Table 2.
Intralesional injections
Medication | Mechanism of action | Data supporting | AUA guidelines | Side effects |
---|---|---|---|---|
Intralesional interferon | Decrease fibroblast proliferation | One RCT (multi-institutional), eight observational studies | Recommended when appropriate | Flu-like symptoms, rash, hypotension |
Intralesional verapamil | Decrease collagen deposition | RCT, observational | Recommended when appropriate | Bruising, nausea, dizziness |
Intralesional collagenase | Cleavage of collagenase | Four RCTs; IMPRESS I, II, observational study | Recommended when appropriate | Hematoma, bruising, corporal rupture |
Abbreviation: RCT, randomized controlled trial.