Reddy Amit G, Dai Michelle C, Song Jeffrey J, Pierce Hudson M, Patel Sagar R, Lipshultz Larry I
Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Res Rep Urol. 2023 Feb 2;15:55-67. doi: 10.2147/RRU.S278796. eCollection 2023.
The clinical landscape of Peyronie's disease is everchanging. There has been growing interest in non-invasive therapeutic options that could assist patients with achieving a meaningful reduction in penile curvature without surgical intervention. These therapies are wide-ranging in terms of their mechanisms of action, efficacies, and short- and long-term safety profiles. Recently, an abundance of outcomes literature on longstanding and novel non-surgical treatment modalities has been published. For sexual medicine providers hoping to offer patients the most up-to-date and evidence-based treatments for the management of Peyronie's disease, it can be challenging to gain a thorough understanding of this body of literature. In this clinical management review, the workup and current theories on the pathophysiology of Peyronie's disease are reviewed, and the most recent outcomes data on the currently available non-surgical treatment modalities are presented. With an accurate understanding of the current landscape of Peyronie's disease treatment, sexual health providers will be able to better evaluate and engage in evidence-based shared decision-making with their patients.
佩罗尼氏病的临床情况一直在变化。人们对非侵入性治疗选择的兴趣与日俱增,这些治疗方法能够帮助患者在不进行手术干预的情况下,显著减轻阴茎弯曲程度。这些疗法在作用机制、疗效以及短期和长期安全性方面差异很大。最近,大量关于长期存在的和新型非手术治疗方式的疗效文献已经发表。对于希望为患者提供佩罗尼氏病管理方面最新且基于证据的治疗方法的性医学从业者而言,全面了解这一系列文献可能具有挑战性。在本临床管理综述中,我们回顾了佩罗尼氏病的检查方法和当前关于其病理生理学的理论,并展示了目前可用的非手术治疗方式的最新疗效数据。准确了解佩罗尼氏病治疗的当前情况后,性健康从业者将能够更好地评估并与患者进行基于证据的共同决策。