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Is there a line between ethics and market competition? Lights and shades of the withdrawal of collagenase treatment for Peyronie’s disease


Peyronie’s disease treatments is changing again due the interruption of Xiapex® distrubution in Europe. There are many reasons that can be referred to this event. In this editorial we would like to shed light on the current cost items relating to treatment with collagenase clostridium histolyticum (CCH). The inaccessibility of the drug has seen both an increase in surgery for the treatments of both PD and Dupuytren’s disease and an interruption of therapies in patients who had not completed their therapeutic cycle. Considering the aforementioned concerns, we would like to invite researchers dealing with PD to conduct studies with the available CCH products in collaboration with the drug companies in order to give again an efficacious treatment for PD.

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The corresponding author confirm that he had full access to the data in the study and final responsibility for the decision to submit for publication. Study concept and design: AC and GIR. Acquisition of data: none. Analysis and interpretation of data: none. Drafting of the manuscript: AC and GIR. Critical revision of the manuscript for important intellectual content: JIMS, DR, RPD, ECS, NM, AC, GIR. Statistical analysis: none. Obtaining funding: none. Administrative, technical, or material support: none. Supervision: AC and GIR.

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Correspondence to Giorgio Ivan Russo.

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Cocci, A., Russo, G.I., Martinez-Salamanca, J.I. et al. Is there a line between ethics and market competition? Lights and shades of the withdrawal of collagenase treatment for Peyronie’s disease. Int J Impot Res (2021).

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