Analysis of men seen at a specialist clinic provides new insights into the classification of Peyronie's disease (PD) subtypes, according to a report in the September issue of The Journal of Urology® , an Official Journal of the American Urological Association (AUA). The journal is published in the Lippincott portfolio by Wolters Kluwer. By analyzing real-world clinical data in a large group of patients, we identified four distinct subtypes of PD, and additional categorization of other causes of penile curvature.

We propose a new classification system, which we believe will provide a more consistent and standardized approach to classification and treatment of PD." Landon Trost, MD, of Male Fertility and Peyronie's Clinic in Orem, Utah Evidence-based approach to Peyronie's disease classification Peyronie's disease is a condition in which the penis becomes curved due to scar-like tissue called plaque. Some men experience pain, erectile dysfunction, or sexual dysfunction.

Typically, PD is characterized by palpable plaque and curvature occurring in men in their fifties and sixties (The Urology Care Foundation has a Peyronie's disease fact sheet). However, even in men with these "classical" findings, symptoms of PD may vary widely. Some men may develop a sudden curve, with no other symptoms, that remains stable over time; while others may experience ongoing pain and progression of the deformity.

In the absence of more specific criteria, men with penile curvature of any cause are o.