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    Study: Minority of urologists treat Peyronie’s disease

    Significant increase in plaque injection frequency seen over review period

    ChicagoPeyronie’s disease (PD) is surgically treated by a minority of urologists, and urologists who subspecialize in andrology perform a disproportionate number of procedures to treat the condition.

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    Those were among the findings of a case log analysis that was presented at the 2015 AUA annual meeting in New Orleans and subsequently published in Urology (2016; 87:205-9).

    Daniel T. Oberlin, MDDr. OberlinDespite Peyronie’s disease being a common condition (affecting an estimated 3% to 9% of men), there is a relative absence of evidence-based outcome studies of PD, impeding the development of treatment pathways regarding its management, until recently with the introduction of the new AUA guidelines, said first author Daniel T. Oberlin, MD, urology resident at Northwestern University Feinberg School of Medicine, Chicago. As a result, practice patterns regarding Peyronie’s disease treatment vary widely.

    Dr. Oberlin and his co-authors sought to review contemporary surgical trends in the treatment of Peyronie’s, looking at changes in practice patterns, surgeon-specific characteristics, treatment selection, practice characteristics and geography, and specialty training. For their review, they utilized American Board of Urology case logs from 2004-2013. Cases were identified using CPT codes 54200 (Injection procedure for Peyronie’s disease); 54110, 54111, and 54112 (Excision of plaque [and grafting]); and 54360 (Correction of angulation without plaque excision [plication]). Penile prosthesis surgery was excluded from review.

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    The logs encompassed a total of 6,564 urologists. The authors found that 8,195 surgical procedures were recorded for the treatment of Peyronie’s disease over the 10-year period reviewed.

    Next: Few urologists treat PD surgically

    Benjamin P. Saylor
    Saylor is content managing editor for Urology Times.

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