PD22-10 PREDICTORS OF SEXUAL SATISFACTION AND PSYCHOLOGICAL DISTRESS IN MEN WITH PEYRONIE’S DISEASE

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Peyronie's Disease1 Apr 2014PD22-10 PREDICTORS OF SEXUAL SATISFACTION AND PSYCHOLOGICAL DISTRESS IN MEN WITH PEYRONIE’S DISEASE Seth Davis, Saskia Ferrar, Yitzchak Binik, Khalid Al-Rabeeah, and Serge Carrier Seth DavisSeth Davis More articles by this author , Saskia FerrarSaskia Ferrar More articles by this author , Yitzchak BinikYitzchak Binik More articles by this author , Khalid Al-RabeeahKhalid Al-Rabeeah More articles by this author , and Serge CarrierSerge Carrier More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1861AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES It is often assumed that Peyronie’s disease (PD) causes significant distress and has a negative impact on the sexual and relationship health of men. This is likely true for a portion of the PD population, yet some men cope much better than others. There is also a dearth of knowledge regarding how PD affects men’s relationships, and whether their partners play an important role on how the men cope with their disease. The present study aimed to examine what predicts men with PD’s sexual satisfaction, relationship satisfaction, and mental health. METHODS Questionnaire packages were mailed to men who had been diagnosed with PD. Outcome variables were the Global Measure of Sexual Satisfaction (GMSEX), the Dyadic Adjustment Scale (DAS), a measure relationship function, and the Short Form 36 (SF-36) mental health subscale. Predictor variables were degree of curvature, loss of penile length in centimeters, the International Index of Erectile Function (IIEF), a Sexual Interference Scale (SES), a modified pain catastrophizing (PCS), a modified measure of partner responses to PD (MPI), the Experience of Shame Scale (ESS), and Body Image Self Consciousness scale (BISC). RESULTS A total of 78 men responded, with an average age of 57.4. The mean SF-36 score was 45.6, which is in the normal range. Using hierarchical regression models, greater sexual satisfaction was predicted by higher scores on the IIEF, less penile length loss, and less body image self-consciousness. Better mental health was predicted by less catastrophizing, and less sexual interference. Finally, relationship health was predicted by more solicitous responses on the part of the partner. In no case did degree of curvature predict any outcomes. CONCLUSIONS Contrary to expectations, men with PD appeared to be coping well. The degree of deformity was not a strong predictor of outcome in these men. Better predictors were degree of sexual interference, psychosocial factors, and loss of penile length. When making treatment choices it is important to take these factors into account, as they may have more influence on outcomes than physical changes themselves. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e675 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Seth Davis More articles by this author Saskia Ferrar More articles by this author Yitzchak Binik More articles by this author Khalid Al-Rabeeah More articles by this author Serge Carrier More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...