SOMACorrect Patient Manual 2013 with Peyronies Instructions
Contents
1. Negative Pressure Cylinder The resistance to the scar tissue will help to stretch it Often when first applying the negative pressure the vascular condition may be such that SOMAC orrect Peyronie s Correction Cases of Peyronie s disease range from mild to severe Synptoms may develop dowly or appear ovemight In severe cases the hardened plaque reduces flexbility perhaps amp causing pain and forcing the penisto bend orarc during erection In many cases the paindecreasesovertime butthe bend inthe penismayremain a problem making sexual intercourse difficult The sexual problems that result can disupt a couple s physical and emotional relationship and lead to lowered self esteem in the man In a small percentage of patients with the milder form of the disease SOMAC ornect Negative Pressure Cylinders The Negative Pressure C ylindercomesin three differentsizes A B amp C These cylinders allow the penis to reach various stages of engorgement thereby preventing the penis from bending in the direction of the scartissue The cylinders are engineered so that the smallest A fits inside the next largest B which fits into the largest C The SOMAC onect Technique is based on a combination of cylindersused with the Negative Pressure System SOMATherapy Lubncant In order to obtain a seal between the Negative Pressure Cylinder and the body SOMA Lubricant is used The SOMA Lubricant included with your SOMAConect2. is specially formulated to work best for your new system Do not use petroleum jelly since oil based lubricantscan damage your product Become comfortable with using the SOMAC onect know how to set up the system and apply SOMA Lubricant Understanding each step in the application of SOMAC onect will help vou aet results auicklv from the Peyronie s Corection Application Of The SOMAC onect Peyronie sC orrection Therapy After you have reviewed the section on GETTING FAMILIAR WITH YOUR SOMACorret next you will be ready for application to treat your Peyronie s The penile curvature and associated fibrotic plaque from Peyronie s varies from patient to patient therefore a teatment program mustalso vary from patientto patient Generally a treatment protocol should show significant results within twenty six weeks 6 months of continued SOMACorect Use once each day
3. SO MAC orrect Peyronie s Correction Manual SOMACorrect fl Peyronie s _ Correction Therapy ag 4 The Biomechanical Y Management Peyronie s Disease z A Apply lubricant liberally to lip of the black cushionning insert s F i F i i J s od i 1 r gt B Call 0208 207 5627 for NRR more information L Seal www IMEDicare eu What is Peyronie s Disease Peyronie s diwease PD a benign condition of uncertain cause is characterized by the formation of fibrous tissue plaques often palpable as a hard lump within the tunica albuginea on the pends usualy causing a penile deformity and a subsequent degree of erectile dysfunction 41 55 1 First fully described by Francois Gigot de la Peyronie 7 plague on the top of the shaft most common causes the pens to bend upward a plaque on the underside causes it to bend downward In same cases the plaque develops on both top and bottom leading to indentation and shortening of the penk At times pain bending and emotional distress prohibit sexual intercourse The incidence of Peyronie s disease is 3 2 1 of whom about two thirds are aged a 40 60 years The common suspected causal factors include sexual trauma in those with a genetic predisposition te aberrant wound healing or part of a generalised connective tissue autoimmune or arterial disease The initial theory of repeated minor
4. ance ring is artificially bess curved in light of the extra corporal filling effect so bong as the ring is held In place SOMACorract has a 90 day money back guarantee Eidama I Hamden A hehe AL Lian F Ma ria rba el Pepa p te Eire apei ara ia e ot s pps Peci Sanm PoP ol prone apami J Lira HED SII Aa i Rakion A aancha A Prmenty PL Daia H Lae TES J Fertil oper Body in kira y Mis E a A mpage A r EAEE iij Taimi acer Aa haa ei biari G Bi PPL Fegi h k Loga Lermi ira arga ee Lra ke PO er HPJ T E BE oat ED Tarm LA Lana BI Ducie E Farini bil Temra Le n eri Caneel a bike iaa Bii Piyari ea ee a y L P y P TE rg Pais Ebina Ae p y here oo ee r el ee are ed ag l a led E ENTI mi E b a a L E aa E a i mogun bimi A p a me GL a e ees reed ra piii Farai RD piam aig Trim aan ore on sce Siri cece Be Cos SG fs Peir The Tsp Ek O Poking i cig ca i gel Rc ae Pipi baT eT ohare TE ta pa AS I ery WAL Pema AB Ceca A are Bi RA el aPC a E AT T hoap Beep recom d le TE Sparel mir dhl ered pana a Ragerersica PLoS OMG Fri oR dia jE he poe DO HME ka re Lte i Elstree jfouse Els treed Way josie rhamwood 06 150 ot mal Ti sea 206 297 Saar p C E 0 20s sst A SM AiO 704 Te mie wees ii YACorrect Use only As Directed Course of the Disease Many researchers believe the plaque of Peyronie s disease develops following tauma hitting or bending that causes localized bleeding inside th
5. e penis Two chambers known as the corpora cavernosa run the length of the penis The inner surface membrane of the chambers is a sheath of elastic fibers A connecting tissue called a septum runs along the center of each chamber and attaches at the top and bottom If the penis is abnormally bumped or bent an area where the septum attaches to the elastic fibers may stretch beyond limit This may result in injury of the lining of the erectile chamber and rupture of small blood vessels As a result of aging diminished elasticity near the point of attachmentof the septum mightinc rease the chances of this type of injury The damaged area might heal slowly or abnomnally fortwo reasons repeated tauma and a minimal amount of blood flow in the sheath like fibers In cases that heal within one year the plaque usually does not advance beyond an inital inflammatory phase In cases that persist for years the plaque undergoes fibrosis or formation of tough fibrous tissue and even calcification orformation ofcalcium deposits While tauma might explain acute cases of Peyronie s disease it does not explain why most cases develop slowly and with no apparent taumatic event Italso doesnotexplain why some casesdisappearquickly and why similar conditions such as Dupuytren s contracture do not seem to result from severe tauma Some researchers theorize that Peyronie s disease may be an autoimmune disorder A number of drugs list Peyronie s disease as a poss
6. ge ery LA id GA a r Oe a Pea F Ee plae argh r B maas ber hoad A Chir TPM a fj Sara b irr Citar Pemer preia embii jie PO 1 ay i T Dichter Panra oane ru mt AT rn Beara i Guar Te ET Aa Tar ir Lipan hipaka oa rice seep Liari Harapin bapur tee et tT ay ac he hane aar iind each day for up to 26 weeks with the effect of gradually rig the impact of the plaque area on the overall angle of curvature and improve penile health in general S6 7 8 With additional LK based studies underway early unpublished anecdotal reports such as those by Or Diloreto of the Michigan institute of Urology suggest significant response rates in emess of 60 and up to 80 are belng achieved Clinical Studies conducted by the Urology Department of Antwerp University Hospital found that for 75 of the patients the angle of curvature had reduced by at least 50 after 6 months of regular vacuum therapy plague stretching For S85 the plaque had disappeared complately 5 Mechanisms of Action Regular stretching and straightening may burst an element of the collagen fibres that make up the scar tsue plaque area and help to A RESHAPE the plaque thereby reducing its contractile impact degree of Mechanical Distortion and the degree of penile curvature It amp theorbed that regular SOMATherapy FPD may cause E PARTLAL FRAGMENTATION of the plaque itself particularly when diffuse in nature with some element of plaque cj SURFACE REABSORPTION and an
7. gt INCREASE IN VASCULARIZATION of plague tissue This remains as yet unprowen but are likely mechanigns of acthon for those patents who do respond with reconded plaque size reduction Recent research into the aetiology of PD implies an imbalance between profibrotice and antifihrotic ssbstances 9 Qver expression of TGF beta has been shown to indice penile plaques in the rat madel 10 TGF beta has also been shown to be over expressed in PD plaques as compared with patients without evidence of PONI Another group of profibrotic proteins includes fibrin and plasminogen activator inhibitor 1 PAI 1 Like TGF beta fibrin has been shown to induce plaque formation In an animal model levels of PAJ 1 are elevated In these plaques 12 Vacuum Therapy use ls clinically well recognised for producing a significant increase in the penie brachial pressure index following regular use 1 with a multitude of clinical studies establishing the link between regular vacuum therapy application and penile neovescularization 14 15 Aun Wang has demonstrated that mean Oxygen saturation of corporeal blood immediately after veacuum therapy indword erection was predominant arterial in nature and therefore oxygen enriched it is also known that an increase in comporal Oeygen tension is associated with a rapid Increase in unstimulated PGE Phosphodiesterease 2 followed by a suppression of TGF Beta 1 induced collagen synthesis 16 17 This is one possible mechanism of acti
8. ible side effect Mostofthese drugsbelong to a classof blood pressure and heartmedications called beta blockers The chances of developing Peyronie s disease from any of these medicines are very low Patients should check with their doctor before disc ontinuing any prescribed drug Treatment Because the course of Peyronie s disease is different in each patient and some patients experience improvement without treatment medical experts suggest waiting 2 to 3 years or longerbefore attempting surgical correction SOMAC ornect Negative Pressure Device The SOMA Negative Pressure Device draws air out of the vacuum cylinder causing negative pressure to be created inside the cylinder This negative pressure causes blood to be drawn into the penile vascular system creating pressure to stretch the Peyronie s plaque The sides of the Negative Pressure Cylinder prevent the penis from bending in the direction of the plaque further stretc hing the scartissue Your SOMA Negative Pressure Device hasa built in pressure limiter This limiter automatically restricts the amount of negative pressure you can drawto a pre set safe limit You cannotsee the limiter It is located inside the device and is pre set at the factory Due to individual physiology patients are urged only to intoduce adequate negative pressure to comfortably engorge the penisto make it ngid This rigidity is nec essary to exert pressure on the Peyronie s scar tissue while in the SOMA
9. on by which regular penile vacuum therapy induced penile oxygenation could suppress excessive penile fibrosis in patients with Peyronie s Disease Also studies show that nitric ade by acting as a scavenger for reactive oxygen free radicals may exert a protective effect via inducible nitric oxide synthase INOS activity Peyronie s plaques have a reduced iNOS an increased reactive oxygen free radical content and consequently more fibrosis than control tunica T8 Hence E EARLY TREATMENT OF ASSOCIATED ERECTILE DYSFUNCTION 2D in relevant patients may be of benefit Certainh mechanical tsue expansion principles of action with subsequent stimulated F CELL TISSUE PROLIFERATION may also apply with regular SOMACorrect application 19 TIL increasing tissue mass on the interior curved side of the penis FORCE TIME GROAVTH tissue expansion sustained mechanical stress inducing increased biopynthetic activity of the shorter side as It is subject greater traction A high degree of calcification may reduce the pliability and scope for revascularization of plaque tissue therefore vacuum therapy application is parthoularty indicated during the active phase of Peyronie s disease and certainky pre calcification if possible although response rates may be influenced by plaque location shape size patient s potential for stimulated cell proliferation and compliance in procedural use In some cases a vacuum induced erection captured with an erection mainten
10. sewal trauma ia currently stil the most likely cause This is supported by the finding of fibrin within the plaques but not in control tunica indicating microvascular injury 3 Penile pain may be persistent In the Inflammatory stage of the diteage but ia usually only present during erection The pain is usually not swine but may interfere with sexual function although spontaneous improvement usually occurs as the inflammation settles within 3 6 manths 4 After 18 24 months plaque angulation and cabofication tend to predominate Spontaneous resolution of the condition is thought to geur in up to 15 of cases What is SOMACorrect and how can it help SOMACereact Peyronie s Correction Therapy Type 1 Medical Device European Health Certification CE is the revolutionary NEW treatment regimen for men with the penile curvature associated with Peyronie s disease Side effect free SOMAThKerapy PD Peyronie s Disease was developed over a number of years by a Urological Consultant who has treated Erectile Dysfunction EC for more than 30 years The treatment involves placing the penis In one of the 3 appropriate sized to fit StF adapted circumferential cylinders and using vetum therapy pressure to forcibly induce a series of straight erections over a 10 min perbod Peyronie s Correction Therapy Clinical References heme oles kewa Fo T en ja Aara i I Te pees of Pera chee rein a
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