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Peyronie's disease: urologist's knowledge base and practice patterns.

J Sullivan¹, D Moskovic, C Nelson

¹Urology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

|October 22, 2014

Summary

Peyronie's disease (PD) management varies widely among US urologists, with inconsistent knowledge and treatment preferences. Further research is needed for standardized guidelines for this common condition.

Keywords:

Peyronie's disease medical management practice patterns surgical management survey

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Area of Science:

Urology
Andrology
Men's Health

Background:

Peyronie's disease (PD) is a complex condition with a poorly understood etiology.
Current practice patterns and knowledge regarding PD among urologists in the United States are not well-defined.

Purpose of the Study:

To analyze the current knowledge base and practice patterns of urologists concerning Peyronie's disease.
To identify variations in the diagnosis and management of PD among US urologists.

Main Methods:

A 46-question survey was distributed to members of the American Urology Association.
Responses from 639 urologists were collected and analyzed, focusing on prevalence beliefs, referral patterns, and treatment preferences.

Main Results:

Significant variability exists in urologists' beliefs about PD prevalence and the necessity of treatment.
Oral agents are the preferred initial management (81%), followed by intralesional verapamil (67%).
Surgical interventions are common, with penile plication (70%) and implant surgery (61%) being prevalent, and optimal timing often cited as ≥12 months post-symptom onset.

Conclusions:

Despite increased recognition, substantial discrepancies in knowledge and management strategies for Peyronie's disease persist among urologists.
There is a clear need for prospective clinical studies to establish standardized management guidelines and a unified approach to PD treatment.