Management of premature ejaculation: a clinical guideline from the Italian Society of Andrology and Sexual Medicine (SIAMS).
Andrology
/ methods
Diagnosis, Differential
Diagnostic Errors
/ prevention & control
Evidence-Based Medicine
Humans
Italy
Male
Patient Care Management
/ methods
Premature Ejaculation
/ etiology
Sexual Behavior
Sexual Dysfunction, Physiological
/ diagnosis
Sexual Dysfunctions, Psychological
/ diagnosis
Journal
Journal of endocrinological investigation
ISSN: 1720-8386
Titre abrégé: J Endocrinol Invest
Pays: Italy
ID NLM: 7806594
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
03
10
2020
accepted:
20
10
2020
pubmed:
1
11
2020
medline:
16
11
2021
entrez:
31
10
2020
Statut:
ppublish
Résumé
Premature ejaculation (PE) is the most prevalent male sexual dysfunction, and the most recently defined. PE is often mistakenly considered a purely psychosexological symptom by patients: the lacking awareness in regards to the pathophysiology and treatments often lead to resignation from the patients' side, making PE the most underdiagnosed sexual complaint. However, an ever-growing body of evidence supporting several organic factors has been developed in the last decades and several definitions have been suggested to encompass all defining features of PE. In the present document by the Italian Society of Andrology and Sexual Medicine (SIAMS), we propose 33 recommendations concerning the definition, pathophysiology, treatment and management of PE aimed to improve patient care. These evidence-based clinical guidelines provide the necessary up-to-date guidance in the context of PE secondary to organic and psychosexological conditions, such as prostate inflammation, endocrine disorders, and other sexual dysfunctions, and suggest how to associate pharmacotherapies and cognitive-behavioral therapy in a couple-centered approach. New therapeutic options, as well as combination and off-label treatments, are also described.
Identifiants
pubmed: 33128158
doi: 10.1007/s40618-020-01458-4
pii: 10.1007/s40618-020-01458-4
doi:
Types de publication
Journal Article
Practice Guideline
Langues
eng
Sous-ensembles de citation
IM
Pagination
1103-1118Subventions
Organisme : Ministero dell'Istruzione, dell'Università e della Ricerca (IT)
ID : 2017S9KTNE_002
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