Peyronie's Flashcards
1
Q
what is pathophysiology of Peyronie’s?
A
repetitive trauma to tunic albuginea
impaired tissue response to injury
scar formation
penile curvature
2
Q
what are associated conditions with Peyronie’s
A
dupuytren’s contracture (20%)
plantar fascial contracture
tympanosclerosis
3
Q
Is ED more common in patients with Peyronie’s?
A
YES, up to 60% of patients with PD have ED (ED predates PD in up to 50% of patients)
4
Q
what is the active phase of peyronie’s?
how do you manage?
A
painful erections
changing deformity
medical therapy, NO operative therapy
5
Q
What is injection therapy for Peyronie’s?
A
- verapamil (ca channel blocker, promotes collagenase formation)
- interferon
- collagenase (>30 and <90 degree curvature)
6
Q
when can you use eswt (shock wave) in peyronie’s?
A
treatment of pain
