title: On-demand tramadol hydrochloride use in premature ejaculation treatment.
abstract: OBJECTIVE
  To determine the efficacy of tramadol in premature ejaculation (PE) treatment compared with placebo.
  
  
  METHODS
  A single-blind, placebo-controlled, crossover study was conducted with 60 lifelong (primary) patients with PE. The patients were randomized into 2 groups, each consisting of 30 patients, who took tramadol or placebo on demand. PE was defined as an intravaginal ejaculation latency time of ≤60 seconds in 90% of intercourse episodes. The efficacy of the drugs was assessed using the intravaginal ejaculation latency time, ability of ejaculation control, and sexual satisfaction scores after an 8-week treatment period.
  
  
  RESULTS
  All participants completed the study voluntarily. Two groups were similar in terms of the patient demographics. Increases in the intravaginal ejaculation latency time, ability of ejaculation control, and sexual satisfaction score between the placebo and tramadol groups were compared with the baseline values in both groups. At the end of study period, the tramadol group had significantly (P<.001) greater values for all 3 parameters compared with those in the placebo group.
  
  
  CONCLUSIONS
  On-demand use of low-dose tramadol is effective for lifelong PE. Currently, selective seratonin reuptake inhibitors such as dapoxetine, are a more popular treatment option for PE. However, tramadol might be considered an alternative agent for primary PE treatment.
authors.affiliation: Department of Urology Clinic, Konya Training and Research Hospital, and Department of Urology, Selcuk University Selcuklu Medical Faculty, Konya, Turkey. drkaynar@hotmail.com
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kaynar
authors.forename: Ozcan
authors.initials: O
authors.lastname: Kilic
authors.forename: Talat
authors.initials: T
authors.lastname: Yurdakul
mesh_terms: D000328:Adult; D018592:Cross-Over Studies; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D004542:Ejaculation / Q000187:drug effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012016:Reference Values; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis / Q000188:drug therapy*; D016037:Single-Blind Method; D013997:Time Factors; D014147:Tramadol / Q000008:administration & dosage*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D014147:Tramadol