Peyronie's disease: Urologist's knowledge base and practice patterns Journal Article
| Authors: | Sullivan, J.; Moskovic, D.; Nelson, C.; Levine, L.; Mulhall, J. |
| Article Title: | Peyronie's disease: Urologist's knowledge base and practice patterns |
| Abstract: | Peyronie's disease (PD) is a poorly understood clinical entity. We performed an in-depth analysis of the knowledge base and current practice patterns of urologists in the United States. A 46-question instrument was created by two experienced PD practitioners and emailed to current American Urology Association members nationally. Questions were either multiple-choice or used a visual analogue scale. Responses regarding treatment options were answered by ranking a list of utilized therapies by preference. Data were aggregated and mean values for each category compiled. Responses were received from 639 urologists (67% in private practice). Almost all (98%) reported seeing PD patients with regularity. Twenty-six percent believed PD prevalence is ≤1%, a small fraction (5%) reporting prevalence as ≥10%. Only 3% referred patients to a subspecialist in PD. Twenty-six percent believed PD is a condition that does not warrant any treatment. The preferred initial management was with oral agents (81%). Of those who used intralesional injections as first line, verapamil was most commonly selected (67%). Seventy-nine percent perform surgery for PD with 86% reporting the optimal timing at ≥12 months after onset of symptoms. Seventy percent perform penile plication, most commonly the Nesbit technique (54%), 61% perform implant surgery and 37% reported performing plaque incision/excision and grafting. Although PD is now a more recognized condition, there are still large variances in knowledge and management strategies. Prospective clinical studies are needed to elucidate standardized management guidelines and a more cohesive strategy to manage this common disease. © 2014 American Society of Andrology and European Academy of Andrology. |
| Keywords: | peyronie's disease; survey; surgical management; practice patterns; medical management |
| Journal Title: | Andrology |
| Volume: | 3 |
| Issue: | 2 |
| ISSN: | 2047-2919 |
| Publisher: | Wiley Blackwell |
| Date Published: | 2015-03-01 |
| Start Page: | 260 |
| End Page: | 264 |
| Language: | English |
| DOI: | 10.1111/andr.292 |
| PROVIDER: | scopus |
| PUBMED: | 25331235 |
| DOI/URL: | |
| Notes: | Export Date: 4 May 2015 -- Source: Scopus |
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