Premature ejaculation: the current literature.

Curr Opin Urol

Porterbrook Clinic, Sheffield Institute of Urology and Nephrology, University College of London, UK.

Published: November 2005

Purpose Of Review: The recent increase in research with regard to premature ejaculation has led to a significant number of new papers looking at the diagnosis, definition, aetiology and management of this condition.

Recent Findings: The intravaginal ejaculatory latency time remains the primary measure of ejaculatory time although increasing bother and distress require assessment and establishment of quantifiable measures. Biological and psychogenic causes contribute to a multifactorial model of premature ejaculation with some neurobiological vulnerability. The principal treatments are selective serotonin reuptake inhibitors and behavioural cognitive interventions. New treatment interventions are under investigation.

Summary: A number of guideline papers confirm that a primary sexual history and a multimodel treatment approach provide the best approach to patients with this common condition.

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http://dx.doi.org/10.1097/01.mou.0000186844.40506.98DOI Listing

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