(426) Peyronie’s Disease Treatment Pathways in the TriNetX Global Database
نویسندگان
چکیده
Abstract Introduction Peyronie’s disease (PD) is a fibrosing condition which commonly leads to penile pain, curvature, plaque development, change in shape, and sexual dysfunction. Urologists will benefit from understanding the utilization of most common treatment pathways followed practice. Objective To identify between pentoxifylline, injection therapy, plication, excision with/without grafting (PEG), prosthesis PD. Methods TriNetX research network real-time data 58 Healthcare Organizations globally. We queried for adult men with interventions 2002-2022. Patients were identified based on International Classification Disease Tenth Edition (ICD-10) code (N48.6). Interventions using Current Procedural Terminology (CPT) codes therapy (54200), plication (54360), +/− (PEG) (54110, 54111, 54112), implant (54400, 54401, 54405). Use oral pentoxifylline (8013) was identifiable RxNorm Concept Unique Identifier, part Unified Medical Language System. The analysis run June 16, 2022. Results There 45,944 cases PD within database mean age 62 13 years. cohort as 73% white, 8% black, 18% race unknown. Figure 1 shows by treatments pathways. management no 69.5% (n=31,912). A single medical or surgical used 79.6% patients who received (n=11,166). Of cases, (60.0%, n=4,541) more (40.0%, n=3,033), while frequently utilized (54.2%, n=1,946) (30.6%, n=1,100), PEG (15.2%, n=546). required multiple therapies 20.4% time (n=2,866). requiring therapies, progression occurred (n=584). Conclusions predominantly managed without any intervention, then surgery. Surgical less after suggesting that few are interested require stepwise approach Disclosure Any authors act consultant, employee shareholder an industry for: Boston Scientific Coloplast.
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ژورنال
عنوان ژورنال: The Journal of Sexual Medicine
سال: 2023
ISSN: ['1743-6109', '1743-6095']
DOI: https://doi.org/10.1093/jsxmed/qdad060.400