MP33-20 PEYRONIE′S DISEASE AND THE FEMALE SEXUAL PARTNER EXPERIENCE

Abstract

INTRODUCTION AND OBJECTIVE: Peyronie′s disease (PD) can result in significant penile deformity and psychological bother that impacts the patient sexual experience. Little is known about the effect of PD on female sexual partners (FSP). We compare the impact of PD on men to that of FSP. METHODS: We reviewed data on all men and their FSP presenting for initial PD evaluation to our sexual health clinic from 7/2018-9/2019. All men completed a detailed PD-specific survey and the Peyronie’s Disease Questionnaire (PDQ). If the patient was accompanied by a FSP during initial evaluation, she completed the PDQ for Female Sexual Partners (PDQ-FSP) and Female Sexual Function Index (FSFI). RESULTS: Data was available for 36 men with PD (median age 55 years; range 38-69) and their FSPs (median age 55 years; range 49-62). The majority of men presented in the chronic phase (28/36, 77.8%) with median PD duration of 12 months (range 2-180). Penile shortening was reported in 69.4% (25/36) with median subjective length loss of 2.5 cm (range 1-12 cm). Subjective erectile dysfunction associated with PD was present in 44.4% (16/36). Median objective composite curvature was 75° (range 25-150°). Hinge effect or penile instability was noted in 61.1% (22/36). Due to PD, female and male partners reported similar difficulty with vaginal intercourse (VI) (78.6% vs 89.5%, p=0.444), decreased frequency of VI (70.4% vs 84.2%, p=0.320), and at least moderate discomfort/pain with VI (42.9% vs 39.3%, p=1.000) respectively. FSP were ″very″ or ″extremely″ bothered by the appearance of their partner′s erect penis less often than male partners (14.3% vs 57.9%, p<0.001). FSP were ″very″ or ″extremely″ bothered by their partner′s PD during VI less often than men with PD (26.9% vs 58.8%, p=0.027). The minority of FSP (25.0%) had ″severe″ or ″very severe″ concern with damaging their partner′s penis during VI, while 32.1% had ″moderate″ concern. There was no association between either hinge effect, worsening composite penile curvature, or stretched penile length and FSP bother with erect penile appearance, decreased frequency of VI due to PD, difficulty with VI, discomfort with VI due to PD, bother by partner′s PD during VI, and concern for damaging the male partner′s penis during VI (p>0.05). CONCLUSIONS: PD impacts the sexual experience for both men and FSP. A similarly large proportion of men with PD and FSP noted decreased frequency of and difficulty with VI. Yet, FSP were less bothered by the appearance of the erect penis and the deformity during VI compared to men. These data can be utilized when counseling men and their FSP who present for PD evaluation. Source of Funding: None