Urologists’ Perceptions and Practice Patterns in Peyronie’s Disease: A Korean Nationwide Survey Including Patient Satisfaction
고영휘, 문기학, 이성원, 김세웅, 양대열, 문두건, 정우식, 오경진, 현재석, 류지간, 박현준, 박광성,
소속 상세정보
고영휘 ( Ko Young-Hwii )
Yeungnam University College of Medicine Department of Urology
문기학 ( Moon Ki-Hak )
Yeungnam University College of Medicine Department of Urology
이성원 ( Lee Sung-Won )
Sungkyunkwan University School of Medicine Samsung Medical Center Department of Urology
김세웅 ( Kim Sae-Woong )
Catholic University College of Medicine Department of Urology
양대열 ( Yang Dae-Yul )
Hallym University College of Medicine Department of Urology
문두건 ( Moon Du-Geon )
Korea University College of Medicine Department of Urology
정우식 ( Chung Woo-Sik )
Ewha Womans University School of Medicine Department of Urology
오경진 ( Oh Kyung-Jin )
Chonnam National University Medical School Department of Urology
현재석 ( Hyun Jae-Seog )
Gyeongsang National University School of Medicine Department of Urology
류지간 ( Ryu Ji-Kan )
Inha University School of Medicine Department of Urology
박현준 ( Park Hyun-Jun )
Pusan National University School of Medicine Department of Urology
박광성 ( Park Kwang-Sung )
Chonnam National University Medical School Department of Urology
KMID : 0358320140550010057
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.
키워드
Data collection; Penile induration; Perception
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