Urologists’ knowledge base and practice patterns in Peyronie’s disease. A national survey of members of the italian andrology society
Peyronie’s disease is a chronic inflammatory disease involving the formation of plaque in the tunica albuginea of the corpora cavernosa, resulting in penis deformity. It is often associated with penile pain, especially in younger patients, but it is not rare for pain to be absent; the disease is als...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2021-10-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
| Subjects: | |
| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/9942 |
| _version_ | 1818788599181606912 |
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| author | Gianni Paulis Francesca Pisano Alessandro Palmieri Tommaso Cai Fabrizio Palumbo Bruno Giammusso |
| author_facet | Gianni Paulis Francesca Pisano Alessandro Palmieri Tommaso Cai Fabrizio Palumbo Bruno Giammusso |
| author_sort | Gianni Paulis |
| collection | DOAJ |
| description | Peyronie’s disease is a chronic inflammatory disease involving the formation of plaque in the tunica albuginea of the corpora cavernosa, resulting in penis deformity. It is often associated with penile pain, especially in younger patients, but it is not rare for pain to be absent; the disease is also associated with erectile dysfunction and a depressive state in a large percentage of cases.
Objective: Aim of our study was to explore the basic knowledge base and diagnostic and therapeutic practice patterns in Peyronie's disease (PD) of a large number of physicians belonging to the Italian Andrology Society (SIA).
Methods: Our survey is based on two questionnaires which were e-mailed to the members of the SIA. The first questionnaire explored diagnostic and therapeutic practice patterns of SIA physicians, while the second questionnaire focused on their knowledge of the disease, as well as their training and level of experience in the specific field. We then planned to compare our outcomes with similar PD surveys from other countries. Results: The first questionnaire was answered by 142 SIA physicians. The second questionnaire was answered by 83 SIA physicians. Most respondents (74.6%) chose penile ultrasonography as first-line diagnostic approach and 47.1% prefer to perform a color Doppler ultrasound after pharmaco-induced erection. Concerning the therapeutic practice patterns in active stage of the disease, most respondents (99.29%) prefer conservative medical therapy. Additionally, most respondents (64.78%), when failure of conservative treatment had been established, considered surgical treatment necessary, specifically corporoplasty, which may be associated with other techniques.
Conclusions: The results of our survey show that, in comparison to their foreign counterparts, Italian SIA uro-andrologists have a more proactive diagnostic approach right from when patients first present. When PD is still in its active stage, SIA uro-andrologists mostly opt for medical therapy. In advanced disease or if conservative treatment fails, our survey indicates a greater preference for surgical treatment. Answers to the theoretical knowledge questions showed that SIA physicians have a good understanding of the disease’s etiology, epidemiology, and clinical picture, and of the appropriate indications for treatment. |
| first_indexed | 2024-12-18T14:26:13Z |
| format | Article |
| id | doaj.art-31f261eae9cf4c178cb7b07a750e2ca3 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-12-18T14:26:13Z |
| publishDate | 2021-10-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-31f261eae9cf4c178cb7b07a750e2ca32022-12-21T21:04:43ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972021-10-0193310.4081/aiua.2021.3.348Urologists’ knowledge base and practice patterns in Peyronie’s disease. A national survey of members of the italian andrology societyGianni Paulis0Francesca Pisano1Alessandro Palmieri2Tommaso Cai3Fabrizio Palumbo4Bruno Giammusso5Peyronie’s Care Center, Department of Uro-Andrology, Castelfidardo Medical Team, RomePeyronie’s Care Center, Department of Uro-Andrology, Castelfidardo Medical Team, RomeDepartment of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples Federico II, NaplesDepartment of Urology, Santa Chiara Regional Hospital, TrentoDepartment of Urology, Di Venere Hospital, BariUrology Clinic, Policlinic “Morgagni”, CataniaPeyronie’s disease is a chronic inflammatory disease involving the formation of plaque in the tunica albuginea of the corpora cavernosa, resulting in penis deformity. It is often associated with penile pain, especially in younger patients, but it is not rare for pain to be absent; the disease is also associated with erectile dysfunction and a depressive state in a large percentage of cases. Objective: Aim of our study was to explore the basic knowledge base and diagnostic and therapeutic practice patterns in Peyronie's disease (PD) of a large number of physicians belonging to the Italian Andrology Society (SIA). Methods: Our survey is based on two questionnaires which were e-mailed to the members of the SIA. The first questionnaire explored diagnostic and therapeutic practice patterns of SIA physicians, while the second questionnaire focused on their knowledge of the disease, as well as their training and level of experience in the specific field. We then planned to compare our outcomes with similar PD surveys from other countries. Results: The first questionnaire was answered by 142 SIA physicians. The second questionnaire was answered by 83 SIA physicians. Most respondents (74.6%) chose penile ultrasonography as first-line diagnostic approach and 47.1% prefer to perform a color Doppler ultrasound after pharmaco-induced erection. Concerning the therapeutic practice patterns in active stage of the disease, most respondents (99.29%) prefer conservative medical therapy. Additionally, most respondents (64.78%), when failure of conservative treatment had been established, considered surgical treatment necessary, specifically corporoplasty, which may be associated with other techniques. Conclusions: The results of our survey show that, in comparison to their foreign counterparts, Italian SIA uro-andrologists have a more proactive diagnostic approach right from when patients first present. When PD is still in its active stage, SIA uro-andrologists mostly opt for medical therapy. In advanced disease or if conservative treatment fails, our survey indicates a greater preference for surgical treatment. Answers to the theoretical knowledge questions showed that SIA physicians have a good understanding of the disease’s etiology, epidemiology, and clinical picture, and of the appropriate indications for treatment.https://www.pagepressjournals.org/index.php/aiua/article/view/9942Peyronie’s diseasePenile curvatureErectile dysfunctionPeyronie’s disease treatmentPractice patternsSurvey |
| spellingShingle | Gianni Paulis Francesca Pisano Alessandro Palmieri Tommaso Cai Fabrizio Palumbo Bruno Giammusso Urologists’ knowledge base and practice patterns in Peyronie’s disease. A national survey of members of the italian andrology society Archivio Italiano di Urologia e Andrologia Peyronie’s disease Penile curvature Erectile dysfunction Peyronie’s disease treatment Practice patterns Survey |
| title | Urologists’ knowledge base and practice patterns in Peyronie’s disease. A national survey of members of the italian andrology society |
| title_full | Urologists’ knowledge base and practice patterns in Peyronie’s disease. A national survey of members of the italian andrology society |
| title_fullStr | Urologists’ knowledge base and practice patterns in Peyronie’s disease. A national survey of members of the italian andrology society |
| title_full_unstemmed | Urologists’ knowledge base and practice patterns in Peyronie’s disease. A national survey of members of the italian andrology society |
| title_short | Urologists’ knowledge base and practice patterns in Peyronie’s disease. A national survey of members of the italian andrology society |
| title_sort | urologists knowledge base and practice patterns in peyronie s disease a national survey of members of the italian andrology society |
| topic | Peyronie’s disease Penile curvature Erectile dysfunction Peyronie’s disease treatment Practice patterns Survey |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/9942 |
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