Investig Clin Urol.  2018 Jan;59(1):61-65. 10.4111/icu.2018.59.1.61.

Safety and feasibility of platelet rich fibrin matrix injections for treatment of common urologic conditions

Affiliations
  • 1Department of Urology, Wake Forest Baptist Medical Center, Winston Salem, NC, USA. rterlecki@wakehealth.edu

Abstract

PURPOSE
Autologous platelet rich plasma (PRP) is used increasingly in a variety of settings. PRP injections have been used for decades to improve angiogenesis and wound healing. They have also been offered commercially in urology with little to no data on safety or efficacy. PRP could theoretically improve multiple urologic conditions, such as erectile dysfunction (ED), Peyronie's disease (PD), and stress urinary incontinence (SUI). A concern with PRP, however, is early washout, a situation potentially avoided by conversion to platelet rich fibrin matrix (PRFM). Before clinical trials can be performed, safety analysis is desirable. We reviewed an initial series of patients receiving PRFM for urologic pathology to assess safety and feasibility.
MATERIALS AND METHODS
Data were reviewed for patients treated with PRFM at our center from November 2012 to July 2017. Patients were observed immediately post-injection and at follow-up for complications and tolerability. Where applicable, International Index of Erectile Function (IIEF-5) scores were reviewed before and after injections for ED and/or PD. Pad use data was collected pre/post injection for SUI.
RESULTS
Seventeen patients were identified, with a mean receipt of 2.1 injections per patient. Post-procedural minor adverse events were seen in 3 men, consisting of mild pain at injection site and mild penile bruising. No patients experienced complications at follow-up. No decline was observed in men completing pre/post IIEF-5 evaluations.
CONCLUSIONS
PRFM appears to be a safe and feasible treatment modality in patients with urologic disease. Further placebo-controlled trials are warranted.

Keyword

Erectile dysfunction; Penile induration; Platelet-rich fibrin; Platelet-rich plasma; Urinary incontinence, stress

MeSH Terms

Blood Platelets*
Erectile Dysfunction
Fibrin*
Follow-Up Studies
Humans
Male
Pathology
Penile Induration
Platelet-Rich Plasma
Urinary Incontinence
Urinary Incontinence, Stress
Urologic Diseases
Urology
Wound Healing
Fibrin

Cited by  1 articles

Letter to the editor: Safety and feasibility of platelet rich fibrin matrix injections for treatment of common urologic conditions
Eleftherios Spartalis, Diamantis I. Tsilimigras, Stavros Sfoungaristos
Investig Clin Urol. 2018;59(4):280-281.    doi: 10.4111/icu.2018.59.4.280.


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