New Approach and Treatment of Premature Ejaculation.
- Author:
Sung Chul KAM
1
;
Sung Won LEE
Author Information
1. Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. drswlee@skku.edu
- Publication Type:Review
- Keywords:
Premature ejaculation;
Intravaginal ejaculation latency time;
Selective serotonin reuptake inhibitors;
Dapoxetine
- MeSH:
Behavior Therapy;
Benzylamines;
Clomipramine;
Depression;
Ejaculation;
Erectile Dysfunction;
Humans;
Male;
Naphthalenes;
Phosphodiesterase 5 Inhibitors;
Plasma;
Premature Ejaculation;
Surveys and Questionnaires;
Serotonin Uptake Inhibitors;
Tramadol
- From:Korean Journal of Andrology
2009;27(3):153-169
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Premature ejaculation (PE) is the most common form of male sexual dysfunction. Until very recently, scientific investigation of PE has been hampered by a lack of standardized definitions and objective, validated questionnaires. In recent years both the definition and the management of PE have changed from the traditional authority-based to a more evidence-based approach. In 2007, the International Society for Sexual Medicine (ISSM) established an ad hoc committee consisting of 21 internationally recognized experts, to establish a new definition of PE including intravaginal ejaculation latency time (IELT). As diagnostic tools, a brief self-administered questionnaire, the premature ejaculation diagnostic tool (PEDT), was developed and validated. Current accepted treatment options of PE include behavior therapy, topical desensitizing agents, selective serotonin reuptake inhibitors (SSRIs), clomipramine, tramadol, PDE-5 inhibitors. However, it should be noted that all of the medications currently used for treatment of PE were originally developed to treat other medical disorders such as depression or erectile dysfunction. Dapoxetine, a new SSRI, has a unique pharmacokinetic profile, with a short time to maximum serum concentration, and rapid elimination. By 24 hours, plasma concentrations are less than 5% of peak values. These attributes make Dapoxetine suitable for on-demand therapy of PE. This paper reviewed new diagnostic tools and treatment options for PE.
