Objectives To determine the prevalence of Peyronie's disease, a localized connective tissue disorder of the penile tunica albuginea, the symptoms of which include palpable plaque, painful erections and curvature of the penis, in a large sample of men in Germany. Subjects and methods A standardized questionnaire was sent to 8000 male inhabitants (age range 30±80 years) of the greater Cologne area (< 1.5 million inhabitants). Three questions about the selfdiagnosis of Peyronie's disease were previously assessed for validity on 158 healthy men and 24 patients with con®rmed Peyronie's disease. To optimize the response rate, the questionnaire was mailed three times to all the men. Results The response rate after the third mailing was 55.4% (4432 men); 142 men (3.2%, mean age 57.4 years, SD 13.4) reported the new appearance of a palpable plaque which, from the previous validation, was the most sensitive question and the main symptom of the disease. In men aged 30±39 years only 1.5% reported localized penile induration, compared with 3.0% in those 40±49 and 50±59 years, 4.0% in those 60±69 years and 6.5% of those >70 years old. Newly occurring angulation was reported by 119 of the 142 men (84%) and painful erection by 66 (46.5%). The combination of the three symptoms (plaque, deviation and painful erection) was reported by 46 of the 4432 respondents (1.04%), i.e. 32% of the 142 men with penile induration; 58 of the 142 men (41%) reported erectile dysfunction. Conclusions This is the ®rst large cross-sectional, community-based study to examine the prevalence of Peyronie's disease. Using previously validated questions the prevalence of Peyronie's disease in the sample was 3.2%; this is much higher than indicated in previous reports. A comparably high prevalence is reported for diabetes and urolithiasis, suggesting that this`rare' disease is more widespread than previously thought.

Top-down control of phytoplankton by crustacean mesozooplankton is a cornerstone of freshwater ecology. Apparently, trophic cascades are more frequently reported from freshwater than from marine plankton. We argue that this difference is real and mainly caused by biological differences at the zooplankton-phytoplankton link: cladocerans (particularly Daphnia) in the lakes and copepods in the sea. We derive these conclusions from recent literature and a number of own, similarly designed mesocosm experiments conducted in a lake, a brackish water and a marine site. In all experiments, phytoplankton were exposed to gradients of experimentally manipulated densities of zooplankton, including freshwater copepods and cladocerans, and marine copepods and appendicularians. The suggested reasons for the difference between lake and marine trophic cascades are: (1) Both copepods and cladocerans suppress only part of the phytoplankton size spectrum: cladocerans the small and copepods the large phytoplankton. (2) If not controlled by grazing, small phytoplankton may increase their biomass faster than large phytoplankton. (3) Copepods additionally release small phytoplankton from grazing pressure by intermediate consumers (protozoa) and competitors (predation on appendicularian eggs), while cladocerans do not release large phytoplankton from grazing pressure by any functional group. (4) Cladocerans sequester more of the limiting nutrient than copepods, leaving fewer nutrients available for compensatory growth of ungrazed phytoplankton.

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Based on existing knowledge about phytoplankton responses to nutrients and food size spectra of herbivorous zooplankton, three different configurations of pelagic food webs are proposed for three different types of marine nutrient regimes: (1) upwelling systems, (2) oligotrophic oceanic systems, (3) eutrophicated coastal systems. Upwelling systems are characterised by high levels of plant nutrients and high ratios of Si to Nand P. Phytoplankton consists mainly of diatoms together with a sub dominant contribution of flagellates. Most phytoplankton falls into the food spectrum of herbivorous, crustacean zooplankton. Therefore, herbivorous crustaceans occupy trophic level 2 and zooplanktivorous fish occupy trophic level 3. Phytoplankton in oligotrophic, oceanic systems is dominated by picoplankton, which are too small to be ingested by copepods. Most primary production is channelled through the 'microbial loop' (picoplankton -heterotrophic nanoflagellates -ciliates). Sporadically, pelagic tunicates also consume a substantial proportion of primary production. Herbivorous crustaceans feed on heterotrophic nanoflagellates and ciliates, thus occupying a food chain position between 3 and 4, which leads to a food chain position between 4 and 5 for zooplanktivorous fish. By cultural eutrophication, Nand P availability are elevated while Si remains unaffected or even declines. Diatoms decrease in relative importance while summer blooms of inedible algae (Phaeocystis, toxic dinoflagellates, toxic prymnesiophyceae, etc.) prevail. The spring bloom may still contain a substantial contribution of diatoms. The production of the inedible algae enters the pelagic energy flow via the detritus food chain: DOC release by cell lysis -bacteria -heterotrophic nanoflagellates -ciliates. Accordingly, crustacean zooplankton occupy food chain position 4 to 5 during the non-diatom seasons. Ecological efficiency considerations lead to the conclusion that fish production:primary production ratios should be highest in upwelling systems and substantially lower in oligotrophic and in culturally eutrophicated systems. Further losses of fish production may occur when carnivorous, gelatinous zooplankton Gellyfish) replace fish.