PD15-04 ADULT OPINIONS ON SURGICAL CORRECTION OF PENILE CURVATURE

Abstract

You have accessJournal of UrologyPediatric Urology I (PD15)1 Sep 2021PD15-04 ADULT OPINIONS ON SURGICAL CORRECTION OF PENILE CURVATURE Andrew Winkelman, Jordan Holler, Matthew Ziegelmann, Benjamin Breyer, C. D. Anthony Herndon, Tal Cohen, Carlos Villanueva, and Nora Kern Andrew WinkelmanAndrew Winkelman More articles by this author , Jordan HollerJordan Holler More articles by this author , Matthew ZiegelmannMatthew Ziegelmann More articles by this author , Benjamin BreyerBenjamin Breyer More articles by this author , C. D. Anthony HerndonC. D. Anthony Herndon More articles by this author , Tal CohenTal Cohen More articles by this author , Carlos VillanuevaCarlos Villanueva More articles by this author , and Nora KernNora Kern More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001997.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pediatric urologists recommend surgical management for penile curvature (PC) based on curvature severity, with previous work identifying ≥ 30° as the average threshold. We sought to assess adults’ opinions on willingness to consider surgical correction for PC in order to determine if this aligns with pediatric urologists’ opinions. METHODS: In this cross-sectional study, a survey was administered to adult patients and their partners ( > 18 years of age) in general adult urology clinics at 3 geographically separate institutions. The survey consisted of unlabeled images of penis models with varying degrees of PC (range 10-90°). Respondents were asked to select the images they would want surgically corrected for themselves or their partners. Univariable and multivariable analyses were performed to identify demographic variables associated with willingness to consider correction (p-values < 0.05 considered significant). RESULTS: Response rate was 77% (300/388). The majority (80%) of participants chose to surgically correct PC, however 20% chose to not surgically correct any degree of PC. Most participants were male (70%), married (62%), heterosexual (92%), and did not work in healthcare (80%) (Table 1). Among those who endorsed willingness to surgically correct PC, the average threshold for correction was 40.5° (SD 25.3). On univariable analysis, there was a significant difference in willingness to undergo PC correction based on gender, age groups, sexual orientation, and region (Table 1). Male participants were more likely to consider surgery at a lower degree of PC compared to females (36.6° vs 50.6°, p<0.001). Those who identified as heterosexual also had a lower threshold for correction compared to those identifying as LGBTQ (39.6° vs 56.4°, p=0.015). Midwestern residents endorsed an average threshold for correction of 21.5° compared to other regions varying between 40° to 60° (p<0.001). Regionality differences remained true on multivariable analysis when accounting for all demographic features (p<0.001). CONCLUSIONS: In surveying adults, we identified an average PC threshold of 40° beyond which surgical correction was desired. Females and LGBTQ participants had a higher threshold for surgical correction, but when accounting for all demographic factors, only residence in the Midwest US was associated with a lower threshold for correction. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e273-e273 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Andrew Winkelman More articles by this author Jordan Holler More articles by this author Matthew Ziegelmann More articles by this author Benjamin Breyer More articles by this author C. D. Anthony Herndon More articles by this author Tal Cohen More articles by this author Carlos Villanueva More articles by this author Nora Kern More articles by this author Expand All Advertisement Loading ...