Dibenedetti Dana Britt, Nguyen Dat, Zografos Laurie, Ziemiecki Ryan, Zhou Xiaolei
RTI Health Solutions, RTI International, Research Triangle Park, NC 27709, USA.
Adv Urol. 2011;2011:282503. doi: 10.1155/2011/282503. Epub 2011 Oct 23.
Purpose. To estimate the US prevalence of Peyronie's disease (PD) from patient-reported data and to identify diagnosis and treatment patterns. Methods. 11,420 US males ≥18 years old completed a brief web-based survey regarding the presence of PD, past treatments, and penile symptoms (Phase 1). Phase 1 respondents with PD diagnosis, history of treatment, or PD-related symptoms then completed a disease-specific survey (Phase 2). Results. Estimated prevalence of PD ranged from 0.5% (diagnosis of PD) to 13% (diagnosis, treatment, or penile symptoms). Thirty-six percent of Phase 2 participants reported that penile symptoms interfered with sexual activities. Of participants who sought treatment for penile symptoms (n = 128), 73% initially saw a primary care physician, 74% did not receive treatment from their first doctor, and 92% were not diagnosed with PD. Conclusions. PD may be underdiagnosed/undertreated in the US. Improved awareness is needed of PD symptoms and treatment options among health care professionals.
目的。根据患者报告的数据估算美国佩罗尼氏病（PD）的患病率，并确定诊断和治疗模式。方法。11420名年龄≥18岁的美国男性完成了一项关于PD的存在、既往治疗及阴茎症状的简短网络调查（第一阶段）。然后，第一阶段中被诊断为PD、有治疗史或有PD相关症状的受访者完成了一项特定疾病调查（第二阶段）。结果。PD的估计患病率从0.5%（PD诊断）到13%（诊断、治疗或阴茎症状）不等。第二阶段36%的参与者报告阴茎症状干扰了性活动。在因阴茎症状寻求治疗的参与者中（n = 128），73%最初看的是初级保健医生，74%没有从第一位医生处接受治疗，92%未被诊断为PD。结论。在美国，PD可能未得到充分诊断/治疗。医疗保健专业人员需要提高对PD症状和治疗选择的认识。
