Self-Assessment Questionnaire
This questionnaire serves as a guide to assess symptoms related to Peyronie’s plaque and
penile curvature. It aims to help individuals determine the severity of their condition and
decide when to seek medical evaluation. Always consult a healthcare professional for
accurate diagnosis and personalized treatment options.
Scoring Instructions:
Add up the points based on your responses:
- Severity of penile curvature (0-10 scale): ______
- Concern or distress level (0-10 scale): ______
What is your score?
- 0-5 points: Monitor symptoms; periodic assessment recommended.
- 6-10 points: Consider consulting a healthcare provider specializing in urology.
- 11 or more points: Immediate consultation advised; symptoms may require medical intervention.
