Treatment Satisfaction of Peyronie's Disease Patients at a Teaching Hospital

Camila Klotz, Lívia Fratelli, Bruno Hideo Nishi, Lilian Castiglioni, Luis Cesar Fava Spessoto, Fernando Nestor Facio Junior
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Abstract

Background: The penis can be affected by several pathologies, including Peyronie's Disease (PD), a condition characterized by structural alterations caused by disorders that occur during tunica albuginea healing. Several clinical treatment options exist for the management of this pathology, however the benefits of many have not been proven scientifically. The objective of this study was to investigate the management and follow-up of Peyronie's disease patients in order to identify the treatments provided and the respective degrees of patient satisfaction. Over 18-year-old male patients with early onset Peyronie's disease (less than three months) treated at an outpatient urological clinic between 2015 and 2020 were retrospectively studied. Results: The most commonly used treatment was the combination of pentoxifylline, vitamin E and colchicine (44%). There is evidence of a significant association between the type of clinical treatment used and the results of surgery. Although 37.2% of the patients had surgical complications, 32 of the 43 individuals who underwent the surgical procedure were satisfied with the results. Conclusions: Treatment satisfaction of Peyronie's disease patients was higher for those submitted to surgical treatment compared to clinical treatment.
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某教学医院佩罗尼病患者治疗满意度调查
背景:阴茎可受多种病理影响,包括佩罗尼氏病(PD),这是一种以白膜愈合过程中出现的疾病引起的结构改变为特征的疾病。几种临床治疗方案存在于这种病理的管理中,然而许多的益处尚未得到科学证明。本研究的目的是调查Peyronie病患者的管理和随访,以确定所提供的治疗和患者各自的满意度。回顾性研究了2015年至2020年间在门诊泌尿科诊所接受治疗的18岁以上早发性佩罗尼氏病(不到3个月)男性患者。结果:以己酮茶碱、维生素E、秋水仙碱联合治疗为主(44%)。有证据表明,所使用的临床治疗类型与手术结果之间存在显著关联。虽然37.2%的患者有手术并发症,但43例接受手术的患者中有32例对结果满意。结论:手术治疗对佩罗尼氏病患者的治疗满意度高于临床治疗。
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