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General Surgery · Urology: Peyronie disease
Sample itemA 55-year-old has painful erections with a new penile curvature and a palpable dorsal plaque for 6 months. Which agent is licensed for stable disease?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Intralesional collagenase clostridium histolyticum
Peyronie disease results from fibrous plaque formation in the tunica albuginea. Collagenase injection with modelling reduces curvature in the stable phase, and surgery (plication or grafting) is considered after about 12 months of stability.
Option by option
A. Radical penectomy
Penectomy is not indicated.
B. Oral steroids
Steroids are not effective.
C. Intralesional collagenase clostridium histolyticum (correct)
Correct. Collagenase is used in stable plaque disease.
D. Testosterone injections
Testosterone does not treat plaque.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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