An Update of the International Society of Sexual Medicine's Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE)

Sexual Medicine

Stanley E. Althof PhD⁹  Chris G. McMahon MD⁶  Marcel D. Waldinger MD, PhD⁴  Ege Can Serefoglu MD²  Alan W. Shindel MD⁸  P. Ganesan Adaikan PhD, DSc¹⁰  Edgardo Becher MD, PhD¹¹  John Dean MD¹⁵  Francois Giuliano MD, PhD¹²  Wayne J.G. Hellstrom MD^9,16  Annamaria Giraldi MD, PhD^9,14  Sidney Glina MD, PhD^9,18  Luca Incrocci MD, PhD^9,19  Emmanuele Jannini MD^9,13  Marita McCabe PhD^5,9  Sharon Parish MD^7,9  David Rowland PhD^1,9  R. Taylor Segraves MD, PhD^9,17  Ira Sharlip MD^3,9 

[1] Graduate School, Valparaiso University, Valparaiso, IN, USA;Department of Urology, Bagcilar Training & Research Hospital, Istanbul, Merkez Mah, Turkey;Department of Urology, University of California, San Francisco, CA, USA;Division of Pharmacology, Department of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands;School of Psychology, Deakin University, Burwood, Vic., Australia;Australian Center for Sexual Health, Sydney, NSW, Australia;Albert Einstein College of Medicine, Department of Medicine, Montefiore Medical Center, Bronx, NY, USA;Department of Urology, University of California at Davis, CA, USA;Department of Psychiatry, Case Western Reserve University School of Medicine, West Palm Beach, FL, USA;Department of Obstetrics and Gynecology, National University of Singapore, Singapore, Singapore;Division of Urology, University of Buenos Aires, Buenos Aires, Argentina;Neuro-Uro-Andrology, Physical Medicine and Rehabilitation Department, Raymond Poincaré Hospital, Garches, France;School of Sexology, Department of Clinical, Applied and Biotechnological Sciences, University of L'Aquila, L'Aquila, Italy;Department of Sexological Research, Psychiatric Center Copenhagen, Rigshospitalet, Copenhagen, Denmark;St. Peter's Sexual Medicine, The London Clinic, London, UK;Department of Urology, Tulane University Health Sciences Center, New Orleans, LA, USA;Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH, USA;Department of Urology, Instituto H. Ellis, Sao Paulo, Brazil;Erasmus MC-Daniel den Hoed Cancer Center, Rotterdam, The Netherlands

关键词: Premature Ejaculation;    Definition of PE;    Diagnosis of PE;    Etiology of PE;    Pharmacotherapy of PE;    Prevalence of PE;    Psychotherapy of PE;   

DOI  :  10.1002/sm2.28

来源: Wiley

【 摘 要 】

Abstract

Introduction

In 2009, the International Society for Sexual Medicine (ISSM) convened a select panel of experts to develop an evidence-based set of guidelines for patients suffering from lifelong premature ejaculation (PE). That document reviewed definitions, etiology, impact on the patient and partner, assessment, and pharmacological, psychological, and combined treatments. It concluded by recognizing the continually evolving nature of clinical research and recommended a subsequent guideline review and revision every fourth year. Consistent with that recommendation, the ISSM organized a second multidisciplinary panel of experts in April 2013, which met for 2 days in Bangalore, India. This manuscript updates the previous guidelines and reports on the recommendations of the panel of experts.

Aim

The aim of this study was to develop clearly worded, practical, evidenced-based recommendations for the diagnosis and treatment of PE for family practice clinicians as well as sexual medicine experts.

Method

A comprehensive literature review was performed.

Results

This article contains the report of the second ISSM PE Guidelines Committee. It offers a new unified definition of PE and updates the previous treatment recommendations. Brief assessment procedures are delineated, and validated diagnostic and treatment questionnaires are reviewed. Finally, the best practices treatment recommendations are presented to guide clinicians, both familiar and unfamiliar with PE, in facilitating treatment of their patients.

Conclusion

Development of guidelines is an evolutionary process that continually reviews data and incorporates the best new research. We expect that ongoing research will lead to a more complete understanding of the pathophysiology as well as new efficacious and safe treatments for this sexual dysfunction. We again recommend that these guidelines be reevaluated and updated by the ISSM in 4 years. Althof SE, McMahon CG, Waldinger MD, Serefoglu EC, Shindel AW, Adaikan PG, Becher E, Dean J, Giuliano F, Hellstrom WJG, Giraldi A, Glina S, Incrocci L, Jannini E, McCabe M, Parish S, Rowland D, Segraves RT, Sharlip I, and Torres LO. An update of the International Society of Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation (PE). Sex Med 2014;2:60–90.

【 授权许可】

CC BY-NC   
© 2014 The Authors. Sexual Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Sexual Medicine.

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