O-16 Peyronie’s Disease and Chronic Traumatic Cavernosopathy (CTC).Comparison Study

Abstract

Peyronie's disease, described more than two centuries ago, is the usual explanation for penile nodular disease; however, its clinical picture does not cover the entire spectrum of fibrous penile disease, especially when the tunica albuginea is normal. This study describes an alternative diagnosis called chronic traumatic cavernosopathy (CTC). Identify differences between patients with Peyronie's disease and CTC. We performed a prospective descriptive study with 80 patients (Peyronie 36 and CTC 44), who met criteria for inclusion: have a penile doppler ultrasonography with findings of some degree of cavernous fibrosis according to Levine's classification. Ultrasound findings (calcifications, ossification, venous leakage), physical examination findings (nodules, pain, deformities) and erectile function were evaluated. The study was approved by the research ethics committee of Hospital Pablo Tobon Uribe. CTC 44 patients, mean age 44 years and Peyronie 36 patients, mean age 57 years. Physical and ultrasonographic examinations of penis showed that the secondary curvatures (Peyronie 86 vs CTC 11%), palpable nodules (Peyronie 80 vs CTC 2%), contour deformities (Peyronie 43 vs CTC 3%), penile pain (Peyronie 22 vs CTC 2%) and ossification (Peyronie 22 vs CTC 0%), predominated in Peyronie. Calcifications (Peyronie 97 vs CTC 88%) and cavernous venous leakage (Peyronie 55 vs CTC 48%) were similar in both diseases. The most frequent findings in CTC were primary curvatures (CTC 34 vs Peyronie 3%), deep dorsal venous leakage (CTC 48 vs Peyronie 3%) and erectile dysfunction (CTC 100 vs Peyronie 52%). The time between the onset of symptoms and consultation is greater in Peyronie (8 years) vs CTC (2 years).