INVITED COMMENTARY
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Commentary on “Effects of patients' understanding and choice of surgical types on postoperative outcomes of Peyronie's disease: a single-center retrospective study of 108 patients” – the right choice in Peyronie's disease surgery


 Department of Surgery, Oncology, Stomatology, University of Palermo, Palermo 90142, Italy

Date of Submission20-Mar-2021
Date of Acceptance06-Apr-2021
Date of Web Publication18-May-2021

Correspondence Address:
Carlo Pavone,
Department of Surgery, Oncology, Stomatology, University of Palermo, Palermo 90142
Italy

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aja.aja_43_21

PMID: 34003173


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How to cite this URL:
Pavone C. Commentary on “Effects of patients' understanding and choice of surgical types on postoperative outcomes of Peyronie's disease: a single-center retrospective study of 108 patients” – the right choice in Peyronie's disease surgery. Asian J Androl [Epub ahead of print] [cited 2021 Jun 16]. Available from: https://www.ajandrology.com/preprintarticle.asp?id=316269

Even though Peyronie's disease (PD) is not the most frequent disease in men, the real incidence is underestimated, and in a reference andrological surgery center, there is an increasing demand for surgery for this disease.

The paper by Zheng et al.[1] although retrospective and with a short follow-up has enrolled a good number of patients. The aim of the article is not to select the best surgical method but how to evaluate and cope with the main problem in this kind of procedures: patients' unsatisfaction (due to real or unrealistic expectations) for the result.

The outcome of surgery was evaluated in relation to the patient's choice of the type of surgery according to the doctor's recommendations, and the results were evaluated according to questionnaire surveys and objective parameters such as penile straightening, penile length, and sexual function. A pitfall of the paper is that too many groups are evaluated (doctor's advice, plication, patch surgery), but the main value of the paper is to draw attention to the main problem with this group of patients: unrealistic expectations.

It should be possible to demonstrate with imaging the preoperative and the postoperative status to the “complaining” patients, and we are studying a new three-dimensional (3D) recording method to obtain digital images.[2] Even more we are studying a computerized system to predict and visualize the expected result of surgery. Hopefully in the future, this problem will be solved.


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The author declares no competing interests.



 
  References Top

1.
Zheng DC, Bao JW, Guo JH, Xie MK, Li WJ, et al. Effects of patients' understanding and choice of surgical types on postoperative outcomes of Peyronie's disease: a single-center retrospective study of 108 patients. Asian J Androl 2021; Doi: 10.4103/aja.aja_32_21. [Epub ahead of print].  Back to cited text no. 1
    
2.
Pavone C, Abrate A, Altomare S, Vella M, Serretta V, et al. Is Kelami's method still useful in the smartphone era? The virtual 3-dimensional reconstruction of penile curvature in patients with Peyronie's disease: a pilot study. J Sex Med 2021; 18: 209-14.  Back to cited text no. 2
    




 

 
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