An Analysis of Case Logs from American Urologists in the Treatment of Peyronie's Disease

Daniel T. Oberlin*, Joceline S. Liu, Matthias Dominikus Hofer, Jaclyn Milose, Richard S. Matulewicz, Sarah C Flury, Allen F. Morey, Chris M. Gonzalez

*Corresponding author for this work

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective To review recent trends in the treatment of Peyronie's disease (PD), we assess surgical practice patterns of urologists in the United States with emphasis on specialty training, demographics, and temporal changes. Methods Six-month case log data of American urologists between 2004 and 2013 were obtained from the American Board of Urology. Current Procedural Terminology (CPT) codes were used to identify surgical procedures, including plaque injection. Results A total of 6564 urologists were included in the surgical cohort, logging 8195 surgical procedures for PD. Only 15.4% of urologists (1012/6564) reported a surgical case for PD. Andrologists (urologist subspecialty designation) accounted for 5.3% of these urologists (54/1012) and performed 18.5% of PD procedures (P =.0001). The frequency of plaque injections increased from 499 in 2004 to 797 in 2013, a 59% increase, whereas surgical correction remained stable. Urologists performed four times as many injections as surgical procedures for PD (P =.001) with andrologists more likely to attempt injection than surgical correction (P =.045). Among surgeries performed, 73.2% were corrections of angulation without plaque excision, 20.5% were excisions of plaque (with possible grafting) up to 5 cm, and 6.2% were excisions of plaque (with possible grafting) >5 cm. There was a 313% increase in the ratio of plication to plaque manipulation (0.92 in 2004 to 2.91 in 2013). Conclusion PD is treated by a minority of urologists and disproportionately by subspecialist in andrology. When compared with surgical interventions, excluding prosthesis implantation, most surgeons favor conservative treatment. The majority of surgical corrections were corrections of angulation without plaque manipulation.

Original languageEnglish (US)
Pages (from-to)205-209
Number of pages5
JournalUrology
Volume87
DOIs
StatePublished - Jan 1 2016

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Penile Induration
Injections
Therapeutics
Current Procedural Terminology
Prosthesis Implantation
Andrology
Urologists
Urology
Demography

ASJC Scopus subject areas

  • Urology

Cite this

Oberlin, Daniel T. ; Liu, Joceline S. ; Hofer, Matthias Dominikus ; Milose, Jaclyn ; Matulewicz, Richard S. ; Flury, Sarah C ; Morey, Allen F. ; Gonzalez, Chris M. / An Analysis of Case Logs from American Urologists in the Treatment of Peyronie's Disease. In: Urology. 2016 ; Vol. 87. pp. 205-209.
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title = "An Analysis of Case Logs from American Urologists in the Treatment of Peyronie's Disease",
abstract = "Objective To review recent trends in the treatment of Peyronie's disease (PD), we assess surgical practice patterns of urologists in the United States with emphasis on specialty training, demographics, and temporal changes. Methods Six-month case log data of American urologists between 2004 and 2013 were obtained from the American Board of Urology. Current Procedural Terminology (CPT) codes were used to identify surgical procedures, including plaque injection. Results A total of 6564 urologists were included in the surgical cohort, logging 8195 surgical procedures for PD. Only 15.4{\%} of urologists (1012/6564) reported a surgical case for PD. Andrologists (urologist subspecialty designation) accounted for 5.3{\%} of these urologists (54/1012) and performed 18.5{\%} of PD procedures (P =.0001). The frequency of plaque injections increased from 499 in 2004 to 797 in 2013, a 59{\%} increase, whereas surgical correction remained stable. Urologists performed four times as many injections as surgical procedures for PD (P =.001) with andrologists more likely to attempt injection than surgical correction (P =.045). Among surgeries performed, 73.2{\%} were corrections of angulation without plaque excision, 20.5{\%} were excisions of plaque (with possible grafting) up to 5 cm, and 6.2{\%} were excisions of plaque (with possible grafting) >5 cm. There was a 313{\%} increase in the ratio of plication to plaque manipulation (0.92 in 2004 to 2.91 in 2013). Conclusion PD is treated by a minority of urologists and disproportionately by subspecialist in andrology. When compared with surgical interventions, excluding prosthesis implantation, most surgeons favor conservative treatment. The majority of surgical corrections were corrections of angulation without plaque manipulation.",
author = "Oberlin, {Daniel T.} and Liu, {Joceline S.} and Hofer, {Matthias Dominikus} and Jaclyn Milose and Matulewicz, {Richard S.} and Flury, {Sarah C} and Morey, {Allen F.} and Gonzalez, {Chris M.}",
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Oberlin, DT, Liu, JS, Hofer, MD, Milose, J, Matulewicz, RS, Flury, SC, Morey, AF & Gonzalez, CM 2016, 'An Analysis of Case Logs from American Urologists in the Treatment of Peyronie's Disease', Urology, vol. 87, pp. 205-209. https://doi.org/10.1016/j.urology.2015.08.033

An Analysis of Case Logs from American Urologists in the Treatment of Peyronie's Disease. / Oberlin, Daniel T.; Liu, Joceline S.; Hofer, Matthias Dominikus; Milose, Jaclyn; Matulewicz, Richard S.; Flury, Sarah C; Morey, Allen F.; Gonzalez, Chris M.

In: Urology, Vol. 87, 01.01.2016, p. 205-209.

Research output: Contribution to journalArticle

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T1 - An Analysis of Case Logs from American Urologists in the Treatment of Peyronie's Disease

AU - Oberlin, Daniel T.

AU - Liu, Joceline S.

AU - Hofer, Matthias Dominikus

AU - Milose, Jaclyn

AU - Matulewicz, Richard S.

AU - Flury, Sarah C

AU - Morey, Allen F.

AU - Gonzalez, Chris M.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Objective To review recent trends in the treatment of Peyronie's disease (PD), we assess surgical practice patterns of urologists in the United States with emphasis on specialty training, demographics, and temporal changes. Methods Six-month case log data of American urologists between 2004 and 2013 were obtained from the American Board of Urology. Current Procedural Terminology (CPT) codes were used to identify surgical procedures, including plaque injection. Results A total of 6564 urologists were included in the surgical cohort, logging 8195 surgical procedures for PD. Only 15.4% of urologists (1012/6564) reported a surgical case for PD. Andrologists (urologist subspecialty designation) accounted for 5.3% of these urologists (54/1012) and performed 18.5% of PD procedures (P =.0001). The frequency of plaque injections increased from 499 in 2004 to 797 in 2013, a 59% increase, whereas surgical correction remained stable. Urologists performed four times as many injections as surgical procedures for PD (P =.001) with andrologists more likely to attempt injection than surgical correction (P =.045). Among surgeries performed, 73.2% were corrections of angulation without plaque excision, 20.5% were excisions of plaque (with possible grafting) up to 5 cm, and 6.2% were excisions of plaque (with possible grafting) >5 cm. There was a 313% increase in the ratio of plication to plaque manipulation (0.92 in 2004 to 2.91 in 2013). Conclusion PD is treated by a minority of urologists and disproportionately by subspecialist in andrology. When compared with surgical interventions, excluding prosthesis implantation, most surgeons favor conservative treatment. The majority of surgical corrections were corrections of angulation without plaque manipulation.

AB - Objective To review recent trends in the treatment of Peyronie's disease (PD), we assess surgical practice patterns of urologists in the United States with emphasis on specialty training, demographics, and temporal changes. Methods Six-month case log data of American urologists between 2004 and 2013 were obtained from the American Board of Urology. Current Procedural Terminology (CPT) codes were used to identify surgical procedures, including plaque injection. Results A total of 6564 urologists were included in the surgical cohort, logging 8195 surgical procedures for PD. Only 15.4% of urologists (1012/6564) reported a surgical case for PD. Andrologists (urologist subspecialty designation) accounted for 5.3% of these urologists (54/1012) and performed 18.5% of PD procedures (P =.0001). The frequency of plaque injections increased from 499 in 2004 to 797 in 2013, a 59% increase, whereas surgical correction remained stable. Urologists performed four times as many injections as surgical procedures for PD (P =.001) with andrologists more likely to attempt injection than surgical correction (P =.045). Among surgeries performed, 73.2% were corrections of angulation without plaque excision, 20.5% were excisions of plaque (with possible grafting) up to 5 cm, and 6.2% were excisions of plaque (with possible grafting) >5 cm. There was a 313% increase in the ratio of plication to plaque manipulation (0.92 in 2004 to 2.91 in 2013). Conclusion PD is treated by a minority of urologists and disproportionately by subspecialist in andrology. When compared with surgical interventions, excluding prosthesis implantation, most surgeons favor conservative treatment. The majority of surgical corrections were corrections of angulation without plaque manipulation.

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