title: [Premature ejaculation in urological routine practice].
abstract: Premature ejaculation is a frequent male sexual complaint or sexual disturbance found in urological practices and outpatient units. The frequency in the individual practices varies considerably. In large studies the prevalence is strongly dependent on the definition and ranges between 3% and 25%. Subjectively, the inability to delay ejaculation and the distress resulting from it, is relevant for the patient and his partner. Intravaginal ejaculation latency time (IELT) is used as an objective parameter. Nevertheless, in the everyday routine practice this objective parameter is not practical. Clinically 2 questionnaires have asserted themselves (Premature Ejaculation Profile and Index of Premature Ejaculation). Studies have shown that the self-assessment of patients correlates relatively well with the objective IELT measured by means of a stopwatch. Beside topical anaesthetics and elective serotonin reuptake inhibitors (SSRI), especially Dapexetine which has been approved in Germany since 2009, are treatment options. These drugs differ particularly in their use (daily or on-demand) and their effectiveness (measured by x-fold increase of IELT). This article deals with the clinical approach to EP. Beside the definition, prevalence, aetiology and neurophysiology of EP, the different pharmacological therapies as well as the guidelines of the International Society for Sexual Medicine are discussed.
authors: PandaMED Remscheid, Urologische Kooperationspraxis der Klinik für Urologie und Kinderurologie, Helios Klinikum Wuppertal, Universität Witten/Herdecke. M.J.Mathers@t-online.de
authors: M J
authors: MJ
authors: Mathers
authors: F
authors: F
authors: Sommer
authors: S
authors: S
authors: Degener
authors: A S
authors: AS
authors: Brandt
authors: S
authors: S
authors: Roth
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000009:adverse effects / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D059026:Diagnostic Self Evaluation; D005858:Germany; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D061686:Premature Ejaculation / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology*; D012017:Referral and Consultation; D017367:Selective Serotonin Reuptake Inhibitors / Q000009:adverse effects / Q000627:therapeutic use; D011795:Surveys and Questionnaires; D014572:Urology
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine; D017367:Selective Serotonin Reuptake Inhibitors