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== Answers == # List risk factors associated with Peyronie’s disease ## Infection ## Trauma ## Diabetes ## Radical prostatectomy ## Autoimmune ## Genetic ## Collagen disorders (Dupuytren’s, plantar fasciitis, tympanosclerosis) ## Aberrant wound healing # In the absence of treatment, what proportion of patients with Peyronie’s disease will have improvement, no change, or worsening of their disease? # What is the recommended work-up of a patient with suspected Peyronie’s disease? #* History, physical exam, detailed examination of erect penis # What are signs and symptoms associated with Peyronie’s disease? # What is the differential diagnosis of Peyronie’s Disease? # Use of which oral medication is supported in the treatment of Peyronie’s disease? Which ones are not recommended? Which ones may be considered? #* Supported: NSAIDs for pain #* May be considered: potassium para-aminobenzoate, colchicine, co-enzyme Q10, and/or pentoxifylline #* Not recommended: vitamin E, tamoxifen, procarbazine, Vitamin E/L-carnitine # What are the recommended intralesional treatments of Peyronie’s disease? Which are not currently recommended? #* Recommended: collagenase, interferon alpha, and verapamil #* Not currently recommended: corticosteroids, botox, PRP # What are potential adverse events related to the use of intralesional collagenase? ## Penile hematoma ## Pain ## Swelling ## Corporal rupture # Which Peyronie’s disease defects may not be suitable for intralesional collagenase? # What is the role of extracorporeal shockwave lithotripsy in the management of Peyronie’s disease? Penile traction? Radiotherapy? # What are the indications for surgery of Peyronie’s disease? ## Stable disease (defined as disease that is ≥ 1 year from onset and ≥6 months of stable deformity) ## Deformity that compromises sexual intercourse ## Failure of conservative therapy ## Desire for most rapid and reliable result # What are potential risks of surgical intervention for Peyronie’s disease? ## Persistent or recurrent curvature ## Loss of penile length ## Loss of penile sensation ## Reduced erectile rigidity # What are the surgical options to treat Peyronie’s disease? Which approach is suitable for a patient with intact erectile function and an hourglass deformity? # What are different techniques of performing tunical plication?
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