Abstract
Premature ejaculation (PE) is the most common form of male sexual dysfunction and a number of direct urological risk factor may be identified. This chapter will focus on certain risk factors that may predispose men to PE such as erectile dysfunction (ED), chronic prostatitis (CP), varicocele, enuresis, and circumcision. A review of the current literature is presented with an emphasis on the epidemiological associations between these risk factors and PE. A review of possible treatment options in the current literature are also pertinent presented. This chapter will be most useful for the clinician's approach to the patient with PE evaluation past urological history.
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Montorsi F (2005) Prevalence of premature ejaculation: a global and regional perspective. J Sex Med 2(Suppl 2):96–102
Simons JS, Carey MP (2001) Prevalence of sexual dysfunctions: results from a decade of research. Arch Sex Behav 30:177–219
Serefoglu EC, Yaman O, Cayan S et al (2011) Prevalence of the complaint of ejaculating prematurely and the four premature ejaculation syndromes: results from the Turkish Society of Andrology Sexual Health Survey. J Sex Med 8:540–548
Liang CZ, Zhang XJ, Hao ZY et al (2004) Prevalence of sexual dysfunction in Chinese men with chronic prostatitis. BJU Int 93:568–570
McMahon CG, Althof SE, Waldinger MD et al (2008) An evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of premature ejaculation. J Sex Med 5:1590–1606
Godpodinoff ML (1989) Premature ejaculation: clinical subgroups and etiology. J Sex Marital Ther 15:130–134
Waldinger MD, Schweitzer DH (2006) Changing paradigms from a historical DSM-III and DSM-IV view toward an evidence-based definition of premature ejaculation. Part II–proposals for DSM-V and ICD-11. J Sex Med 3:693–705
Althof SE, Abdo CH, Dean J et al (2010) International Society for Sexual Medicine’s guidelines for the diagnosis and treatment of premature ejaculation. J Sex Med 7:2947–2969
Carani C, Isidori AM, Granata A et al (2005) Multicenter study on the prevalence of sexual symptoms in male hypo- and hyperthyroid patients. J Clin Endocrinol Metab 90:6472–6479
Corona G, Jannini EA, Lotti F et al (2011) Premature and delayed ejaculation: two ends of a single continuum influenced by hormonal milieu. Int J Androl 34:41–48
Corona G, Petrone L, Mannucci E et al (2004) Psycho-biological correlates of rapid ejaculation in patients attending an andrologic unit for sexual dysfunctions. Eur Urol 46:615–622
Chia S (2002) Management of premature ejaculation—a comparison of treatment outcome in patients with and without erectile dysfunction. Int J Androl 25:301–305
Laumann EO, Nicolosi A, Glasser DB et al (2005) Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the global study of sexual attitudes and behaviors. Int J Impot Res 17:39–57
Porst H, Montorsi F, Rosen RC et al (2007) The premature ejaculation prevalence and attitudes (PEPA) survey: prevalence, comorbidities, and professional help-seeking. Eur Urol 51:816–823, discussion 824
Jannini EA, Lombardo F, Lenzi A (2005) Correlation between ejaculatory and erectile dysfunction. Int J Androl 28(Suppl 2):40–45
Screponi E, Carosa E, Di Stasi SM et al (2001) Prevalence of chronic prostatitis in men with premature ejaculation. Urology 58:198–202
Shamloul R, el-Nashaar A (2006) Chronic prostatitis in premature ejaculation: a cohort study in 153 men. J Sex Med 3:150–154
Gonen M, Kalkan M, Cenker A et al (2005) Prevalence of premature ejaculation in Turkish men with chronic pelvic pain syndrome. J Androl 26:601–603
Sonmez NC, Kiremit MC, Guney S et al (2010) Sexual dysfunction in type III chronic prostatitis (CP) and chronic pelvic pain syndrome (CPPS) observed in Turkish patients. Int Urol Nephrol 43:309–314
Trinchieri A, Magri V, Cariani L et al (2007) Prevalence of sexual dysfunction in men with chronic prostatitis/chronic pelvic pain syndrome. Arch Ital Urol Androl 79:67–70
El-Nashaar A, Shamloul R (2007) Antibiotic treatment can delay ejaculation in patients with premature ejaculation and chronic bacterial prostatitis. J Sex Med 4:491–496
Zohdy W (2009) Clinical parameters that predict successful outcome in men with premature ejaculation and inflammatory prostatitis. J Sex Med 6:3139–3146
Jarow JP (2001) Effects of varicocele on male fertility. Hum Reprod Update 7:59–64
Lotti F, Corona G, Mancini M et al (2009) The association between varicocele, premature ejaculation and prostatitis symptoms: possible mechanisms. J Sex Med 6:2878–2887
Gokce A, Ekmekcioglu O (2010) The relationship between lifelong premature ejaculation and monosymptomatic enuresis. J Sex Med 7:2868–2872
Fink KS, Carson CC, DeVellis RF (2002) Adult circumcision outcomes study: effect on erectile function, penile sensitivity, sexual activity and satisfaction. J Urol 167:2113–2116
Masood S, Patel HR, Himpson RC et al (2005) Penile sensitivity and sexual satisfaction after circumcision: are we informing men correctly? Urol Int 75:62–66
Li X, Zhang SX, Cheng HM et al (2003) Clinical study of sildenafil in the treatment of premature ejaculation complicated by erectile dysfunction. Zhonghua Nan Ke Xue 9:266–269
Gökçe A, Demirtas A, Halis F, Ekmekcioglu O (2010) In vitro measurement of ejaculation latency time (ELT) and the effects of vardenafil on ELT on lifelong premature ejaculators: placebo-controlled, double-blind, cross-over laboratory setting. Int Urol Nephrol 42(4):881–887
Bartoletti R, Cai T, Mondaini N et al (2007) Prevalence, incidence estimation, risk factors and characterization of chronic prostatitis/chronic pelvic pain syndrome in urological hospital outpatients in Italy: results of a multicenter case-control observational study. J Urol 178:2411–2415, discussion 2415
Davis SN, Binik YM, Carrier S (2009) Sexual dysfunction and pelvic pain in men: a male sexual pain disorder? J Sex Marital Ther 35:182–205
Liang CZ, Hao ZY, Li HJ et al (2010) Prevalence of premature ejaculation and its correlation with chronic prostatitis in Chinese men. Urology 76:962–966
Nickel JC, Downey J, Hunter D et al (2001) Prevalence of prostatitis-like symptoms in a population based study using the National Institutes of Health chronic prostatitis symptom index. J Urol 165:842–845
Brown AJ (2000) Ciprofloxacin as cure of premature ejaculation. J Sex Marital Ther 26:351–352
Boneff AN (1972) Topical treatment of chronic prostatitis and premature ejaculation. Int Urol Nephrol 4:183–186
Meares EM, Stamey TA (1968) Bacteriologic localization patterns in bacterial prostatitis and urethritis. Invest Urol 5:492–518
Jannini EA, Lenzi A (2005) Ejaculatory disorders: epidemiology and current approaches to definition, classification and subtyping. World J Urol 23:68–75
Taylor JR, Lockwood AP, Taylor AJ (1996) The prepuce: specialized mucosa of the penis and its loss to circumcision. Br J Urol 77:291–295
Senkul T, Iser IC, Sen B et al (2004) Circumcision in adults: effect on sexual function. Urology 63:155–158
Waldinger MD, McIntosh J, Schweitzer DH (2009) A five-nation survey to assess the distribution of the intravaginal ejaculatory latency time among the general male population. J Sex Med 6:2888–2895
Krieger J, Ross S, Deutsch L, Riley D (2002) The NIH consensus concept of chronic prostatitis/chronic pelvic pain syndrome compared with traditional concepts of nonbacterial prostatitis and prostatodynia. Curr Urol Rep 3:301–306
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Boonjindasup, A.G., Serefoglu, E.C., Hellstrom, W.J.G. (2013). Risk Factors in Premature Ejaculation: The Urological Risk Factor. In: Jannini, E., McMahon, C., Waldinger, M. (eds) Premature Ejaculation. Springer, Milano. https://doi.org/10.1007/978-88-470-2646-9_13
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DOI: https://doi.org/10.1007/978-88-470-2646-9_13
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