Efficacy of prilocaine-lidocaine cream in the treatment of premature ejaculation.
OBJECTIVE
We evaluated the efficacy of a new lidocaine-prilocaine cream in preventing premature ejaculation.


METHODS
An open pilot, unblinded study was done using lidocaine-prilocaine cream in 11 healthy, married men with premature ejaculation without organic or erectile problems. The patients were instructed to apply 2.5 gm. of the cream 30 minutes before sexual contact and to cover the penis with a condom. Patients were asked to grade the effect of the cream on ejaculation after each application.


RESULTS
There was a significant improvement in premature ejaculation statistically and clinically. Five patients graded the result as excellent compared to baseline, 4 graded it as better and 2 claimed to have no change compared to ejaculation before use of the cream. No adverse effects were noted.


CONCLUSIONS
These promising results should prompt a large double-blind placebo-controlled trial. If confirmed, this therapy may be a breakthrough in the treatment of the most common form of male sexual dysfunction.
Berkovitch
M
M
Division of Clinical Pharmacology and Toxicology, Hospital for Sick Children, Toronto, Ontario, Canada.
Keresteci
A G
AG
Koren
G
G
D000328:Adult; D004304:Dosage Forms; D004359:Drug Therapy, Combination; D004542:Ejaculation / Q000187:drug effects*; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011318:Prilocaine / Q000627:therapeutic use*; D013997:Time Factors
D004304:Dosage Forms; D011318:Prilocaine; D008012:Lidocaine