Urologists' perceptions and practice patterns in peyronie's disease: A Korean nationwide survey including patient satisfaction

Young Hwii Ko, Ki Hak Moon, Sung Won Lee, Sae Woong Kim, Dae Yul Yang, Du Geon Moon, Woo Sik Chung, Kyung Jin Oh, Jae Seog Hyun, Ji Kan Ryu, Hyun Jun Park, Kwangsung Park

    Research output: Contribution to journalArticlepeer-review

    7 Citations (Scopus)

    Abstract

    Purpose: A nationwide survey was conducted of Korean urologists to illustrate physicians' perceptions and real practical patterns regarding Peyronie disease (PD). Materials and Methods: A specially designed questionnaire exploring practice characteristics and attitudes regarding PD, as well as patient satisfaction with each treatment modality, was e-mailed to 2,421 randomly selected urologists. Results: Responses were received from 385 practicing urologists (15.9%) with a median time after certification as an urologist of 12 years. Regarding the natural course, 87% of respondents believed that PD is a progressive disease, and 82% replied that spontaneous healing in PD occurred in fewer than 20% of patients. Regarding diagnosis of PD, the methods used were, in order, history taking with physical examination (98%), International Index of Erectile Function questionnaires (40%), intracavernous injection and stimulation (35%), and duplex sonography (28%). Vitamin E was most preferred as an initial medical management (80.2%), followed by phosphodiesterase-5 inhibitors (27.4%) and Potaba (aminobenzoate potassium, 20.1%). For urologists who administered intralesional injection, the injected agent was, in order, corticosteroid (72.2%), verapamil (45.1%), and interferon (3.2%). The most frequently performed surgical procedure was plication (84.1%), followed by excision and graft (42.9%) and penile prosthesis implantation (14.2%). Among the most popular treatments in each modality, the urologists' perceptions regarding the suitability of treatment and patient satisfaction were significantly different, favoring plication surgery. Conclusions: The practice pattern of urologists depicted in this survey is in line with currently available Western guidelines, which indicates the need for development of further local guidelines based on solid clinical data.

    Original languageEnglish
    Pages (from-to)57-63
    Number of pages7
    JournalKorean Journal of Urology
    Volume55
    Issue number1
    DOIs
    Publication statusPublished - 2014 Jan

    Keywords

    • Data collection
    • Penile induration
    • Perception

    ASJC Scopus subject areas

    • Urology

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