Urologists' perceptions and practice patterns in peyronie's disease: A Korean nationwide survey including patient satisfaction

Title
Urologists' perceptions and practice patterns in peyronie's disease: A Korean nationwide survey including patient satisfaction
Author(s)
고영휘문기학이성원[이성원]김수웅[김수웅]양대열[양대열]문두건[문두건]정우식[정우식]오경진[오경진]현재석[현재석]류지간[류지간]박현준[박현준]박광성[박광성]
Keywords
4 aminobenzoate potassium; alpha tocopherol; carnitine; colchicine; corticosteroid; interferon; pentoxifylline; phosphodiesterase V inhibitor; tamoxifen; verapamil; article; clinical practice; echography; health survey; human; patient satisfaction; penis prosthesis; Peyronie disease; physician attitude; questionnaire; rating scale; surgical technique; symptom
Issue Date
201401
Citation
Korean Journal of Urology, v.55, no.1, pp.57 - 63
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. ? The Korean Urological Association, 2014.
URI
http://hdl.handle.net/YU.REPOSITORY/33432http://dx.doi.org/10.4111/kju.2014.55.1.57
ISSN
2005-6737
Appears in Collections:
의과대학 > 비뇨기과학교실 > Articles
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