INTRODUCTION: We describe the characteristics of Peyronie's disease (PD) and its associated psychosocial implications in men who have sex with men (MSM). AIM: The aims of this article are to identify presenting characteristics and treatment for MSM with PD, compare these findings to non-MSM PD patients, and determine the psychosocial impact of PD among MSM. MAIN OUTCOME MEASURES: Subjective and objective presenting characteristics, MSM psychosocial factors. METHODS: We identified 27 MSM with PD presenting from 2000 to 2012 through a retrospective chart review. A random selection of 200 non-MSM PD patients was identified, who presented during the same time period. A prospective nonvalidated questionnaire was given to MSM PD patients for evaluation of psychosocial constructs. RESULTS: A traumatic event leading to activation of PD was identified equally among MSM and non-MSM (P = 0.815). Most common recognized activators of PD among MSM were: penetrative sexual intercourse (22.2%), self-stimulation (11.1%). More MSM presented with the primary complaint of penile deformity, including narrowing, indentation, hourglass, and hinge (11.1% MSM vs. 1.0% non-MSM, P = 0.01). No differences in total curvature, erection grade were found (P > 0.05). PD had a negative effect on emotional status (89.0% MSM, 80.5% non-MSM, P > 0.05) and intimate relationships (45.0% MSM, 64.0% non-MSM, P > 0.05). Nonsurgical treatment was given to 88.9% MSM and 76.5% non-MSM (P > 0.05), and corrective surgery in 29.6% MSM and 25.0% non-MSM (P > 0.05). Of the 75.0% of MSM engaging in anal sex, 41.7% reported penetrative anal intercourse as the activator of PD. Among MSM, 31.3% experienced decreased libido, 50.0% decreased frequency of sexual activity, 92.9% were self-conscious about the appearance of their penis, and 92.9% were dissatisfied with the size of their penis. CONCLUSIONS: Few differences exist in the clinical presentation and treatments used between MSM and non-MSM PD patients. There was evidence of emotional distress in both groups. As a result, psychosexual assessment and treatment, when indicated, should be considered essential to the patient presenting with PD.
INTRODUCTION: We describe the characteristics of Peyronie's disease (PD) and its associated psychosocial implications in men who have sex with men (MSM). AIM: The aims of this article are to identify presenting characteristics and treatment for MSM with PD, compare these findings to non-MSM PDpatients, and determine the psychosocial impact of PD among MSM. MAIN OUTCOME MEASURES: Subjective and objective presenting characteristics, MSM psychosocial factors. METHODS: We identified 27 MSM with PD presenting from 2000 to 2012 through a retrospective chart review. A random selection of 200 non-MSM PDpatients was identified, who presented during the same time period. A prospective nonvalidated questionnaire was given to MSM PDpatients for evaluation of psychosocial constructs. RESULTS: A traumatic event leading to activation of PD was identified equally among MSM and non-MSM (P = 0.815). Most common recognized activators of PD among MSM were: penetrative sexual intercourse (22.2%), self-stimulation (11.1%). More MSM presented with the primary complaint of penile deformity, including narrowing, indentation, hourglass, and hinge (11.1% MSM vs. 1.0% non-MSM, P = 0.01). No differences in total curvature, erection grade were found (P > 0.05). PD had a negative effect on emotional status (89.0% MSM, 80.5% non-MSM, P > 0.05) and intimate relationships (45.0% MSM, 64.0% non-MSM, P > 0.05). Nonsurgical treatment was given to 88.9% MSM and 76.5% non-MSM (P > 0.05), and corrective surgery in 29.6% MSM and 25.0% non-MSM (P > 0.05). Of the 75.0% of MSM engaging in anal sex, 41.7% reported penetrative anal intercourse as the activator of PD. Among MSM, 31.3% experienced decreased libido, 50.0% decreased frequency of sexual activity, 92.9% were self-conscious about the appearance of their penis, and 92.9% were dissatisfied with the size of their penis. CONCLUSIONS: Few differences exist in the clinical presentation and treatments used between MSM and non-MSM PDpatients. There was evidence of emotional distress in both groups. As a result, psychosexual assessment and treatment, when indicated, should be considered essential to the patient presenting with PD.
Authors: Anthony J Bella; Jay C Lee; Ethan D Grober; Serge Carrier; Francois Benard; Gerald B Brock Journal: Can Urol Assoc J Date: 2018-02-22 Impact factor: 1.862
Authors: Justin La; Charles A Loeb; David W Barham; Jake Miller; Eric Chung; Martin S Gross; Georgios Hatzichristodoulou; Sung Hun Park; Paul E Perito; Alfredo Suarez-Sarmiento; Koenraad Van Renterghem; Faysal A Yafi Journal: Int J Impot Res Date: 2022-08-08 Impact factor: 2.408
Authors: Carolyn A Salter; Bruno Nascimento; Jean-Etienne Terrier; Hisanori Taniguchi; Helen Bernie; Eduardo Miranda; Lawrence Jenkins; Elizabeth Schofield; John P Mulhall Journal: Andrology Date: 2020-10-10 Impact factor: 3.842
Authors: Madeleine G Manka; Lindsay A White; Faysal A Yafi; John P Mulhall; Laurence A Levine; Matthew J Ziegelmann Journal: J Sex Med Date: 2021-01-07 Impact factor: 3.802
Authors: Daniar Osmonov; Ahmed Ragheb; Sam Ward; Gideon Blecher; Marco Falcone; Armin Soave; Roland Dahlem; Koenraad van Renterghem; Nim Christopher; Georgios Hatzichristodoulou; Mirko Preto; Giulio Garaffa; Maarten Albersen; Carlo Bettocchi; Giovanni Corona; Yacov Reisman Journal: Sex Med Date: 2021-11-22 Impact factor: 2.491