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 journalArticle

6 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 1

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Penile Induration
Patient Satisfaction
4-Aminobenzoic Acid
Penile Implantation
Guidelines
Intralesional Injections
Phosphodiesterase 5 Inhibitors
Certification
Verapamil
Urologists
Surveys and Questionnaires
Vitamin E
Interferons
Physical Examination
Ultrasonography
Adrenal Cortex Hormones
Therapeutics
Physicians
Transplants
Injections

Keywords

  • Data collection
  • Penile induration
  • Perception

ASJC Scopus subject areas

  • Urology

Cite this

Urologists' perceptions and practice patterns in peyronie's disease : A Korean nationwide survey including patient satisfaction. / Ko, Young Hwii; Moon, Ki Hak; Lee, Sung Won; Kim, Sae Woong; Yang, Dae Yul; Moon, Du Geon; Chung, Woo Sik; Oh, Kyung Jin; Hyun, Jae Seog; Ryu, Ji Kan; Park, Hyun Jun; Park, Kwangsung.

In: Korean Journal of Urology, Vol. 55, No. 1, 01.01.2014, p. 57-63.

Research output: Contribution to journalArticle

Ko, YH, Moon, KH, Lee, SW, Kim, SW, Yang, DY, Moon, DG, Chung, WS, Oh, KJ, Hyun, JS, Ryu, JK, Park, HJ & Park, K 2014, 'Urologists' perceptions and practice patterns in peyronie's disease: A Korean nationwide survey including patient satisfaction', Korean Journal of Urology, vol. 55, no. 1, pp. 57-63. https://doi.org/10.4111/kju.2014.55.1.57
Ko, Young Hwii ; Moon, Ki Hak ; Lee, Sung Won ; Kim, Sae Woong ; Yang, Dae Yul ; Moon, Du Geon ; Chung, Woo Sik ; Oh, Kyung Jin ; Hyun, Jae Seog ; Ryu, Ji Kan ; Park, Hyun Jun ; Park, Kwangsung. / Urologists' perceptions and practice patterns in peyronie's disease : A Korean nationwide survey including patient satisfaction. In: Korean Journal of Urology. 2014 ; Vol. 55, No. 1. pp. 57-63.
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