Levine Survey - Lack of understanding about Peyronies by PCP's and Uro's

Previous topic - Next topic

0 Members and 1 Guest are viewing this topic.

Hawk

Below is an abstract that Dr. L. Levine gave us permission to publish.

Survey of primary care physicians (PCP) and urologist (GU), regarding Peyronie's disease

Author Block: Jeffrey C La Rochelle*, Laurence A Levine, Chicago, IL

Introduction and Objective: Peyronie's disease (Peyronies Disease) is a wound healing disorder of the penis with a reported prevalence of 3-9%. The pathogenesis remains unclear, and there is no known cure though a number of treatments are available. Peyronies Disease remains a distressing disorder for many men, many of whom seek advice from their physicians. This survey sought to evaluate the understanding and practices of primary care providers (PCP) and urologists (URO) with regards to Peyronies Disease. Methods: A 20 question multiple choice survey that included questions pertaining to the prevalence, natural history, associated erectile dysfunction, and treatment of Peyronies Disease was sent to 330 PCPs and 223 UROs throughout Illinois.

Results: We received 152 surveys from PCPs and 98 surveys from UROs. Responses were as follows.

Responses to selected questions by specialty PCP GU

Percentage (pct) that have seen a pt. with Peyronies Disease 70% 100%
Pct that believe Peyronies Disease to occur in less than 1% of men 63% 41%
Pct that have been taught that Peyronies Disease spontaneously resolves in > 50% of cases 17% 38%
Pct that believe Peyronies Disease does not occur in men under 40 yrs of age 17% 9%
Pct that do not believe erectile dysfunction to be frequently associated with Peyronies Disease 48% 37%
Pct that do not feel Peyronies Disease usually warrants treatment 21% 29%
Pct that were unsure if there was any effective treatments for Peyronies Disease 51% 1%

Conclusions: This survey of primary care physicians and urologists reflects their understanding of Peyronie's disease and its treatment, much of which is incorrect. Studies have shown that many men are hesitant to discuss sexual issues with their physician, and this problem can be exacerbated by their physician's lacking knowledge of the effects of Peyronies Disease and the available treatments. These incorrect notions regarding Peyronies Disease may be responsible for delays in diagnosis, referral, and initiation of appropriate therapy in the man with Peyronies Disease who is motivated to seek treatment. The findings of this survey are a call to improve education about Peyronies Disease for primary care physicians and urologists.

Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums