Predicting delay in presentation in men with peyronie's disease Journal Article


Authors: Mulhall, J. P.; Alex, B.; Choi, J. M.
Article Title: Predicting delay in presentation in men with peyronie's disease
Abstract: Introduction.: Many men with Peyronie's disease (PD) delay presentation to a urologist. The reasons for this are unclear. Aim.: To define the differences in men who present early compared to those presenting in a delayed fashion and to determine predictors of delayed presentation. Methods.: A retrospective analysis of all patients presenting for the first medical evaluation of PD. All patients underwent a standard history and physical examination and had a standardized deformity assessment. Demographic and PD parameters were recorded. Main Outcome Measures.: Statistical comparison was used to define factors that were different between early and delayed presenters and multivariable analysis was used to define predictors of presentation >12 months. Results.: 482 patients were analyzed, 61% presenting ≤12 months, 39% >12 months. Mean patient age was 52 ± 13 years and mean duration of PD was 17 ± 30 months. Mean measured curvature was 42° ± 19°. Multivariable analysis revealed that delayed presentation patients were significantly more likely to be older (odds ratio [OR] = 4.0), to be in long-term relationships (OR = 3.6), to have dorsal curvature (OR = 2.5), to have curvature <45° (OR = 3.3), to be heterosexual (OR = 2.0), and to have simple deformity (OR = 1.5). Conclusions.: One-third of men with PD presented in a delayed fashion and they tended to be older, to be in long-term relationships, to have dorsal curvature, or to have simple deformity. Mulhall JP, Alex B, and Choi JM. Predicting delay in presentation in men with Peyronie's disease. © 2010 International Society for Sexual Medicine.
Keywords: adult; aged; middle aged; retrospective studies; major clinical study; anamnesis; demography; risk factors; patient education as topic; retrospective study; prediction; medical assessment; risk assessment; statistical analysis; physician-patient relations; referral and consultation; disease duration; multivariate analysis; age distribution; physical examination; delayed diagnosis; patient attitude; body image; depressive disorder; peyronie's disease; peyronie disease; penile induration; self care; shame; curvature; demographics; heterosexuality
Journal Title: Journal of Sexual Medicine
Volume: 7
Issue: 6
ISSN: 1743-6095
Publisher: Elsevier Inc.  
Date Published: 2010-06-01
Start Page: 2226
End Page: 2230
Language: English
DOI: 10.1111/j.1743-6109.2010.01785.x
PUBMED: 20929519
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "Source: Scopus"
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  1. John P Mulhall
    603 Mulhall