Abstract
Peyronie’s Disease (PD) is a fibrotic disorder resulting in plaque formation in the tunica albuginea of the penis. With a prevalence of 3.2-8.9%, PD symptoms include abnormal penile curvature, decreased sexual function, and decreased quality of life. PD is diagnosed by history and physical exam. AUA guidelines opine that diagnosis can be aided by intracavernousal injection with a vasoactive substance with or without the addition of penile ultrasound (PDU), while European Association of Urology (EAU) guidelines recommend against routine ultrasound measurement of PD plaques. Although, the importance of PDU in the evaluation of PD has diminished over the last 2-3 decades, the use of penile doppler ultrasound is supported in the workup of erectile dysfunction (ED). Guidelines on ED support the use of questionnaires such as the IIEF in diagnosis, however these questioners are not validated in PD. PD and ED often occur together and the presence of erectile dysfunction influences management of PD. It is unknown how the use of PDU influences the management of PD when ED is present. We hypothesized that PDU evaluation will be discordant with IIEF Results in men with PD and organic ED.
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