{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:06Z","timestamp":1787013846750,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite many available treatments for Peyronie's disease (PD), practice patterns of available therapeutics are not well characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We conducted a national survey of urologists to characterize real\u2010world practice patterns of PD management and to characterize the use of therapies discouraged by the American Urological Association guidelines on PD management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A 34\u2010item survey was distributed via RedCap to urologists who treat patients with PD in all American Urological Association sections. Questions elicited demographic information as well as practices in the diagnosis and treatment of PD. Comparisons were made with Pearson's chi\u2010squared test. The primary outcome was reported use of therapies discouraged by the American Urological Association guidelines on PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 145 respondents completed the survey, of whom 19% were fellowship trained in andrology\/sexual medicine, 36% practiced in an academic setting, and 50% had at least 20 years in practice. Only 60% of respondents reporting performing in\u2010office curvature assessment prior to commencing intralesional injection or surgical treatment, with higher prevalence in andrology\/sexual medicine fellowship\u2010trained versus non\u2010fellowship\u2010trained urologists (85%\u00a0vs. 54%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003). The most popular treatment modalities were collagenase clostridium histolyticum (61% of respondents), phosphodiesterase\u20105 inhibitors (54%), and penile traction (53%). Twenty\u2010one percent of respondents reported currently using a treatment that is explicitly discouraged by the American Urological Association guidelines (extracorporeal shockwave therapy for curvature, L\u2010carnitine, omega\u20103 fatty acids, or vitamin E).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Patients seeking PD treatment may be offered different therapies, some of which are not evidence\u2010based, depending on the treating urologist. This study is limited by self\u2010selection and response bias. Its strength is that it represents a cross\u2010sectional overview of real\u2010world practice patterns in PD management, which has not been previously described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A significant proportion of urologists reported PD management practices that are not evidence\u2010based and not guideline\u2010supported.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/andr.13414","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T06:09:30Z","timestamp":1677132570000},"page":"1320-1325","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Real\u2010world practice in Peyronie's disease management: Results from a national survey of urologists"],"prefix":"10.1111","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8523-409X","authenticated-orcid":false,"given":"Aaron","family":"Brant","sequence":"first","affiliation":[{"name":"Department of Urology New York\u2010Presbyterian Hospital Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spyridon P.","family":"Basourakos","sequence":"additional","affiliation":[{"name":"Department of Urology New York\u2010Presbyterian Hospital Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Lewicki","sequence":"additional","affiliation":[{"name":"Department of Urology New York\u2010Presbyterian Hospital Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9942-5460","authenticated-orcid":false,"given":"Caroline","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Urology New York\u2010Presbyterian Hospital Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Marinaro","sequence":"additional","affiliation":[{"name":"Department of Urology New York\u2010Presbyterian Hospital Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahid","family":"Punjani","sequence":"additional","affiliation":[{"name":"Department of Urology Mayo Clinic  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Kashanian","sequence":"additional","affiliation":[{"name":"Department of Urology New York\u2010Presbyterian Hospital Weill Cornell Medical College  New York New York 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