Kadioglu Ates, Dincer Murat, Salabas Emre, Culha Mehmet Gokhan, Akdere Hakan, Cilesiz Nusret Can
Department of Urology, Istanbul University, Istanbul School of Medicine.
Department of Urology, Bagcilar Training & Research Hospital.
Sex Med. 2020 Dec;8(4):679-685. doi: 10.1016/j.esxm.2020.09.002.
Peyronie's disease (PD) prevalence varies between 0.39% and 20% and studies on PD prevalence are limited.
This study aims to determine the prevalence of PD in males aged ≥30 years in Turkey and to evaluate etiological factors associated with it.
The study was conducted in 12 regions of Turkey according to the Eurostat Nomenclature of Territorial Units for Statistics 1 classification and included 1,208 patients. Survey questionnaires including questions about demographic features and basic health status as well as about diagnosis and etiology of PD were put forth to the volunteers who agreed to participate in the study. Diagnosis of probable PD was established by evaluating the questionnaires. Patients with a diagnosis of congenital penile curvature were excluded from the group with PD. Chi-square test, Fisher's exact test, and Mann-Whitney U test were used.
The primary outcome analyzed in this article was the prevalence rate of PD in Turkey and the associated comorbidities.
The prevalence of PD was determined as 5.3%. The rates of participants with PD were found to be the highest in the 50-59 years group (27%) and in the North-East Region (20%). Compared with participants without PD, participants with PD were older (median: 52 interquartile range [41-64] vs 45 [37-55]; P < .001) and the rates of smokers (73% vs 60.9%; P = .036) and those having diabetes mellitus (17.5% vs 9.2%; P = .045), hypertension (14.3% vs 6.9%; P = .041), and heart failure were higher (7.9% vs 2.5%; P = .027). Male with PD symptoms preferred their partners on top during sexual intercourse (15.2% vs 34.1%; P < .001). This is the first study to evaluate premature ejaculation prevalence and related comorbidities with face-to-face interviews.
The prevalence of PD was 5.3% in Turkey. Besides advanced age, smoking, position of sexual intercourse, and presence of comorbidities especially diabetes mellitus, hypertension, and heart failure were the factors associated with PD prevalence. Kadioglu A, Dincer M, Salabas E, et al. A Population-Based Study of Peyronie's Disease in Turkey: Prevalence and Related Comorbidities. Sex Med 2020;8:679-685.
佩罗尼氏病（PD）的患病率在0.39%至20%之间，关于PD患病率的研究有限。
本研究旨在确定土耳其30岁及以上男性中PD的患病率，并评估与之相关的病因。
该研究根据欧盟统计局统计领土单位命名法1分类在土耳其的12个地区进行，纳入了1208名患者。向同意参与研究的志愿者发放调查问卷，内容包括人口统计学特征、基本健康状况以及PD的诊断和病因等问题。通过评估调查问卷确定可能患有PD的诊断。先天性阴茎弯曲诊断的患者被排除在PD组之外。使用卡方检验、费舍尔精确检验和曼-惠特尼U检验。
本文分析了土耳其PD的患病率及相关合并症。
PD的患病率确定为5.3%。发现PD患者比例在50 - 59岁组最高（27%），在东北地区最高（20%）。与无PD的参与者相比，PD患者年龄更大（中位数：52，四分位间距[41 - 64] vs 45[37 - 55]；P < .001），吸烟者比例更高（73% vs 60.9%；P = .036），患有糖尿病的比例更高（17.5% vs 9.2%；P = .045），高血压比例更高（14.3% vs 6.9%；P = .041），心力衰竭比例更高（7.9% vs 2.5%；P = .027）。有PD症状的男性在性交时更喜欢伴侣处于上位（15.2% vs 34.1%；P < .001）。这是第一项通过面对面访谈评估早泄患病率及相关合并症的研究。
土耳其PD的患病率为5.3%。除了年龄较大外，吸烟、性交体位以及合并症尤其是糖尿病、高血压和心力衰竭的存在是与PD患病率相关的因素。卡迪奥卢A、丁塞尔M、萨拉巴斯E等。土耳其佩罗尼氏病的一项基于人群的研究：患病率及相关合并症。性医学2020；8：679 - 685。
