Urologist's Practice Patterns Including Surgical Treatment in the Management of Premature Ejaculation: A Korean Nationwide Survey
The World Journal of Men's Health
;
: 226-231, 2013.
Article
Dans Anglais
| WPRIM
| ID: wpr-194731
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 ANDMETHODS:
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Procédures de chirurgie urologique
/
Thérapie comportementale
/
Types de pratiques des médecins
/
Prévalence
/
Enquêtes et questionnaires
/
Classification
/
Courrier électronique
/
Diagnostic and stastistical manual of mental disorders (USA)
/
Inhibiteurs de la phosphodiestérase-5
/
Éjaculation précoce
Type d'étude:
Guide de pratique
/
Étude de prévalence
Limites du sujet:
Humains
Pays comme sujet:
Asie
langue:
Anglais
Texte intégral:
The World Journal of Men's Health
Année:
2013
Type:
Article
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