[Comparison of the efficacy of fluoxetine and citalopram in the treatment of premature ejaculation]

Background: prevalence of sexual disorder in American males is 30-50% and prevalence of premature ejaculation is 15-42%. Premature ejaculation [PE] is the most common sexual dysfunction compliant in about 35-40% of men younger than 40 years, therefor a study for survey and dignosis of this disorders very important. we compare the efficacy and side effects of fluoxetine and citalopram for patients complaining of premature ejaculation without evident organic causes

Materials and Methods: the study comprised 77 patients with a mean age of 33.8 years with premature ejaculation which presented to the urology clinic of 501 army hospital. The patient were randomized into treatment groups receving 2 capsule of 20mg fluoxetine daily [group 1] and 2 tabs of 20mg citalopram daily [group 2] for 4 weeks. The follow up included ejaculatory latency time measurement

Results: mean pretreatment ejaculatory latency times for groups 1 and 2 were 58.26 second [range 10 to 120] and 51.76 second [range 10 to 120] respectively. After 4 weeks treatment of fluoxetine and citalopram mean ejaculatory latency times was 7.77 minute and 6.73 minute respectively. Nausea, insomnia, headache and diarrhea were reported side effects but no significant difference was noted between fluoxetine and citalopram

Conclusion: with this study no difference treatment efficacy was reported between fluoxetine and citalopram

[Evaluation of the frequency of the varicucele and its effect on the espermogram]

Background: the aim of this study is to assess the frequency of varicucele at asymptomatic soldieres and effect of varicucele on the spermogram. Varicucele prevalence in population is 15%

Materials and Methods: this study is cross sectional was performed on the 1275 soldiers after physical exam and paraclinical exam 165 cases had varicucele

Results: this was a cross-sectional study. 118 subjects had varicucele grade 1[71/5%], 33 subjects grade 2[20%] and 14 grade3 [8/5%]. The results of motility was: uper 60% was 86% and lower 60% was 13.9%. morphology was: lower 20% abmormality was 96.9% and upper 20% of abnormality was 3.1%. In this study prevalence of varicucele was 13.5% in the asymptomatic suldieres. Count: 81.1% of patiant have morethan 60 million/mil sperm at spermogram and lower 3.5% were Azoosperm. In this study the pick of age was between 19-21 years. 90% of patiants had varicucele in left testis and 3% had varicucele in right testis. The volum of sperm in 94% of patiant was upper 1.5 milliliter and only 60% of patiant had under 1.5

Conclusions: We understand that the results of study had been equalized with the other studies