Urologist Practice Patterns In The Management Of Peyronie's Disease: A Nationwide Survey |
Modern research has dramatically increased our knowledge base and offers the capacity for newer and more efficacious treatments in the future. Unfortunately, it may be individual years before this new information becomes clinically pertinent for the general urologist in practice. The purpose of this learn about was to determine how urologists in clinical practice are actually managing Peyronie's affliction. We found that vitamin E was by far the most prescribed oral remedy (selected by 70% of respondents) compared to the second most commonly utilized verbal therapy (Potaba®, chosen by 20%). Just down half of urologists surveyed performed surgery for Peyronie's disability, and 85% of these performed just 1-5 procedures per year. This suggests that extremely few urologists are "high-volume" Peyronie's surgeons.With consideration to management of our case presentations, the majority of urologists favored surveillance and medical therapy for all patient presentations except for the case of punishing curvature associated with ED, for which surgical management was most popular. It was unblessed that our response rate was low and this obligates us to take our findings with the accepted "grain of salt" with respect to their generalizability to the larger majority of U.S. urologists. Nevertheless, our study suggests that current stewardship of PD amongst urologists is based more or less on the best present evidence with medical therapy the treatment of choice for non-violent disease or disease in its' active state and surgical intervention on the whole reserved for patients with severe, chronic phase plague. It is our hope that research in PD will continue and in the future stewardship of the patient with PD will be based on what is most invariably effective rather than on provider preference. |