Professor Wayne J.G. Hellstrom: incidence of Peyronie’s disease

(Figure 1) is Professor of Urology and Chief of Andrology (male infertility and sexual dysfunction) at Tulane University School of Medicine in New Orleans. His practice specializes in the diagnosis and treatment of sexual dysfunction, including Peyronie's disease, surgical and vascular reconstruction, prosthetic surgery, male infertility (both surgical and medical therapies), benign prostatic hyperplasia (BPH), and urethral stricture disease. As a clinician, author, and lecturer, Hellstrom has published more than 400 peer-reviewed articles in professional publications and has contributed over 100 chapters in textbooks. He also is the editor of " Male Infertility and Sexual Dysfunction " , " The Handbook of Sexual Dysfunction " , and " Androgen Deficiency and Testosterone Replacement " .: Peyronie's disease is much more common than previously reported. About two decades ago, it was proposed that one in 200 men suffered with Peyronie's disease. However, in 1999, at the AUA, investigators from the Cologne Male Aging Study reported that 3.2% of adult men had signs and symptoms of Peyronie's disease. As men got older, the prevalence increased. A number of subsequent studies in North America, Brazil, and Asia have corroborated these findings. Today, we estimate that approximately 5% of the adult male population has Peyronie's disease. We also recognize that certain conditions, such as Dupuytren's contracture, plantar fascia, and other fibro-connective diseases may be associated with Peyronie's disease. Additionally, besides the common presentations of penile curvature, pain, and erectile dysfunction, the more recent recognition is that >50% of men afflicted with Peyronie's disease have significant psychological consequences, such as depression. Prof. Ronny BW Tan: Peyronie's disease is a not a very well understood disease in Asia. The prevalence may not be as low as what we think it is. Because many Asian men are conservative, they tend not to report any sexual problems to their family doctor. As a result, they lose the possibility of early treatment. As I came back after my fellowship at Tulane, I tried to increase the awareness of Peyronie's disease among the public and to increase knowledge of Peyronie's disease to both patients and physicians.