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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.
SUBMITTER: Ko YH
PROVIDER: S-EPMC3897632 | biostudies-literature | 2014 Jan
REPOSITORIES: biostudies-literature
Ko Young Hwii YH Moon Ki Hak KH Lee Sung Won SW Kim Sae Woong SW Yang Dae Yul DY Moon Du Geon du G Chung Woo Sik WS Oh Kyung Jin KJ Hyun Jae Seog JS Ryu Ji Kan JK Park Hyun Jun HJ Park Kwangsung K
Korean journal of urology 20140115 1
<h4>Purpose</h4>A nationwide survey was conducted of Korean urologists to illustrate physicians' perceptions and real practical patterns regarding Peyronie disease (PD).<h4>Materials and methods</h4>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.<h4>Results</h4>Responses were received from 385 practicing urologists (15.9%) with a medi ...[more]