altern\u00e2ncia” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]Atualmente a onda de choque de baixa intensidade tem seu espa\u00e7o como uma forma n\u00e3o invasiva no tratamento da doen\u00e7a de Peyronie. Os pacientes que est\u00e3o na fase aguda da doen\u00e7a (com dor e\/ou piora progressiva da curvatura) s\u00e3o os que mais se beneficiar\u00e3o com o uso desta nova tecnologia
\n[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Se\u00e7\u00e3o” _builder_version=”4.16″ background_color=”rgba(152,146,122,0.28)” transparent_background=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” global_colors_info=”{}”][et_pb_row column_structure=”1_4,3_4″ admin_label=”Linha” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”3_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta title=”AGENDE AGORA SUA AVALIA\u00c7\u00c3O” button_url=”\/agendamento” button_text=”Agendar” admin_label=”Chamada \u00e0 A\u00e7\u00e3o” _builder_version=”4.27.4″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” hover_enabled=”0″ use_border_color=”off” border_color=”#ffffff” border_style=”solid” button_letter_spacing_hover=”0″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”on” button_letter_spacing__hover=”0″ button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” background_color=”#0C71C3″ sticky_enabled=”0″][\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”4.16″ background_color=”rgba(152,146,122,0.54)” transparent_background=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” global_colors_info=”{}”][et_pb_row column_structure=”1_4,3_4″ admin_label=”Linha” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”3_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_cta title=”Saiba mais sobre as ondas de choque de baixa intensidade” admin_label=”Chamada \u00e0 A\u00e7\u00e3o” _builder_version=”4.27.4″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” hover_enabled=”0″ use_border_color=”off” border_color=”#ffffff” border_style=”solid” button_letter_spacing_hover=”0″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”on” button_letter_spacing__hover=”0″ button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” background_color=”#0C71C3″ sticky_enabled=”0″][\/et_pb_cta][et_pb_toggle title=”O QUE S\u00c3O AS ONDAS DE CHOQUE?” open=”on” admin_label=”Caixa de Altern\u00e2ncia” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]As ondas de choque s\u00e3o ondas ac\u00fasticas que geram um impulso press\u00f3rico. Estas ondas transportam energia, quando se propagam por um meio. O grau de intensidade da m\u00e1quina pode ser modulado de forma n\u00e3o invasiva, resultando em concentra\u00e7\u00f5es de energia vari\u00e1vel no local desejado. Quando as ondas de choque s\u00e3o aplicadas a um \u00f3rg\u00e3o a onda interage com o tecido alvo profundamente e atua como uma for\u00e7a micromec\u00e2nica transiente, que inicia v\u00e1rias mudan\u00e7as biol\u00f3gicas.
\n[\/et_pb_toggle][et_pb_toggle title=”ONDE AS ONDAS DE CHOQUE S\u00c3O USADAS NA MEDICINA?” open=”on” admin_label=”Caixa de Altern\u00e2ncia” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]A terapia por onda de choque vem sendo estudada e aplicada clinicamente em v\u00e1rios campos da medicina. A onda de choque de alta intensidade \u00e9 usada para realizar a quebra de c\u00e1lculos, devido a sua natureza destrutiva focal, com seu primeiro uso cl\u00ednico realizado em 1980. As ondas de media intensidade tem demonstrado possuir propriedade anti-inflamat\u00f3ria e s\u00e3o usadas para tratar uma variedade de doen\u00e7as ortop\u00e9dicas, como fraturas que n\u00e3o se consolidam, tendinites e bursites. A onda de choque de baixa intensidade tem propriedade angiog\u00eanica (estimula a cria\u00e7\u00e3o de novos vasos sangu\u00edneos) e s\u00e3o usualmente utilizadas para tratamento de feridas cr\u00f4nicas (de dif\u00edcil cicatriza\u00e7\u00e3o), neuropatias perif\u00e9ricas e tecido card\u00edaco isqu\u00eamico (com pouca irriga\u00e7\u00e3o sangu\u00ednea).
\n[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Se\u00e7\u00e3o” _builder_version=”4.16″ background_color=”rgba(152,146,122,0.28)” transparent_background=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” global_colors_info=”{}”][et_pb_row column_structure=”1_4,3_4″ admin_label=”Linha” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”3_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_toggle title=”COMO ELA FUNCIONA?” open=”on” admin_label=”Caixa de Altern\u00e2ncia” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]Quando a onda de choque de baixa frequ\u00eancia \u00e9 aplicada \u00e0 algum \u00f3rg\u00e3o, sua onda fraca interage com o tecido alvo profundo, onde ela causa um estresse mec\u00e2nico e microtraumas, tamb\u00e9m conhecido como estresse de cisalhamento. Esta for\u00e7a dispara uma cadeia de eventos, que causam a libera\u00e7\u00e3o de fatores angiog\u00eanicos, os quais criam novos vasos no tecido tratado, aumentando o fluxo sangu\u00edneo. Al\u00e9m disso parece que a onda de choque possui a capacidade de recrutar c\u00e9lulas tronco e progenitoras. Estas c\u00e9lulas possuem a habilidade de se dividirem e se diferenciarem em tipos celulares especializados. Seu papel chave no surgimento de novos vasos nos tecidos isqu\u00eamicos vem sendo amplamente pesquisado. Em estudo recente foi visto que os tecidos isqu\u00eamicos (com pouca chegada de sangue e oxig\u00eanio) liberam fatores qu\u00edmicos atrativos para as c\u00e9lulas progenitoras que circulam no sangue. Estas c\u00e9lulas contribuem para a repara\u00e7\u00e3o endotelial (revestimento dos vasos sangu\u00edneos). Outro estudo demonstrou que a onda de choque de baixa frequ\u00eancia possui a capacidade de atrair e fixar c\u00e9lulas progenitoras nos tecidos. O resultado final foi o aumento do fluxo sangu\u00edneo no tecido tratado. Outro efeito da onda de choque \u00e9 a promo\u00e7\u00e3o da regenera\u00e7\u00e3o de nervos envolvidos na ere\u00e7\u00e3o.
\n[\/et_pb_toggle][et_pb_image src=”https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2017\/01\/NeoVasc5.jpg” align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” admin_label=”Imagem” _builder_version=”4.16″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” use_border_color=”off” border_color=”#ffffff” border_style=”solid” animation=”left” sticky=”off” global_colors_info=”{}”][\/et_pb_image][et_pb_text admin_label=”Texto” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]Esta figura mostra os vasos sangu\u00edneos (ramifica\u00e7\u00f5es em preto) do membro de um animal exposto \u00e0s ondas de choque. As imagens foram obtidas antes e ap\u00f3s 21 dias do tratamento. \u00c9 vis\u00edvel um aumento do n\u00famero de vasos.
\n[\/et_pb_text][et_pb_toggle title=”Ativa\u00e7\u00e3o de c\u00e9lulas tronco” open=”on” admin_label=”Caixa de Altern\u00e2ncia” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]Outro efeito da onda de choque \u00e9 a ativa\u00e7\u00e3o de c\u00e9lulas-tronco, que est\u00e3o inativas no p\u00eanis, principalmente abaixo da t\u00fanica albug\u00ednea (corpo cavernoso). A onda de choque ativa a divis\u00e3o destas c\u00e9lulas, regenerando o tecido local.<\/p>\n

Hoje a onda de choque de baixa intensidade \u00e9 considerada uma terapia de c\u00e9lulas tronco.<\/p>\n

Refer\u00eancia
\nLin G, Reed-Maldonado AB, Wang B, Lee YC, Zhou J, Lu Z, et al. In Situ Activation of Penile Progenitor Cells With Low-Intensity Extracorporeal Shockwave Therapy. J Sex Med. 2017;14(4):493-501.
\n[\/et_pb_toggle][et_pb_image src=”https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2017\/01\/LISWT_StemC.jpg” align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” admin_label=”Imagem” _builder_version=”4.16″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” use_border_color=”off” border_color=”#ffffff” border_style=”solid” animation=”left” sticky=”off” global_colors_info=”{}”][\/et_pb_image][et_pb_text admin_label=”Texto” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]a) P\u00eanis de um animal que n\u00e3o recebeu a onda de choque
\nb) P\u00eanis de uma animal submetido \u00e0 onda de choque de baixa intensidade<\/p>\n

Setas brancas: C\u00e9lulas tronco ativas (se dividindo e maturando)
\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”4.16″ background_color=”rgba(152,146,122,0.54)” transparent_background=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” global_colors_info=”{}”][et_pb_row column_structure=”1_4,3_4″ admin_label=”Linha” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”3_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_toggle title=”APLICA\u00c7\u00d5ES CL\u00cdNICAS DA ONDA DE CHOQUE” open=”on” admin_label=”Caixa de Altern\u00e2ncia” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]Resultados encorajadores testados em modelos animais fizeram a base do conhecimento para os estudos em humanos. V\u00e1rios deles demonstraram o efeito positivo da terapia de onda de choque de baixa intensidade em pacientes com isquemia severa do cora\u00e7\u00e3o. Os achados demonstram que a onda de choque melhora a fra\u00e7\u00e3o de eje\u00e7\u00e3o (quantidade de sangue bombeado pelo cora\u00e7\u00e3o) e reduz a dor no peito durante o exerc\u00edcio.<\/p>\n

Outra aplica\u00e7\u00e3o da onda de choque vem sendo feita na ortopedia, para tratamento de m\u00fasculos lesado e de doen\u00e7as tendinosas.<\/p>\n

No tratamento de feridas a onda de choque vem demonstrando tamb\u00e9m\u00f3tima efic\u00e1cia, acelerando a cicatriza\u00e7\u00e3o e melhorando a isquemia presente em feridas complexas, atrav\u00e9s da sua propriedade de estimula\u00e7\u00e3o para o surgimento de novos vasos e consequente aumento da vasculariza\u00e7\u00e3o.
\n[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_4,1_2,1_4″ admin_label=”Linha” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2017\/01\/LIESWT_Neovascularization.jpg” align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” admin_label=”Imagem” _builder_version=”4.16″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” use_border_color=”off” border_color=”#ffffff” border_style=”solid” animation=”left” sticky=”off” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Texto” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]Neovasculariza\u00e7\u00e3o: Surgimento de novos vasos a partir de vasos pr\u00e9-existentes
\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Se\u00e7\u00e3o” _builder_version=”4.16″ background_color=”rgba(152,146,122,0.28)” transparent_background=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” global_colors_info=”{}”][et_pb_row column_structure=”1_4,3_4″ admin_label=”Linha” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][et_pb_column type=”3_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2019\/04\/VEJA_Inteira_reduced.jpg” url=”https:\/\/veja.abril.com.br\/saude\/precisamos-falar-de-sexo\/” url_new_window=”on” align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” _builder_version=”4.16″ global_colors_info=”{}”][\/et_pb_image][et_pb_blurb title=”Revista Veja” url=”https:\/\/veja.abril.com.br\/saude\/precisamos-falar-de-sexo\/” url_new_window=”on” admin_label=”Sinopse” _builder_version=”4.16″ header_font=”||||||||” header_text_color=”#0c71c3″ body_font=”||||||||” global_colors_info=”{}”]<\/p>\n

Leia e entrevista do Dr. Alexandre Miranda para a revista VEJA<\/p>\n

[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

As tecnologias\u00a0minimamente invasivas vem ganhando espa\u00e7o no tratamento da doen\u00e7a de Peyronie, principalmente nos pacientes que se encontram no in\u00edcio da doen\u00e7a (fase aguda). Dentre as novas modalidades temos a terapia de onda de choque de baixa intensidade. Muitos trabalhos cient\u00edficos tem demonstrado sua efic\u00e1cia na redu\u00e7\u00e3o da dor (quando presente), tamanho da placa (calcifica\u00e7\u00e3o), […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"

[et_pb_section bb_built=\"1\" admin_label=\"section\" transparent_background=\"off\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"on\" padding_mobile=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"off\" custom_width_px=\"1080px\" custom_width_percent=\"80%\" make_equal=\"off\" use_custom_gutter=\"off\" fullwidth=\"on\" specialty=\"off\" disabled=\"off\"][et_pb_fullwidth_header admin_label=\"Cabe\u00e7alho de Largura Completa\" title=\"Terapia de onda de choque na doen\u00e7a de Peyronie\" background_layout=\"light\" text_orientation=\"center\" header_fullscreen=\"off\" header_scroll_down=\"off\" scroll_down_icon=\"%%3%%\" title_font_color=\"#ffffff\" content_font_color=\"#ffffff\" background_color=\"#98927a\" parallax=\"off\" parallax_method=\"off\" content_orientation=\"center\" image_orientation=\"center\" custom_button_one=\"off\" button_one_letter_spacing=\"0\" button_one_use_icon=\"default\" button_one_icon_placement=\"right\" button_one_on_hover=\"on\" button_one_letter_spacing_hover=\"0\" custom_button_two=\"off\" button_two_letter_spacing=\"0\" button_two_use_icon=\"default\" button_two_icon_placement=\"right\" button_two_on_hover=\"on\" button_two_letter_spacing_hover=\"0\" disabled=\"off\" subhead=\"Nova terapia n\u00e3o invasiva\" \/][\/et_pb_section][et_pb_section bb_built=\"1\" admin_label=\"section\" transparent_background=\"off\" background_color=\"rgba(152,146,122,0.54)\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"off\" padding_mobile=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" custom_width_px=\"1080px\" custom_width_percent=\"80%\" make_equal=\"off\" use_custom_gutter=\"off\" fullwidth=\"off\" specialty=\"off\" disabled=\"off\"][et_pb_row admin_label=\"row\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"off\" custom_width_px=\"1080px\" custom_width_percent=\"80%\" use_custom_gutter=\"off\" gutter_width=\"3\" padding_mobile=\"off\" allow_player_pause=\"off\" parallax=\"off\" parallax_method=\"on\" make_equal=\"off\" column_padding_mobile=\"on\" parallax_1=\"off\" parallax_method_1=\"on\" parallax_2=\"off\" parallax_method_2=\"on\" parallax_3=\"off\" parallax_method_3=\"on\" parallax_4=\"off\" parallax_method_4=\"on\" disabled=\"off\"][et_pb_column type=\"1_4\"][\/et_pb_column][et_pb_column type=\"1_2\"][et_pb_image admin_label=\"Imagem\" src=\"https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2017\/01\/SWPenisWeb.jpg\" show_in_lightbox=\"off\" url_new_window=\"off\" use_overlay=\"off\" animation=\"left\" sticky=\"off\" align=\"left\" force_fullwidth=\"off\" always_center_on_mobile=\"on\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" \/][et_pb_toggle admin_label=\"Caixa de Altern\u00e2ncia\" title=\"O que \u00e9 a doen\u00e7a de Peyronie?\" open=\"on\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" disabled=\"off\"]<\/p>

\"penistorto\"<\/a><\/p>

A doen\u00e7a de Peyronie pode aparecer como uma variedade de deformidades penianas, curvaturas, endenta\u00e7\u00f5es, placas ou n\u00f3dulos palp\u00e1veis, estreitamento em ampulheta, encurtamento peniano (com ou sem curvatura) ou em combina\u00e7\u00e3o. A deformidade \u00e9 mais evidente durante a ere\u00e7\u00e3o, j\u00e1 que a t\u00fanica albug\u00ednea perde sua complac\u00eancia (capacidade de se distender) no local da fibrose, impedindo o corpo cavernoso de se expandir normalmente. Isto faz com que os lados do p\u00eanis fiquem de tamanhos diferentes, sendo o lado curto onde est\u00e1 a fibrose (placa), pois n\u00e3o se distente; e o lado contralateral o longo (imagem ao lado). Na fase aguda, inicial, tem sempre um componente inflamat\u00f3rio que pode causar a dor.<\/p>

A doen\u00e7a de Peyronie est\u00e1 frequentemente associada com a disfun\u00e7\u00e3o sexual er\u00e9til, que acomete de 20 a 54% (em m\u00e9dia 1\/3) dos paciente. Outras doen\u00e7as e fatores relacionados com a doen\u00e7a de Peyronie s\u00e3o: hipertens\u00e3o, dislipidemia, n\u00edveis baixos de testosterona, contratura de Dupuytren, contratura fascial plantar (doen\u00e7a de Ledderhose), timpanoesclerose, trauma, procedimentos transuretrais, gota, doen\u00e7a de Paget e uso de beta bloqueador.<\/p>

A doen\u00e7a de Peyronie cl\u00e1ssica \u00e9 diferente de uma fibrose do corpo cavernoso causada por traumatismo externo, fratura ou secund\u00e1rio \u00e0 inje\u00e7\u00e3o intracavernosa (ICI) com droga vasoativa.<\/p>

[\/et_pb_toggle][et_pb_toggle admin_label=\"Caixa de Altern\u00e2ncia\" title=\"Hist\u00f3ria da doen\u00e7a\" open=\"on\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" disabled=\"off\"]<\/p>

\"peyronie\"
<\/a>Fran\u00e7ois Gigot de La Peyronie (1678 - 1747)<\/p>

O primeiro relato da curvatura peniana\u00a0foi feito por Theodoricus Borgognoni (1205\u20131298), e posteriormente citada por v\u00e1rios cirurgi\u00f5es e anatomistas: Guilielmus of Saliceto (circa 1210\u20131276), Gabriele Falloppio (ou Falloppia) (1523\u20131562), Andreas Vesalius (1514\u20131564), Giulio Cesare Aranzi (ou Aranzio) (1530\u20131589), Claas Pieterzoon Tulp (Nicholaus Tulpius) (1593\u20131674), e Anton Frederik Ruysch (1638\u20131731). Por\u00e9m a \u00fanica descri\u00e7\u00e3o real e completa da doen\u00e7a \u00a0foi dada por Fran\u00e7ois Gigot de La Peyronie\u00a0 em \u201cM\u00e9moir sur quelques obstacles quis\u2019opposent \u00e0 l\u2019\u00e9jaculation naturelle de la semence\u201d, que foi publicado no primeiro volume da \u201cM\u00e9moires de l\u2019Acad\u00e9mie Royale de Chirurgie\u201d (1743, pp. 425\u2013 39), criada por ele. Por este motivo a doen\u00e7a levou o seu nome<\/p>

\"peydesc\"
<\/a>Imagem da publica\u00e7\u00e3o original da doen\u00e7a de Peyronie (1743)<\/p>

[\/et_pb_toggle][\/et_pb_column][et_pb_column type=\"1_4\"][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\"Linha\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"off\" custom_width_px=\"1080px\" custom_width_percent=\"80%\" use_custom_gutter=\"off\" gutter_width=\"3\" padding_mobile=\"off\" allow_player_pause=\"off\" parallax=\"off\" parallax_method=\"on\" make_equal=\"off\" column_padding_mobile=\"on\" parallax_1=\"off\" parallax_method_1=\"on\" parallax_2=\"off\" parallax_method_2=\"on\" parallax_3=\"off\" parallax_method_3=\"on\" parallax_4=\"off\" parallax_method_4=\"on\" disabled=\"off\"][et_pb_column type=\"1_4\"][et_pb_cta admin_label=\"Chamada \u00e0 A\u00e7\u00e3o\" title=\"Agendamento on line\" button_url=\"\/agendamento\" url_new_window=\"off\" button_text=\"Agendar\" use_background_color=\"on\" background_color=\"#7ebec5\" background_layout=\"dark\" text_orientation=\"center\" header_font_size=\"20\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" custom_button=\"off\" button_letter_spacing=\"0\" button_use_icon=\"default\" button_icon_placement=\"right\" button_on_hover=\"on\" button_letter_spacing_hover=\"0\"]<\/p>

Agende agora sua consulta com o Dr. Alexandre Miranda<\/p>

[\/et_pb_cta][\/et_pb_column][et_pb_column type=\"1_4\"][et_pb_image admin_label=\"Imagem\" src=\"https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2015\/07\/JSM.jpg\" show_in_lightbox=\"off\" url=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jsm.12462\/abstract\" url_new_window=\"off\" use_overlay=\"off\" sticky=\"off\" align=\"left\" force_fullwidth=\"off\" always_center_on_mobile=\"on\" use_border_color=\"off\" border_color=\"#ffffff\" border_width=\"1px\" border_style=\"solid\" disabled=\"off\" \/][et_pb_blurb admin_label=\"Sinopse\" title=\"Artigo internacional sobre as corre\u00e7\u00f5es da doen\u00e7a de Peyronie\" url=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jsm.12462\/abstract\" url_new_window=\"off\" use_icon=\"off\" icon_color=\"#7EBEC5\" use_circle=\"off\" circle_color=\"#7EBEC5\" use_circle_border=\"off\" circle_border_color=\"#7EBEC5\" icon_placement=\"top\" animation=\"top\" background_layout=\"dark\" text_orientation=\"left\" use_icon_font_size=\"off\" icon_font_size=\"96px\" header_text_color=\"#4492bf\" use_border_color=\"off\" border_color=\"#ffffff\" border_width=\"1px\" border_style=\"solid\" disabled=\"off\"]<\/p>

Artigo publicado na importante revista internacional The Journal of Sexual Medicine, pelo Dr. Alexandre Miranda, sobre as cirurgias corretivas das curvaturas penianas.<\/p>

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=\"1_4\"][et_pb_image admin_label=\"Imagem\" src=\"https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2015\/07\/cover.jpg\" show_in_lightbox=\"off\" url=\"http:\/\/www.smoa.jsexmed.org\/article\/S2050-1161(15)00002-1\/abstract\" url_new_window=\"off\" use_overlay=\"off\" sticky=\"off\" align=\"left\" force_fullwidth=\"off\" always_center_on_mobile=\"on\" use_border_color=\"off\" border_color=\"#ffffff\" border_width=\"1px\" border_style=\"solid\" disabled=\"off\" \/][et_pb_blurb admin_label=\"Sinopse\" title=\"Nova cirurgia para curvatura peniana\" url=\"http:\/\/www.smoa.jsexmed.org\/article\/S2050-1161(15)00002-1\/abstract\" url_new_window=\"off\" use_icon=\"off\" icon_color=\"#7EBEC5\" use_circle=\"off\" circle_color=\"#7EBEC5\" use_circle_border=\"off\" circle_border_color=\"#7EBEC5\" icon_placement=\"top\" animation=\"top\" background_layout=\"dark\" text_orientation=\"left\" use_icon_font_size=\"off\" icon_font_size=\"96px\" header_text_color=\"#4492bf\" use_border_color=\"off\" border_color=\"#ffffff\" border_width=\"1px\" border_style=\"solid\" disabled=\"off\"]<\/p>

Nova tecnica cir\u00fargica criada pelo Dr. Alexandre Miranda,\u00a0publicada na revista internacional SEXUAL MEDICINE, para corre\u00e7\u00e3o de curvaturas penianas.<\/p>

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=\"1_4\"][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=\"1\" admin_label=\"Se\u00e7\u00e3o\" transparent_background=\"off\" background_color=\"rgba(152,146,122,0.28)\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"off\" padding_mobile=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" custom_width_px=\"1080px\" custom_width_percent=\"80%\" make_equal=\"off\" use_custom_gutter=\"off\" fullwidth=\"off\" specialty=\"off\" disabled=\"off\"][et_pb_row admin_label=\"Linha\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"off\" custom_width_px=\"1080px\" custom_width_percent=\"80%\" use_custom_gutter=\"off\" gutter_width=\"3\" padding_mobile=\"off\" allow_player_pause=\"off\" parallax=\"off\" parallax_method=\"on\" make_equal=\"off\" column_padding_mobile=\"on\" parallax_1=\"off\" parallax_method_1=\"on\" parallax_2=\"off\" parallax_method_2=\"on\" parallax_3=\"off\" parallax_method_3=\"on\" parallax_4=\"off\" parallax_method_4=\"on\" disabled=\"off\"][et_pb_column type=\"1_4\"][\/et_pb_column][et_pb_column type=\"1_4\"][et_pb_video admin_label=\"V\u00eddeo\" src=\"https:\/\/youtu.be\/_hgoVEJ7xmI\" image_src=\"https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2015\/07\/video1.jpg\" disabled=\"off\" \/][et_pb_blurb admin_label=\"Sinopse\" title=\"Curvatura peniana \/ Doen\u00e7a de Peyronie\" url_new_window=\"off\" use_icon=\"off\" icon_color=\"#7EBEC5\" use_circle=\"off\" circle_color=\"#7EBEC5\" use_circle_border=\"off\" circle_border_color=\"#7EBEC5\" icon_placement=\"top\" animation=\"top\" background_layout=\"light\" text_orientation=\"left\" use_icon_font_size=\"off\" icon_font_size=\"96px\" header_text_color=\"#4492bf\" use_border_color=\"off\" border_color=\"#ffffff\" border_width=\"1px\" border_style=\"solid\" disabled=\"off\"]<\/p>

Veja a entrevista concedida pelo Dr. Alexandre Miranda sobre curvaturas penianas, doen\u00e7a de Peyronie e cirurgias genitais.<\/p>

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=\"1_4\"][et_pb_image admin_label=\"Imagem\" src=\"https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2016\/05\/AUA11.jpg\" show_in_lightbox=\"off\" url_new_window=\"off\" use_overlay=\"off\" sticky=\"off\" align=\"left\" force_fullwidth=\"off\" always_center_on_mobile=\"on\" use_border_color=\"off\" border_color=\"#ffffff\" border_width=\"1px\" border_style=\"solid\" disabled=\"off\" \/][et_pb_blurb admin_label=\"Sinopse\" title=\"Apresenta\u00e7\u00e3o no Congresso Americano de Urologia - 2016\" url_new_window=\"off\" use_icon=\"off\" icon_color=\"#7EBEC5\" use_circle=\"off\" circle_color=\"#7EBEC5\" use_circle_border=\"off\" circle_border_color=\"#7EBEC5\" icon_placement=\"top\" animation=\"top\" background_layout=\"light\" text_orientation=\"left\" use_icon_font_size=\"off\" icon_font_size=\"96px\" header_text_color=\"#4492bf\" use_border_color=\"off\" border_color=\"#ffffff\" border_width=\"1px\" border_style=\"solid\" disabled=\"off\"]<\/p>

O Dr. Alexandre Miranda apresentou\u00a0sua nova t\u00e9cnica cir\u00fargica, para corre\u00e7\u00e3o de curvaturas penianas, no congresso anual da Associa\u00e7\u00e3o Americana de Urologia, em San Diego \u2013 2016.<\/p>

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=\"1_4\"][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=\"1\" admin_label=\"Se\u00e7\u00e3o\" transparent_background=\"off\" background_color=\"rgba(152,146,122,0.54)\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"off\" padding_mobile=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" custom_width_px=\"1080px\" custom_width_percent=\"80%\" make_equal=\"off\" use_custom_gutter=\"off\" fullwidth=\"off\" specialty=\"off\" disabled=\"off\"][et_pb_row admin_label=\"Linha\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"off\" custom_width_px=\"1080px\" custom_width_percent=\"80%\" use_custom_gutter=\"off\" gutter_width=\"3\" padding_mobile=\"off\" allow_player_pause=\"off\" parallax=\"off\" parallax_method=\"on\" make_equal=\"off\" column_padding_mobile=\"on\" parallax_1=\"off\" parallax_method_1=\"on\" parallax_2=\"off\" parallax_method_2=\"on\" parallax_3=\"off\" parallax_method_3=\"on\" parallax_4=\"off\" parallax_method_4=\"on\" disabled=\"off\"][et_pb_column type=\"1_3\"][\/et_pb_column][et_pb_column type=\"2_3\"][et_pb_toggle admin_label=\"Caixa de Altern\u00e2ncia\" title=\"Classifica\u00e7\u00e3o\" open=\"on\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" disabled=\"off\"]<\/p>

Podemos dividir a doen\u00e7a de Peyronie em duas fases:<\/p>

  1. A\u00a0primeira<\/strong>, chamada de \u201cfase aguda\u201d ou inflamat\u00f3ria<\/li>
  2. A\u00a0segunda<\/strong>, chamada de \u201cfase cr\u00f4nica.<\/li><\/ol>

    Durante a primeira fase o paciente costuma apresentar dor e piora progressiva da curvatura, devido a um processo infamat\u00f3rio local intenso, com dep\u00f3sito de col\u00e1geno. A dor e a progress\u00e3o da curvatura passam espontaneamente ap\u00f3s 6-18 meses, quando temos geralmente o fim desta fase. A fase cr\u00f4nica se caracteriza por aus\u00eancia de dor e estabiliza\u00e7\u00e3o da curvatura peniana, que n\u00e3o apresenta aumento da angula\u00e7\u00e3o.<\/p>

    Durante a fase aguda foram propostos tratamentos n\u00e3o cir\u00fargico, como medica\u00e7\u00f5es orais, injet\u00e1veis (no local da placa), iontoforese, tracionadores, bombas \u00e0 v\u00e1cuo; por\u00e9m os resultados s\u00e3o muito discretos e pouco resolutivos.<\/p>

    Na fase cr\u00f4nica ainda se podem tentar os m\u00e9todos n\u00e3o cir\u00fargicos, mas com resultados pouco animadores.<\/p>

    Ap\u00f3s a estabiliza\u00e7\u00e3o da placa peniana (>6 meses sem piora da deformidade) podemos propor cirurgias corretivas penianas, nos pacientes que possuem fun\u00e7\u00e3o er\u00e9til preservada (boa ere\u00e7\u00e3o).<\/p>

    Outro ponto importante\u00a0a ser ressaltado \u00e9 que os pacientes acometidos pela doen\u00e7a apresentam uma redu\u00e7\u00e3o de aproximadamente 1,5cm no comprimento peniano, apenas pela retra\u00e7\u00e3o de toda a t\u00fanica albug\u00ednea.<\/p>

    [\/et_pb_toggle][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=\"1\" admin_label=\"Se\u00e7\u00e3o\" transparent_background=\"off\" background_color=\"rgba(152,146,122,0.28)\" allow_player_pause=\"off\" inner_shadow=\"off\" parallax=\"off\" parallax_method=\"off\" padding_mobile=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" custom_width_px=\"1080px\" custom_width_percent=\"80%\" make_equal=\"off\" use_custom_gutter=\"off\" fullwidth=\"off\" specialty=\"off\" disabled=\"off\"][et_pb_row admin_label=\"Linha\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"off\" custom_width_px=\"1080px\" custom_width_percent=\"80%\" use_custom_gutter=\"off\" gutter_width=\"3\" padding_mobile=\"off\" allow_player_pause=\"off\" parallax=\"off\" parallax_method=\"on\" make_equal=\"off\" column_padding_mobile=\"on\" parallax_1=\"off\" parallax_method_1=\"on\" parallax_2=\"off\" parallax_method_2=\"on\" parallax_3=\"off\" parallax_method_3=\"on\" parallax_4=\"off\" parallax_method_4=\"on\" disabled=\"off\"][et_pb_column type=\"1_3\"][et_pb_image admin_label=\"Imagem\" src=\"https:\/\/www.alexandremiranda.com.br\/wp-content\/uploads\/2015\/07\/FisioPat_Peyronie.png\" show_in_lightbox=\"off\" url_new_window=\"off\" use_overlay=\"off\" sticky=\"off\" align=\"left\" force_fullwidth=\"off\" always_center_on_mobile=\"on\" use_border_color=\"off\" border_color=\"#ffffff\" border_width=\"1px\" border_style=\"solid\" disabled=\"off\" \/][\/et_pb_column][et_pb_column type=\"2_3\"][et_pb_toggle admin_label=\"Caixa de Altern\u00e2ncia\" title=\"Causas\" open=\"on\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" disabled=\"off\"]<\/p>

    A causa da doen\u00e7a ainda n\u00e3o \u00e9 bem conhecida, por\u00e9m hoje sabemos que v\u00e1rios fatores est\u00e3o envolvidos no seu surgimento. A doen\u00e7a parece ser o resultado de todos estes fatores atuando de forma conjunta.<\/p>

    Abaixo voc\u00ea pode se informar como que cada um destes fatores atuam para o surgimento da doen\u00e7a de peyronie.<\/p>

    [\/et_pb_toggle][et_pb_tabs admin_label=\"Abas\" use_border_color=\"off\" border_color=\"#ffffff\" border_width=\"1px\" border_style=\"solid\" disabled=\"off\"]<\/p>

    [et_pb_tab title=\"Trauma\" tab_font=\"||||\" tab_line_height=\"2em\" tab_line_height_tablet=\"2em\" tab_line_height_phone=\"2em\" body_font=\"||||\" body_line_height=\"2em\" body_line_height_tablet=\"2em\" body_line_height_phone=\"2em\" disabled=\"off\"]<\/p>