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首页> 外文期刊>The journal of sexual medicine >Correlation of degree of penile curvature between patient estimates and objective measures among men with Peyronie's disease.
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Correlation of degree of penile curvature between patient estimates and objective measures among men with Peyronie's disease.

机译：佩罗尼氏病患者的患者估计与客观测量之间的阴茎弯曲程度的相关性。

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INTRODUCTION: : Among men with Peyronie's disease (PD), the degree of penile curvature has significant implications on psychological well-being, sexual function, treatment planning, and posttherapy evaluations. AIM: The primary objective of the current study was to correlate patients' estimates of penile angulation with objective measures. MAIN OUTCOME MEASURES: (i) Proportion of patients over- or underestimating their actual degree of curvature; and (ii) degree differences between patient estimates and objective measures of penile curvature. Methods. At baseline, patients with established PD were asked to provide a "best estimate" of their degree of penile curvature. Objective measures of penile angulation were then performed using standardized photographs and protractor-based measurement of penile curvature during full erection. Correlations were performed between patient estimates of penile curvature and objective measures of penile angulation. RESULTS: Eighty-one men with established PD and a mean age of 52 years (range: 20-72 years) were prospectively evaluated. Mean duration of disease was 33 months (range: 6-276 months), and mean plaque size was 1.4 cm +/- 0.1 standardized error (SE). The proportion of patients with dorsal, lateral, and ventral curvatures was 39%, 57%, and 4%, respectively. Patient estimates of baseline penile curvature (mean 51 degrees +/- 3.1 SE) differed significantly from objective measurements (mean 40 degrees +/- 2.4, P = 0.001). A significantly higher proportion of patients overestimate their actual degree of penile curvature (54% overestimate, 26% underestimate, and 20% are accurate within 5 degrees, P = 0.002). Compared with objective measures, patients' estimates of degree of penile curvature differed by an average of 20 degrees +/- 2.2 SE. CONCLUSIONS: Patients with PD tend to overestimate their degree of penile curvature. Objective measurement of penile angulation is necessary to accurately counsel patients regarding disease severity, recommend appropriate treatment strategies, and objectively evaluate outcomes following therapy.
机译：简介：在佩罗尼氏病（PD）的男性中，阴茎弯曲的程度对心理健康，性功能，治疗计划和治疗后评估有重要影响。目的：本研究的主要目的是将患者对阴茎角度的估计与客观测量结果相关联。主要观察指标：（i）高估或低估患者实际弯曲程度的患者比例; （ii）患者估计值与阴茎弯曲度客观指标之间的程度差异。方法。在基线时，要求建立PD的患者提供其阴茎弯曲度的“最佳估计”。然后使用标准化照片和基于量角器的完全勃起期间阴茎弯曲度的测量方法，对阴茎的角度进行客观测量。在患者的阴茎弯曲估计与阴茎成角度的客观测量之间进行了相关性。结果：前瞻性评估了八十一名建立了PD且平均年龄为52岁（范围：20-72岁）的男性。平均病程为33个月（范围：6-276个月），平均斑块大小为1.4 cm +/- 0.1标准误（SE）。背侧弯曲，侧弯曲弯曲和腹侧弯曲弯曲的患者比例分别为39％，57％和4％。病人对基线阴茎曲率的估计（平均51度+/- 3.1 SE）与客观测量值显着不同（平均40度+/- 2.4，P = 0.001）。较高比例的患者高估了其实际的阴茎弯曲程度（54％高估，26％低估和20％在5度内准确，P = 0.002）。与客观测量相比，患者对阴茎弯曲度的估计差异平均为20度+/- 2.2 SE。结论：PD患者倾向于高估其阴茎弯曲程度。客观测量阴茎角度对于准确建议患者有关疾病的严重性，建议适当的治疗策略以及客观评估治疗后的结果非常必要。

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