Peyronie's disease: urologist's knowledge base and practice patterns
Open accessAbstract
Summary: 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.
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A large number of clinicians use treatments for PD that have little proven effectiveness.
“Many clinicians offer therapies with minimal proven efficacy.”
From Comparing and Contrasting Peyronie's Disease Guidelines: Points of Consensus and Deviation. (2021) · cites this paper as [24]
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Comparing and Contrasting Peyronie's Disease Guidelines: Points of Consensus and Deviation.
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- Authors
- Sullivan, J., Moskovic, D., Nelson, C., Levine, L., & Mulhall, J.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Rush University Medical Center (US)
- Corresponding author
- Sullivan, J.
- Venue
- Andrology
- Publisher
- Wiley
- Published
- 2014-10-20
- Volume
- 3
- Issue
- 2
- Pages
- 260-264
- ISSN
- 2047-2919 (ISSN-L)
- 2047-2927
- OpenAlex
- W2126650112
- Semantic Scholar
- 541c6a922ff7f5dfab1c3041a6b342762704dde4
- Cited by
- 26
- References
- 30
- Citations by year
- 2026: 1 · 2024: 1 · 2021: 5 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 3 · 2015: 1
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Andrology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Rheumatology › Dupuytren's Contracture and Treatments
- Keywords
- Peyronie's disease, clinical practice patterns, treatment preferences, verapamil, intralesional injection, penile plication, penile implant surgery, timing of surgery
- MeSH terms
- Workforce, Humans, Male, Penile Induration, Urology, Knowledge Bases
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