PDI SELF-EVALUATION

The questionnaires presented in this section are intended for personal use and general interest; they are not intended to be a substitute for medical evaluation and consultation. The information and broad conclusions drawn from your answers are intended for your general knowledge, and to use in discussion with your treating physician.

The statements and opinions about Peyronie’s disease (PD) contained herein have not been evaluated by the Food and Drug Administration, and are not intended to diagnose, manage, or treat any disease.

There are two ways you can use these questionnaires:

  • You are having problems with your penis, but have not yet seen a doctor about it; you are not sure if you have PD. Use this questionnaire to help you understand your problem, and offer encouragement to go to your family doctor or medical specialist for an examination, to determine if you actually have PD. We strongly advise that you receive medical care and supervision for this problem as soon as possible. Use the information and insights from these questionnaires to your best advantage in discussing this problem with your doctor.
  • You are having problems with your penis, you have seen a doctor and have a diagnosis of PDI, and you want to know and do more about your problem. Use this questionnaire to serve as a general format of information and opinion, so you may share this information with your family doctor or urologist who will discuss these issues with you in detail. You will have a better idea of how to proceed with modifications, additions, or improvements, if any, to your current PD treatment plan.  First talk with your personal physician to decide if a particular treatment or technique described and offered in this website might be of possible value to you in an effort to increase your general well being or improve your ability to resolve the PD scar.
     

Simply complete the short questionnaires and grade your answers based on the instructions provided.

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Peyronie's Disease Institute
504 North Plum Grove Road
Palatine, IL 60067
Toll Free (877) 878-8188

Date last modified:  December 20, 2007

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