This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Urethra & Penis, Subject name: Surgery
[{'content': "What is not true about Peyronie disease? \nSelect and explain. \nA. Associated with fibrosis in the penis, B. Associated with dupuytren's contracture., C. It shows a self limited course, D. Medical treatment is effective", 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans: d (Medical treatment is effective) Ref: Bailey, 24th ed, p.Medical treatment is ineffective in Peyronie disease.Peyronie's disease- Relatively common cause of deformity of erect penis.- O/E hard plaque of fibrosis can be palpated in the tunica of one or both corpora cavernosa, (occasionally calcified)- Erect penis often bend towards the side of plaque.- Disease is typically self limiting.- Aetiology is uncertain, may be a result of past trauma.- Association with Dupuytren contracture.TreatmentMedical treatment is often ineffective.Some continue to progress, others seem to remit after 3-5 yrs.Nesbitt operation -^Surgery may be indicated to correct deformity that interferes with sexual function.", 'role': 'assistant'}]