Psychological distress in a sample of men with Peyronie's Disease attending a private urology clinic in Germany
Burri, A1; Porst, H1
1: European Institute for Sexual Health
Objective. Peyronie’s disease (PD) is a fibromatous disorder of the tunica albuginea of the penile corpus cavernosum with a genetic background and characterized by pain, plaque formation/calcification , penile curvature, and penile shortening. Although the epidemiological data on PD is inconsistent, most epidemiological studies report incidence rates of between 3 and 7 % cumulating in ages of 40-65 years. The objective of this study was to investigate psychological distress PD causes and which aspects were considered most distressing in a sample of men with PD presenting at a private Uro-Andrology clinic.
Material and Methods. The sample consisted of 119 men with PD (M age 51.6y) and 61 age-matched controls without PD. PD was assessed via clinical examination including color duplex ultrasonography and ic PGE1 injection test to measure the size, site(s) and number of plaques, as well as the degree of the penile curvature. In addition, comprehensive lab analyses were conducted and the degree of impairment by the condition, sexual functioning and psychological well-being were assessed using the Sexual Complaint Screener, the IIEF-EF, the AMS Scale, and the Peyronie’s Disease Questionnaire.
Results. Men with PD were significantly more bothered by the look of the penis than by the pain. 88 % of men reported that they were bothered to engage in vaginal intercourse with 75 % reporting that coitus was almost impossible and that they had significantly less intercourse compared to when they were PD free. 60% were very/extremely distressed by the condition. Overall, men with PD stated being significantly more distressed by the changed morphology of their penis compared to the controls, and also report significantly more pain and difficulties in obtaining and maintaining an erection
Conclusions. PD leads to significant distress in the sufferer mostly due to the changes in penis morphology than to the experienced pain. Therefore clinicians should be aware of the psychological distress caused by this disease and are therefore advised to prefer a thoughtful management to only a wait and see strategy including psychological counselling to buffer the effects of intra- and potential inter-personal distress
Work supported by industry: no. The presenter or any of the authors act as a consultant, employee (part time or full time) or shareholder of an industry.Go Back