Supported by: The Sidney Kimmel Center for Prostate and Urologic Cancers.
ORIGINAL RESEARCH—PEYRONIE'S DISEASE
Concordance Between Patient and Physician Assessment of the Magnitude of Peyronie's Disease Curvature
Article first published online: 10 OCT 2013
© 2013 International Society for Sexual Medicine
The Journal of Sexual Medicine
Volume 11, Issue 1, pages 205–210, January 2014
How to Cite
Matsushita, K., Stember, D. S., Nelson, C. J. and Mulhall, J. P. (2014), Concordance Between Patient and Physician Assessment of the Magnitude of Peyronie's Disease Curvature. Journal of Sexual Medicine, 11: 205–210. doi: 10.1111/jsm.12337
- Issue published online: 16 JAN 2014
- Article first published online: 10 OCT 2013
- Peyronie's Disease;
- Penile Curvature
The magnitude of penile deformity is a critically important factor in Peyronie's disease, as it is associated with increased difficulty in penetrative sexual intercourse and in turn with negative psychosocial consequences. Deformity magnitude also influences treatment choice when surgical correction is indicated.
To determine the concordance between patient and physician assessment of magnitude of penile curvature in men with Peyronie's disease.
Patient assessment of curvature was obtained at initial interview. Physician assessment was performed using intracavernosal injection-assisted erection using a goniometer applied during excellent penile rigidity.
Main Outcome Measures
Patient and physician assessments of penile curvature.
The sample consisted of 192 men with a mean age of 54 ± 12 years old. Mean curvature on patient and physician assessment was 33 ± 17 and 36 ± 18 degrees, respectively. Only 49% of patients (94) correctly assessed their curvature, whereas 35% underestimated and 16% overestimated it.
Only half of PD patients accurately assess their penile curvature, with more than twice as many patients underestimating it than overestimating it. These data suggest that patient self-reporting of penile curvature should not be used as a clinical marker or end point in Peyronie's disease trials. Matsushita K, Stember DS, Nelson CJ, and Mulhall JP. Concordance between patient and physician assessment of the magnitude of Peyronie's disease curvature. J Sex Med 2014;11:205–210.