背景:阴茎硬结病,俗称佩罗尼病(PD),是一种影响阴茎的结缔组织疾病,导致纤维斑块的发展,阴茎曲率,和勃起功能障碍。PD是一种常见的男性生殖系统疾病,病因复杂,涉及多个基因,信号通路,和不同的表型。
目的:PD的病因和发病机制仍然知之甚少,阻碍了有效治疗策略的发展。通过了解PD的潜在机制,我们可以为靶向治疗和改善患者预后铺平道路.
方法:我们回顾了PD的流行病学和病理生理学。我们在GoogleScholar上进行了数据库搜索,PubMed,Medline,和WebofScience从成立到2023年9月。回顾的文献包括阴茎异常勃起指南,评论文章,目前的试验研究,以及与PD有关的各种文献。
结果:本文对该疾病的当前研究进展进行了全面概述,关注它的遗传因素,信号通路,细胞机制,表型表现,和治疗目标。它可以帮助识别风险较高的人,帮助早期发现和干预,并提供对纤维化和组织重塑的见解。它还可以揭示潜在的治疗靶点,指导准确的诊断和治疗策略,并探讨该疾病对患者生活质量的影响。
结论:通过整合基因组学的见解,分子途径,临床表型,和治疗潜力,我们的研究旨在对PD有更深入和更全面的了解,推动该领域朝着创新战略发展,以改善受PD影响的人们的生活。PD的复杂表现和发病机制需要使用多种治疗方法进行个性化护理。
BACKGROUND: Penile induration disease, commonly known as Peyronie\'s disease (PD), is a connective tissue disorder that affects the penis, leading to the development of fibrous plaques, penile curvature, and erectile dysfunction. PD is a common male reproductive system disease with a complex etiology involving multiple genes, signaling pathways, and different phenotypes.
OBJECTIVE: The etiology and pathogenesis of PD remain poorly understood, hindering the development of effective treatment strategies. By understanding the underlying mechanisms of PD, we can pave the way for targeted therapies and improved patient outcomes.
METHODS: We reviewed the epidemiology and pathophysiology of PD. We performed database searches on Google Scholar, PubMed, Medline, and Web of Science from inception to September 2023. The literature reviewed included priapism guidelines, review articles, current trial studies, and various literature related to PD.
RESULTS: This article provides a comprehensive overview of the current research progress on the disease, focusing on its genetic factors, signaling pathways, cellular mechanisms, phenotypic manifestations, and therapeutic targets. It can help identify individuals at higher risk, aid in early detection and intervention, and provide insights into fibrosis and tissue remodeling. It can also reveal potential therapeutic targets, guide accurate diagnoses and treatment strategies, and address the impact of the disease on patients\' quality of life.
CONCLUSIONS: By integrating insights from genomics, molecular pathways, clinical phenotypes, and therapeutic potentials, our research aims to achieve a deeper and more comprehensive understanding of PD, propelling the field toward innovative strategies that enhance the lives of those affected by PD. The complex manifestations and pathogenesis of PD necessitate the use of multiple treatment methods for personalized care.