scholarly journals Observational study on the effects of a topical formulation in patients with premature ejaculation

2020 ◽  
Vol 92 (4) ◽  
Author(s):  
Giuseppe Quarto ◽  
Luigi Castaldo ◽  
Giovanni Grimaldi ◽  
Alessandro Izzo ◽  
Raffaele Muscariello ◽  
...  

Premature ejaculation (PE) has been defined as the inability to control or delay ejaculation, resulting in dissatisfaction or distress of the patient. Although PE is the most frequent sexual dysfunction, it is still underdiagnosed. An accurate clinical history is the best diagnostic approach that, in the majority of cases, is enough to differentiate between primary and acquired PE. Nowadays, treatment is not curative but is effective in increasing the intravaginal ejaculatory latency time (IELT), improving the sexual satisfaction of the couple [...].

Author(s):  
Mário Pereira-Lourenço ◽  
Duarte Vieira e Brito ◽  
Bruno Jorge Pereira

Objective: To review in literature about the concept of premature ejaculation from physiology to treatment. Materials and methods: A literature search conducted with Pubmed and Cochrane. Results: An accurate clinical history is the best diagnostic method, and in the majority of the cases it is enough to differentiate between primary and acquired premature ejaculation. Nowadays the treatment is not curative but is effective in increasing the Intravaginal Ejaculatory Latency Time, improving the couple’s sexual satisfaction. Conclusion: Although PE is the most frequent sexual dysfunction, it is still sub-diagnosed. Combining behavioural techniques with pharmacotherapy is the best way of treatment.


2021 ◽  
Vol 15 (6) ◽  
pp. 155798832110577
Author(s):  
Youyi Lu ◽  
Zhongbao Zhou ◽  
Xiaoyi Zhang ◽  
Yuanshan Cui ◽  
Yong Zhang ◽  
...  

This network meta-analysis aimed at assessing the influence of tramadol on the intravaginal ejaculatory latency time (IELT) and sexual satisfaction score (SSS) in treating patients with premature ejaculation (PE). The PubMed, Embase, Cochrane Library databases (until July 2021), and original references of the included articles was systematically retrieved. The PRISMA checklist was followed. Finally, 14 articles including 1971 patients were included in this analysis. The results indicated that patients who were treated with tramadol (50 mg, 62 mg, 89 mg, and 100 mg) were superior to those treated with placebo in terms of IELT ( p = .003, p < .00001, p < .00001, and p < .00001, respectively), but 25 mg tramadol did not show a significant advantage ( p = .06). Patients who were treated with tramadol (50 mg and 100 mg) had a better efficacy than who were treated with 25 mg tramadol in the IELT ( p < .00001 and p < .00001), but the effect of 50 mg tramadol and 100 mg tramadol were not significantly different ( p = .17). The tramadol group had the better effect than the placebo group in the SSS ( p < .0001). And 50 mg tramadol showed a significant improvement compared with 20 mg paroxetine, as assessed by the IELT ( p = .03) and SSS ( p = .03). Safety assessments including adverse events suggested that tramadol was well tolerated. Tramadol showed a better improvement of IELT and SSS than placebo or paroxetine, and 50 mg tramadol may be a more reasonable therapeutic dose for patients with PE.


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