title: Premature ejaculation in type II diabetes mellitus patients: association with glycemic control.
abstract: BACKGROUND
  Premature ejaculation (PE) is a highly prevalent sexual dysfunction among patients with diabetes mellitus (DM). Despite this, the underlying mechanism of this association is poorly understood. In this study, we aimed to investigate the prevalence of PE in a group of patients with DM and explore possible associations linking both conditions together.
  
  
  METHODS
  This was a prospective study of subjects recruited with advertisement pamphlets and whose sexual function was assessed using the international index of erectile function-5 (IIEF-5) and the Arabic index of premature ejaculation (AIPE) questionnaires together with stopwatch measured intravaginal ejaculatory latency time (ELT). Participants were divided into two groups; group A subjects had DM and group B were healthy adult males.
  
  
  RESULTS
  A total of 488 subjects were recruited. Group A included 199 (40.8%) subjects, while group B included 289 (59.2%). The prevalence of PE and ED was significantly higher in group A subjects (P<0.001). Mean ELT ± standard deviation (SD) was 3.6±2.7 in group A versus 4.3±2.8 in group B (P<0.014). Diabetic patients with erectile dysfunction (ED) showed a significantly higher incidence of PE with significantly shorter ELT.
  
  
  CONCLUSIONS
  PE is more prevalent in diabetic patients. DM is a multi-systemic disorder with complications that could help explain the pathophysiology of PE.
authors.affiliation: 1 Department of Urology, Hamad Medical Corporation, Doha, Qatar ; 2 Department of Andrology, Cairo University, Cairo, Egypt ; 3 Department of Endocrinology, Hamad Medical Corporation, Doha, Qatar ; 4 Department of Internal Medicine, Cairo University, Cairo, Egypt.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Majzoub
authors.affiliation: 1 Department of Urology, Hamad Medical Corporation, Doha, Qatar ; 2 Department of Andrology, Cairo University, Cairo, Egypt ; 3 Department of Endocrinology, Hamad Medical Corporation, Doha, Qatar ; 4 Department of Internal Medicine, Cairo University, Cairo, Egypt.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Arafa
authors.affiliation: 1 Department of Urology, Hamad Medical Corporation, Doha, Qatar ; 2 Department of Andrology, Cairo University, Cairo, Egypt ; 3 Department of Endocrinology, Hamad Medical Corporation, Doha, Qatar ; 4 Department of Internal Medicine, Cairo University, Cairo, Egypt.
authors.forename: Sami
authors.initials: S
authors.lastname: Al-Said
authors.affiliation: 1 Department of Urology, Hamad Medical Corporation, Doha, Qatar ; 2 Department of Andrology, Cairo University, Cairo, Egypt ; 3 Department of Endocrinology, Hamad Medical Corporation, Doha, Qatar ; 4 Department of Internal Medicine, Cairo University, Cairo, Egypt.
authors.forename: Zeinab
authors.initials: Z
authors.lastname: Dabbous
authors.affiliation: 1 Department of Urology, Hamad Medical Corporation, Doha, Qatar ; 2 Department of Andrology, Cairo University, Cairo, Egypt ; 3 Department of Endocrinology, Hamad Medical Corporation, Doha, Qatar ; 4 Department of Internal Medicine, Cairo University, Cairo, Egypt.
authors.forename: Samar
authors.initials: S
authors.lastname: Aboulsoud
authors.affiliation: 1 Department of Urology, Hamad Medical Corporation, Doha, Qatar ; 2 Department of Andrology, Cairo University, Cairo, Egypt ; 3 Department of Endocrinology, Hamad Medical Corporation, Doha, Qatar ; 4 Department of Internal Medicine, Cairo University, Cairo, Egypt.
authors.forename: Kareim
authors.initials: K
authors.lastname: Khalafalla
authors.affiliation: 1 Department of Urology, Hamad Medical Corporation, Doha, Qatar ; 2 Department of Andrology, Cairo University, Cairo, Egypt ; 3 Department of Endocrinology, Hamad Medical Corporation, Doha, Qatar ; 4 Department of Internal Medicine, Cairo University, Cairo, Egypt.
authors.forename: Haitham
authors.initials: H
authors.lastname: Elbardisi
keywords: Diabetes mellitus type 2; erectile dysfunction (ED); glycosylated hemoglobin (HbA1c); premature ejaculation (PE)