Due to the complex interplay between physical deformity, functional impairment from erectile dysfunction (ED), Peyronie's disease (PD) poses significant challenges for andrologists and reconstructive urologists.These challenges are further compounded by associated psychological consequences, including depression, diminished self-esteem, and emotional distress related to perceived penile length loss 1,2.Psychosocial distress caused by relationship conflicts are observed in over 50% of couples 3,4.While men are embarrassed about penile deformity and anxious about impaired sexual performance, female partners also report sexual dysfunction, including sexual dissatisfaction (21.2%), dyspareunia (7.7%), and decreased libido (3.8%) 5.Overall, these psychological and physical stressors profoundly impair a couple's quality of life.Available literature offers ample information on epidemiological data, pathogenesis, and treatment strategies, but patient management in an individualized manner still poses a challenge because no single treatment can adequately address each patient's needs.Few surgical interventions provoke as much intense personal distress in a man as confronting a penile deformity 1,3.Approximately 50% of men with PD experience depressive symptoms and up to 80% report disease-related distress, with many suffering silently 4.The European Society for Sexual Medicine (ESSM) and International Society for Sexual Medicine (ISSM) recommend addressing psychological, emotional, and relational challenges associated with PD (level 4, grade C) 6,7.Coyne et al's 8 analysis of IMPRESS I and II studies found that 53% and 45% of patients reported moderate distress, while 31% and 33% reported severe distress, respectively.Reported PD prevalence varies widely, from 0.3% to
Pinggera et al. (Thu,) studied this question.