Peyronie's Disease Questionnaire (PDQ)

Evaluates symptoms & psychological effects in patients with PD who have had vaginal intercourse within the last 3 months

Provided by SMSNA
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Instructions

Psychological and Physical Symptoms

The questions below ask about the severity of any problems during intercourse within the last 3 months.

 

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The PD Questionnaire (PDQ) is a self-administered and standardized questionnaire with 15-items created for the intralesional collagenase trials (IMPRESS I and II). It has proven to be highly responsive to symptom changes in men with PD, making it a valuable and effective tool for clinical practice and research. PDQ evaluates symptoms and psychological effects in patients with PD who have had vaginal intercourse within the last 3 months, considering the most recent sexual experience when completing the questionnaire.

 

Scoring

The results section includes a total PDQ score and scores for 3 domains (Psychological/Physical Symptoms, Penile Domain Score & Symptoms Bother Domain Score). Additionally, 2 unscored yes/no questions (Q12 & Q14) will trigger a result if answered "yes."

 

  • Total PDQ Score

    • Sum of all the points in the assessment (70 points possible)

  • Psychological/Physical Symptoms Domain Score

    • Sum of all points for Q1-Q6 (24 points possible)

  • Penile Pain Domain Score

    • Sum of all points for Q7-Q9 (30 points possible)

  • Symptom Bother Domain Score

    • Sum of all points Q10-Q15 (16 points possible)

  • Yes Response (Q12): Difficult or impossible intercourse

    • Appears only if a "yes" response

  • Yes Response (Q14): Intercourse less often

    • Appears only if a "yes" response

 

Considerations

  • A higher score means a more significant negative impact.

  • Q12 & Q14 yes/no choices are not scored. If these questions are "yes", a result will appear below indicating a "yes".

This material was delivered to SMSNA under license from Keenova Therapeutics plc. No reproduction or dissemination of the material for commercial gain is permitted without the consent of Keenova Therapeutics plc, or one of its affiliates.

All questions & possible results

Psychological and Physical Symptoms

The questions below ask about the severity of any problems during intercourse within the last 3 months.

 

Q1: Concern about damaging penis while having intercourse.

Select one option:

  • None
  • Mild
  • Moderate
  • Severe
  • Very Severe
Q2: Bending or collapsing of penis while having intercourse.

Select one option:

  • None
  • Mild
  • Moderate
  • Severe
  • Very Severe
Q3: Trouble inserting erect penis into your partner.

Select one option:

  • None
  • Mild
  • Moderate
  • Severe
  • Very Severe
Q4: Difficulty with some positions that you used to enjoy when having intercourse.

Select one option:

  • None
  • Mild
  • Moderate
  • Severe
  • Very Severe
Q5: Awkwardness with some positions that you used to enjoy when having intercourse.

Select one option:

  • None
  • Mild
  • Moderate
  • Severe
  • Very Severe
Q6: Discomfort with some positions that you used to enjoy when having intercourse.

Select one option:

  • None
  • Mild
  • Moderate
  • Severe
  • Very Severe
Penile Pain

Q7: Based on the scale below, IN THE LAST 24 HOURS, how much pain or discomfort have you felt in your penis when it was NOT erect?

Select one option:

  • 0 (No Pain or Discomfort)
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10 (Extreme Pain or Discomfort)
Q8: Based on the scale below, thinking about the LAST TIME you were erect, how much pain or discomfort did you feel in your penis?

Select one option:

  • 0 (No Pain or Discomfort)
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10 (Extreme Pain or Discomfort)
Q9: Based on the scale below, thinking about the LAST TIME you were erect, how much pain or discomfort did you feel in your penis when having intercourse?

Select one option:

  • 0 (No Pain or Discomfort)
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10 (Extreme Pain or Discomfort)
Symptom Bother
Q10: Thinking about the LAST TIME you had an erection, how bothered were you by any pain or discomfort did you may have felt in your erect penis?

Select one option:

  • DID NOT feel any pain or discomfort
  • Felt Pain or discomfort
Q10 Bother Scale: Thinking about the LAST TIME you had an erection, how bothered were you by any pain or discomfort did you may have felt in your erect penis?

Felt Pain or discomfort and was: 

 

Select one option:

  • Not at all bothered
  • A little bit bothered
  • Moderately bothered
  • Very bothered
  • Extremely bothered
Q11: Thinking about the LAST TIME you looked at your erect penis, how bothered were you by the way your penis looked?

Select one option:

  • Not at all bothered
  • A little bit bothered
  • Moderately bothered
  • Very bothered
  • Extremely bothered
Q12: Does your Peyronie’s Disease make having intercourse difficult or impossible?

Select one option:

  • No
  • Yes
Q13: Thinking of the LAST TIME you had or tried to have intercourse, how bothered were you by your Peyronie’s Disease?

Select one option:

  • Not at all bothered
  • A little bit bothered
  • Moderately bothered
  • Very bothered
  • Extremely bothered
Q14: Are you having intercourse LESS OFTEN than you used to due to your Peyronie’s Disease?

Select one option:

  • No
  • Yes
Q15: How bothered are YOU with having intercourse less often?

Select one option:

  • Not at all bothered
  • A little bit bothered
  • Moderately bothered
  • Very bothered
  • Extremely bothered
Possible results
Total PDQ Score

A higher score means a more significant negative impact.

Penile Pain Domain Score

A higher score means a more significant negative impact.

Yes Response (Q12): Difficult or impossible intercourse.
Psychological/Physical Symptoms Domain Score

A higher score means a more significant negative impact.

Symptom Bother Domain Score
  • A higher score means a more significant negative impact.
  • Q12 & Q14 yes/no choices are not scored. If these questions are "yes", a result will appear below indicating a "yes".

 

Yes Response (Q14): Intercourse less often.

Citation

This material was delivered to SMSNA under license from Keenova Therapeutics plc. No reproduction or dissemination of the material for commercial gain is permitted without the consent of Keenova Therapeutics plc, or one of its affiliates.

 

Hellstrom WJ, Feldman R, Rosen RC, Smith T, Kaufman G, Tursi J. Bother and distress associated with Peyronie's disease: validation of the Peyronie's disease questionnaire. J Urol. 2013 Aug;190(2):627-34. doi: 10.1016/j.juro.2013.01.090. Epub 2013 Jan 31. PMID: 23376705.