Editing Peyronie's Disease (section)

=== Other ===

* '''<span style="color:#ff0000">Prior to any invasive intervention</span>''' (e.g., intralesional treatments or surgery) '''<span style="color:#ff0000">obtain accurate assessment of erection including (4):</span>'''
*#'''<span style="color:#ff0000">Erect penile length</span>'''
*#'''<span style="color:#ff0000">Degree of curvature</span>'''
*#'''<span style="color:#ff0000">Presence of hourglass deformities</span>'''
*#'''<span style="color:#ff0000">Rigidity of erection</span>'''
*'''<span style="color:#ff0000">Accurate assessment of erection can be obtained with</span>''' 
*#'''<span style="color:#ff0000">Digital photographs</span>'''
*#'''<span style="color:#ff0000">Examination after intracavernosal injection (ICI) of vasoactive agents, with or without duplex Doppler ultrasound (gold standard)</span>'''
*#* The ICI test enables assessment of penile deformity, plaque(s), and pain in the erect state.
*#* When the ICI test is combined with duplex ultrasound, additional measurements of plaque size and/or density can be made, calcified and non-calcified plaques can be differentiated, and information on the vascular integrity of the penis can be obtained.
* '''<span style="color:#ff0000">AUA prefers in-office intracavernosal injection (ICI) test with or without duplex Doppler ultrasound</span> but describes that home photography of the erect penis with the use of a protractor during an erection in the office may be sufficient to document deformity from some cases.'''
* '''CUA describes both as options but describes the use of ICI as the most reliable method and that penile injection remains the gold standard, especially in patients reporting complex deformity (hourglass or bidirectional curvature) or ED'''