Urologist's Practice Patterns Including Surgical Treatment in the Management of Premature Ejaculation: A Korean Nationwide Survey.
OBJECTIVE
According to previous studies, the prevalence of premature ejaculation (PE) in Korea ranges from 11.3% to 33%. However, the actual practice patterns in managing patients with PE is not well known. In this study, we have endeavored to determine how contemporary urologists in Korea manage patients with PE.


METHODS
The e-mailing list was obtained from the Korean Urological Association Registry of Physicians. A specifically designed questionnaire was e-mailed to the 2,421 urologists in Korea from May 2012 to August 2012.


RESULTS
UROLOGISTS IN KOREA DIAGNOSED PE USING VARIOUS CRITERIA: the definition of the International Society for Sexual Medicine (63.4%), Diagnostic and Statistical Manual of Mental Disorders (43.8%), International Statistical Classification of Disease, 10th edition (61.7%), or perceptional self-diagnosis by the patient himself (23.5%). A brief self-administered questionnaire, the Premature Ejaculation Diagnostic Tool, was used by only 42.5% of the urologists. Selective-serotonin reuptake inhibitor (SSRI) therapy was the main treatment modality (91.5%) for PE patients. 40.2% of the urologists used phosphodiesterase type 5 inhibitors, 47.6% behavior therapy, and 53.7% local anesthetics. Further, 286 (54.3%) urologists managed PE patients with a surgical modality such as selective dorsal neurotomy (SDN).


CONCLUSIONS
A majority of Korean urologists diagnose PE by a multidimensional approach using various diagnostic tools. Most urologists believe that medical treatment with an SSRI is effective in the management of PE. At the same time, surgical treatment such as SDN also investigated as one of major treatment modality despite the lack of scientific evidence.
Department of Urology, Hallym University College of Medicine, Seoul, Korea.
Dae Yul
DY
Yang
Department of Urology, Hallym University College of Medicine, Seoul, Korea.
Kyungtae
K
Ko
Department of Urology, Hallym University College of Medicine, Seoul, Korea.
Won Ki
WK
Lee
Department of Urology, Pusan National University Hospital, Busan, Korea.
Hyun Jun
HJ
Park
Department of Urology, Sungkyunkwan University School of Medicine, Seoul, Korea.
Sung Won
SW
Lee
Department of Urology, Yeungnam University College of Medicine, Daegu, Korea.
Ki Hak
KH
Moon
Department of Urology, The Catholic University of Korea, School of Medicine, Seoul, Korea.
Sae Woong
SW
Kim
Department of Urology, Seoul National University College of Medicine, Seoul, Korea.
Soo Woong
SW
Kim
Department of Urology, Yonsei University College of Medicine, Seoul, Korea.
Kang Su
KS
Cho
Department of Urology, Korea University College of Medicine, Seoul, Korea.
Du Geon
du G
Moon
Department of Urology, Inje University College of Medicine, Busan, Korea.
Kweonsik
K
Min
Department of Urology, Konkuk University School of Medicine, Seoul, Korea.
Sang Kuk
SK
Yang
Department of Urology, Seoul National University College of Medicine, Seoul, Korea.
Hwancheol
H
Son
Department of Urology, Chonnam National University Medical School, Gwangju, Korea.
Kwangsung
K
Park
Physician's practice patterns; Premature ejaculation; Urologic surgical procedures