125 Initial Peyronie’s Disease Questionnaire Bother Scores Do Not Correlate with Degree of Penile Curvature in Patients with Peyronie’s Disease

Historically, the initial evaluation of patients with peyronie’s disease (PD) has been based on non-systematic collection of information regarding patient bother. Many pts have depression-related symptoms due to penile shortening, curvature, etc. The validated Peyronie’s disease questionnaire (PDQ) has been used for evaluation before and after treatment of PD with intralesional collagenase. However, its value in the initial evaluation of ALL patients with PD is unclear. The purpose of this study is to establish whether there is a correlation between patient bother and age and degree of curvature in the initial evaluation of patients with peyronie’s disease. 95 consecutive pts seen in a sexual dysfunction clinic were given the PDQ. Evaluation also included past history, PE, and duplex ultrasound. A total bother score was tabulated using four bother-related questions on the PDQ (0-4 for each question, maximum total score:16). The mean pt age was 54.3 yrs and the median disease duration at initial evaluation was 12 mos. The median angle of curvature was 46.8 +/-16.0 degrees based on intracavernosal injection. Of the 82 patients, 24 (29%) were not having vaginal intercourse and were excluded. 55 of 58 patients had penile curvature measurements. Overall, the mean total bother score was 8.5. There was no significant difference in bother score when pts were grouped based on degree of curvature (see table below).