International multicentre psychometric evaluation of patient-reported outcome data for the treatment of Peyronie's disease
Objective To compare patient-reported outcomes (PROs) of surgical correction of Peyronie's disease (PD) with the Nesbit procedure, plaque incision and grafting, and the insertion of a malleable penile implant after surgical correction of penile curvature. Patients and Methods We performed a re...
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| Hauptverfasser: | , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
17 April 2015
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| In: |
BJU international
Year: 2015, Jahrgang: 115, Heft: 5, Pages: 822-828 |
| ISSN: | 1464-410X |
| DOI: | 10.1111/bju.12968 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1111/bju.12968 Verlag, kostenfrei, Volltext: http://onlinelibrary.wiley.com/doi/10.1111/bju.12968/abstract 
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| Verfasserangaben: | Verena Kueronya, Arkadius Miernik, Slavisa Stupar, Vladimir Kojovic, Georgios Hatzichristodoulou, Paulo H. Egydio, Georgi Tosev, Marco Falcone, Francesco De Luca, Demir Mulalic, Miroslav Djordjevic, Martin Schoenthaler, Christian Fahr, and Franklin E. Kuehhas |
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| 245 | 1 | 0 | |a International multicentre psychometric evaluation of patient-reported outcome data for the treatment of Peyronie's disease |c Verena Kueronya, Arkadius Miernik, Slavisa Stupar, Vladimir Kojovic, Georgios Hatzichristodoulou, Paulo H. Egydio, Georgi Tosev, Marco Falcone, Francesco De Luca, Demir Mulalic, Miroslav Djordjevic, Martin Schoenthaler, Christian Fahr, and Franklin E. Kuehhas |
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| 520 | |a Objective To compare patient-reported outcomes (PROs) of surgical correction of Peyronie's disease (PD) with the Nesbit procedure, plaque incision and grafting, and the insertion of a malleable penile implant after surgical correction of penile curvature. Patients and Methods We performed a retrospective review of men who underwent surgical correction of PD between January 2010 and December 2012 at six international centres. Treatment-related PROs and satisfaction were evaluated with a non-validated questionnaire. Results The response rate to the questionnaire was 70.9%, resulting in a study cohort of 206 patients. The Nesbit procedure, plaque incision with grafting, or implantation of a malleable penile prosthesis was performed in 50, 48, and 108 patients, respectively. Overall, 79.1% reported a subjective loss of penile length due to PD preoperatively (range 2.1-3.2 cm). Those patients treated with a malleable penile implant reported the greatest subjective penile length loss, due to PD. A subjective loss of penile length of >2.5 cm resulted in reduced preoperative sex ability. Postoperatively, 78.0%, 29.2% and 24.1% patients in the Nesbit, grafting, and implant groups reported a postoperative, subjective loss of penile length (range 0.4-1.2 cm), with 86.3%, 78.6%, and 82.1% of the patients in each group, respectively, being bothered by the loss of length. Conclusions Penile length loss due to PD affects most patients. Further penile length loss due to the surgical correction leads to bother among the affected patients, irrespective of the magnitude of the loss. The Nesbit procedure was associated with the highest losses in penile length. In patients with PD and severe erectile dysfunction, a concomitant lengthening procedure may be offered to patients to help overcome the psychological burden caused by the loss of penile length. | ||
| 650 | 4 | |a grafting | |
| 650 | 4 | |a Nesbit | |
| 650 | 4 | |a patient-related outcome | |
| 650 | 4 | |a penile prosthesis | |
| 650 | 4 | |a Peyronie's disease | |
| 650 | 4 | |a treatment | |
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