APPENDIX 1
(continued)
Severe pain during penile palpation (as determined by the investigator)
Allergy to collagenase or other medication required by the protocol
Average of 3 successive blood pressure readings of 160/100 mm Hg or greater during screening or the day 1 assessments
Any conditions affecting the penis, such as thrombosis of the dorsal penile artery or chordee in the presence or absence of hypospadias, or ED that was unresponsive
to phosphodiesterase type 5 inhibitors
Subjects who had received treatment or planned to undergo treatment for PD, including but not limited to any previous surgery, oral agents within 4 weeks,
intralesional medical therapies within 3 months, or use of mechanical devices within 2 weeks before the start of the study
Does not respond with full erection to prostaglandin E1 during malformation measurement
APPENDIX 2
PD-PRO Symptom Bother Domain Items
Items
Thinking about the last time you had an erection, how bothered were you by any pain or discomfort you may have felt in your erect penis?
Thinking about the last time you ejaculated, how bothered were you by any problem you may have had ejaculating?
Thinking about the last time you looked at your erect penis, how bothered were you by the way your penis looked?
Thinking of the last time you had or tried to have vaginal intercourse, how bothered were you by any physical problem you may have had?
How bothered are you with having vaginal intercourse less often?
Responses
1—Not at all bothered
2—A little bit bothered
3—Moderately bothered
4—Extremely bothered
Total potential score 0 to 20
REFERENCES
1. Taylor FL and Levine LA: Peyronie’s disease. Urol
Clin North Am 2007;
34:
517.
2. Smith JF, Walsh TJ and Lue TF: Peyronie’s
disease: a critical appraisal of current diagno-
sis and treatment. Int J Impot Res 2008;
20:
445.
3. Smith JF, Walsh TJ, Conti SL et al: Risk factors
for emotional and relationship problems in Pey-
ronie’s disease. J Sex Med 2008;
5:
2179.
4. Nelson CJ, Diblasio C, Kendirci M et al: The chro-
nology of depression and distress in men with
Peyronie’s disease. J Sex Med 2008;
5:
1985.
5. Rosen R, Catania J, Lue T et al: Impact of
Peyronie’s disease on sexual and psychosocial
functioning: qualitative findings in patients and
controls. J Sex Med 2008;
5:
1977.
6. Sasso F, Gulino G, Falabella R et al: Peyronie’s
disease: lights and shadows. Urol Int 2007;
78:
1.
7. El-Sakka AI and Yassin AA: Conservative treat-
ment for Peyronie’s disease: an update. Expert
Opin Pharmacother 2008;
9:
53.
8. Hellstrom WJ: Medical management of Pey-
ronie’s disease. J Andol 2009;
30:
397.
9. Russell S, Steers W and McVary KT: Systematic
evidence-based analysis of plaque injection ther-
apy for Peyronie’s disease. Eur Urol 2007;
51:
640.
10. Chung E, Clendinning E, Lessard L et al: Five-year
follow-up of Peyronie’s graft surgery: outcomes
and patient satisfaction. J Sex Med 2010;
8:
594.
11. Benson JS, Abern MR and Levine LA: Penile
shortening after radical prostatectomy and Pey-
ronie’s surgery. Curr Urol Rep 2009;
10:
468.
12. Taylor FL and Levine LA: Surgical correction of
Peyronie’s disease via tunica albuginea plication
or partial plaque excision with pericardial graft:
long-term follow up. J Sex Med 2008;
5:
2221.
13. Gelbard MK, James K, Riach P et al: Collage-
nase versus placebo in the treatment of Pey-
ronie’s disease: a double-blind study. J Urol
1993;
149:
56.
14. Gelbard MK, Walsh R and Kaufman JJ: Collage-
nase for Peyronie’s disease experimental studies.
Urol Res 1982;
10:
135.
15. Jordan GH: The use of intralesional clostridial
collagenase injection therapy for Peyronie’s dis-
ease: a prospective, single-center, non-placebo-
controlled study. J Sex Med 2008;
5:
180.
16. Gelbard MK, Lindner A and Kaufman JJ: The use
of collagenase in the treatment of Peyronie’s
disease. J Urol 1985;
134:
280.
17. Hurst LC, Badalamente MA, Hentz VR et al: In-
jectable collagenase clostridium histolyticum for
Dupuytren’s contracture. N Engl J Med 2009;
361:
968.
18. Gilpin D, Coleman S, Hall S et al: Injectable
collagenase clostridium histolyticum: a new non-
surgical treatment for Dupuytren’s disease.
J Hand Surg Am 2010;
35A:
2027.
19. Rosen RC, Riley A, Wagner G et al: The Interna-
tional Index of Erectile Function (IIEF): a multidi-
mensional scale for assessment of erectile dys-
function. Urology 1997;
49:
822.
20. Ralph D, Gonzalez-Cadavid N, Mirone V et al: The
management of Peyronie’s disease: evidence-
based 2010 guidelines. J Sex Med 2010;
7:
2359.
21. Muller A and Mulhall JP: Peyronie’s disease
intervention trials: methodological challenges
and issues. J Sex Med 2009;
6:
848.
22. Gur S, Limin M and Hellstrom WJ: Current status
and new developments in Peyronie’s disease:
medical, minimally invasive and surgical treat-
ment options. Expert Opin Pharmacother 2011;
12:
931.
23. Kadioglu A, Tefekli A, Erol B et al: A retrospective
review of 307 men with Peyronie’s disease.
J Urol 2002;
168:
1075.
24. Gelbard MK, Dorey F and James K: The natural
history of Peyronie’s disease. J Urol 1990;
144:
1376.
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