Characterization of Septal and Punctate Scarring in Peyronie's Disease

To characterize patients with isolated septal scarring (ISS) and punctate scarring (PS) in Peyronie's disease (PD) and to highlight the importance of duplex ultrasonography in the workup of patients with PD. Data from all men undergoing duplex ultrasonography at London Health Sciences Center fo...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2018-08, Vol.118, p.87-91
Main Authors: Punjani, Nahid, Stern, Noah, Brock, Gerald
Format: Article
Language:English
Subjects:
Adult
Aged
Canada - epidemiology
Cicatrix - diagnosis
Cicatrix - etiology
Erectile Dysfunction - diagnosis
Erectile Dysfunction - etiology
Humans
Male
Middle Aged
Needs Assessment
Patient Care Management - methods
Penile Induration - complications
Penile Induration - diagnosis
Penile Induration - epidemiology
Penile Induration - physiopathology
Penis - pathology
Retrospective Studies
Ultrasonography, Doppler, Duplex - methods
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Summary:To characterize patients with isolated septal scarring (ISS) and punctate scarring (PS) in Peyronie's disease (PD) and to highlight the importance of duplex ultrasonography in the workup of patients with PD. Data from all men undergoing duplex ultrasonography at London Health Sciences Center for PD or erectile dysfunction over a 3-year period were retrospectively reviewed. Our cohort included 722 patients with duplex ultrasound. ISS were demonstrated in 217 patients (30%), and PS in 197 (27%), with 72 (33%) and 148 (75%), respectively, having a normal physical examination. In both ISS and PS groups, more than half of patients also had associated erectile dysfunction. Predictive factors for ISS on multivariate analysis included trauma history (odds ratio [OR] 1.90, P = .04) and age (OR 1.02, P = .01). Patients with ISS were more likely to have dorsal curvature (OR 3.81, P 
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2018.05.014