A 41-year-old male has presented to his family physician stating that for the last 2 years his erection "is as crooked as a dog's hind leg and hurts too." He has subsequently been diagnosed with Peyronie disease
Which of the following statements by his physician is most appropriate?
A)
"Even though it's obviously distressing, you should know that this will likely resolve on its own with time."
B)
"I'll refer you to a urologist who will likely want to perform a circumcision."
C)
"This might need surgery, but it could possibly disappear over time without needing treatment."
D)
"There are things you can do to minimize this, such as getting more exercise, stopping smoking, and maintaining a healthy diet."
Ans:
C
Feedback:
While spontaneous resolution is possible, surgery is sometimes necessary for the treatment of Peyronie disease. Circumcision would not be an effective treatment, and lifestyle factors are not noted to contribute to the etiology or resolution.
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