Dunsmuir W D, Kirby R S
St George's Hospital, Tooting, London, UK.
Br J Urol. 1996 Oct;78(4):613-22. doi: 10.1046/j.1464-410x.1996.14120.x.
The evaluation of the treatments for Peyronie's disease is difficult; the natural history is such that the plaque may resolve spontaneously [82]. In 1973, Alec Badenoch made this comment and noted that no treatment had then been evaluated in a controlled clinical study [83]. The origin of the eponym is vague and the disease remains an enigma. To this day, the treatment can be difficult. It is not surprising that so many treatments have been tried and so much dogma written. Indeed, in 1903, William Johnson Walsham, the famous surgeon from St Bartholomew's Hospital in London, and author of the standard surgical text book of the day, wrote; "... if treatment of the plaque with iodides is unsuccessful ... or if the induration progresses ... then the whole penis must be promptly amputated!' [44]. We no longer believe this dictuml.
佩罗尼氏病治疗方法的评估颇具难度;其自然病程是斑块可能会自发消退[82]。1973年,亚历克·巴德诺赫发表了此番评论,并指出当时尚无任何治疗方法在对照临床研究中得到评估[83]。该疾病名称的起源模糊不清,它仍是一个谜。直至今日,治疗依然困难重重。如此多的治疗方法被尝试且产生了诸多教条也就不足为奇了。事实上,1903年,伦敦圣巴塞洛缪医院的著名外科医生、当时标准外科教科书的作者威廉·约翰逊·沃尔沙姆写道:“……如果用碘化物治疗斑块未成功……或者硬结持续发展……那么必须立即将整个阴茎切除!”[44]。我们如今不再相信这条准则了。