Mp28-20 a Contemporary Glimpse Into the Perceptions, Characteristics, and Psychosocial Factors of Peyronie’s Disease Among Men Who Have Sex With Men

You have accessJournal of UrologySexual Function/Dysfunction: Peyronie's Disease (MP28) 1 May 2024MP28-20 A CONTEMPORARY GLIMPSE INTO THE PERCEPTIONS, CHARACTERISTICS, AND PSYCHOSOCIAL FACTORS OF PEYRONIE'S DISEASE AMONG MEN WHO HAVE SEX WITH MEN Olivia Paulsen, Marne Louters, Jacob Good, Thairo A. Pereira, and Helen L. Bernie Olivia PaulsenOlivia Paulsen, Marne LoutersMarne Louters, Jacob GoodJacob Good, Thairo A. PereiraThairo A. Pereira, and Helen L. BernieHelen L. Bernie View All Author Informationhttps: //doi. org/10. 1097/01. JU. 0001008872. 42208. 7a. 20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Peyronie's Disease (PD) is a devastating condition characterized by fibrous scar tissue causing penile curvature and painful erections. There is a paucity of data assessing the impact that PD has on men who have sex with men (MSM). This prospective study sought to determine how PD affects MSM from a biopsychosocial and sexual health perspective and compare this population's experience with non-MSM with PD. METHODS: After IRB-exemption, an anonymous online survey was administered to the following platforms: Twitter, Instagram, Reddit to include r/PeyroniesSupport, r/lgbtstudies, r/sex, r/lgbtₛurvey, r/SampleSize, r/askgaybros, and on Facebook to the Peyronie's Disease Support group from July-September 2023. Participant demographics were collected and they were asked to complete the Peyronie's Disease Questionnaire (PDQ), as well as questions related to the biopsychosocial impact of PD, sexual orientation, type of sexual intercourse, history of trauma, PD symptoms, partner and self-bother, degree of curvature, care seeking, medical interventions, impact on mental health, and disease progression. RESULTS: Sixty-one men had complete surveys and of MSM 15% engaged with "men and others" and 18% "strictly men. " 80. 5% of non-MSM and 85% of MSM stated PD negatively impacts their mental health. Assessment of partner satisfaction revealed women partners express greater disapproval (14%) compared to male partners (7%). The majority of men (84%) reported seeing a urologist with only 30% seeing one regularly and 7% being MSM. A negative experience with a urologist was reported in 60% of MSM and 54% of non-MSM. Fifty-one percent have anal intercourse, 74% vaginal, and 80% oral. History of penile trauma occurred in 33% of respondents. The most common symptoms, experienced by 79% of subjects were "shortening and/or narrowing of the penis, " followed by erectile dysfunction (62%), difficulty with sexual intercourse (47%), painful erections (38%), and painful sexual intercourse or masturbation (33%). CONCLUSIONS: Our results show that PD has a negative impact on mental health in MSM. It also shows that the majority of men, both MSM and non-MSM have had a negative experience when seeing a urologist. However, non-MSM are more likely to experience partner disapproval. Overall, the characteristics of PD do not grossly vary between MSM and non-MSM but the psychosocial aspect may possess greater consequences for MSM. While this study is limited by its power, this is an important study that adds to the paucity of data to better understand PD in MSM. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc. FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e480 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc. Metrics Author Information Olivia Paulsen More articles by this author Marne Louters More articles by this author Jacob Good More articles by this author Thairo A. Pereira More articles by this author Helen L. Bernie More articles by this author Expand All Advertisement PDF downloadLoading. . .