Urologist's Practice Patterns Including Surgical Treatment in the Management of Premature Ejaculation: A Korean Nationwide Survey.
10.5534/wjmh.2013.31.3.226
- Author:
Dae Yul YANG
1
;
Kyungtae KO
;
Won Ki LEE
;
Hyun Jun PARK
;
Sung Won LEE
;
Ki Hak MOON
;
Sae Woong KIM
;
Soo Woong KIM
;
Kang Su CHO
;
Du Geon MOON
;
Kweonsik MIN
;
Sang Kuk YANG
;
Hwancheol SON
;
Kwangsung PARK
Author Information
1. Department of Urology, Hallym University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Physician's practice patterns;
Premature ejaculation;
Urologic surgical procedures
- MeSH:
Anesthetics, Local;
Behavior Therapy;
Classification;
Diagnostic and Statistical Manual of Mental Disorders;
Electronic Mail;
Humans;
Korea;
Operative Time;
Phosphodiesterase 5 Inhibitors;
Physician's Practice Patterns;
Premature Ejaculation*;
Prevalence;
Surveys and Questionnaires;
Urologic Surgical Procedures
- From:The World Journal of Men's Health
2013;31(3):226-231
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: According to previous studies, the prevalence of premature ejaculation (PE) in Korea ranges from 11.3% to 33%. However, the actual practice patterns in managing patients with PE is not well known. In this study, we have endeavored to determine how contemporary urologists in Korea manage patients with PE. MATERIALS AND METHODS: The e-mailing list was obtained from the Korean Urological Association Registry of Physicians. A specifically designed questionnaire was e-mailed to the 2,421 urologists in Korea from May 2012 to August 2012. RESULTS: Urologists in Korea diagnosed PE using various criteria: the definition of the International Society for Sexual Medicine (63.4%), Diagnostic and Statistical Manual of Mental Disorders (43.8%), International Statistical Classification of Disease, 10th edition (61.7%), or perceptional self-diagnosis by the patient himself (23.5%). A brief self-administered questionnaire, the Premature Ejaculation Diagnostic Tool, was used by only 42.5% of the urologists. Selective-serotonin reuptake inhibitor (SSRI) therapy was the main treatment modality (91.5%) for PE patients. 40.2% of the urologists used phosphodiesterase type 5 inhibitors, 47.6% behavior therapy, and 53.7% local anesthetics. Further, 286 (54.3%) urologists managed PE patients with a surgical modality such as selective dorsal neurotomy (SDN). CONCLUSIONS: A majority of Korean urologists diagnose PE by a multidimensional approach using various diagnostic tools. Most urologists believe that medical treatment with an SSRI is effective in the management of PE. At the same time, surgical treatment such as SDN also investigated as one of major treatment modality despite the lack of scientific evidence.
