Correlation between penile deformity and perceived partner bother in men with Peyronie’s Disease
Bach, P1; Miranda, E1; Nascimento , B2; Nelson, C3; Mulhall, J3
1: Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.; 2: Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA AND Urology Department,University of Sao Paulo, SP, Brazil.; 3: Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
Objective: Examine the relationship between PD characteristics, patient bother and perceived partner bother (PPB).
Material and Methods: We retrospectively assessed patients with PD who presented for assessment. Specific questions assessing patient bother and PPB were asked during history taking. Bother was graded as none, mild, moderate or severe. In addition, demographics, comorbidity and PD data were collected. All patients underwent an in-office curvature assessment after injection of vasoactive agents. Univariable analysis explored the relationship between patient bother or PPB and the following variables: patient age, partner age, duration of relationship, patient bother, degree of curvature, erection grade, libido and pain on erection. Since this was an exploratory approach, only significant variables were moved to multivariable analysis (MVA) to determine predictors of patient bother or PPB.
Result(s): Data from 55 patients with PD were evaluated. Mean patient and partner age were 57±11 years and 51±10 years respectively. 46 patients (84%) were in a stable relationship with a mean duration of 22±12 years. Mean duration of PD was 32±53 months. Mean curvature degree was 33±18 degrees, with 12% of patients having >60 degrees of deformity, 44% of patients between 30-60 degrees of deformity and 44% of patients having <30 degrees of deformity. 40% of patients had dorsal curvature, while ventral and lateral curvatures were observed in 58% and 2% of patients, respectively. 33% of patients reported mild bother, 27% reported moderate and 9% reported severe. 9% of patients reported mild PPB, 2% moderate PPB and 4% severe PPB. On univariable analysis, partner age, current erection grade, and degree of curvature were associated with patient bother. On MVA, only current erection grade and degree of curvature were associated with patient bother. On univariable analysis, only patient bother (r=0.29, p=0.03) was associated with PPB
Conclusion: PD is associated with negative psychological effects on the majority of men with PD and many of their partners. Further investigation with larger cohorts should be carried out to clarify the correlation of PPB with actual partner bother and the role of PPB in patient bother.
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