ABSTRACT
No disponible
Subject(s)
Humans , Male , Expert Testimony/methods , Consensus , Premature Ejaculation/epidemiology , Premature Ejaculation/prevention & control , Urology , Sexology , Surveys and QuestionnairesSubject(s)
Premature Ejaculation , Humans , Male , Premature Ejaculation/psychology , Sociological Factors , Terminology as TopicABSTRACT
Recientemente se ha propuesto una nueva clasificación de la eyaculación precoz o prematura. Según esta clasificación se distinguen 4 formas clínicas: eyaculación prematura primaria, eyaculación prematura secundaria o adquirida, una variante normal que aparece en determinadas situaciones y una falsa eyaculación prematura que se da en pacientes desinformados o con expectativas sexuales irreales. Conocer estas formas clínicas es importante para el abordaje clínico de este trastorno sexual. Del mismo modo, para detectar la eyaculación prematura en consulta es necesario que el médico se muestre receptivo, siendo conveniente realizar una búsqueda activa entre los grupos de riesgo para esta disfunción sexual, que son descritos en el presente trabajo. También se describen los aspectos esenciales de la entrevista clínica en pacientes con eyaculación prematura, los criterios a tener en cuenta para alcanzar un diagnóstico certero, así como los aspectos básicos de la exploración física, los estudios complementarios y los principales cuestionarios específicos
Recently, a new classification of the premature ejaculation has been proposed. According to this classification, four clinical forms are distinguished: primary premature ejaculation, secondary or acquired premature ejaculation, normal variant that appears in certain situations and a false premature ejaculation that is given in misinformed patients or with exaggerate sexual expectations. To know these clinical forms is important for the clinical boarding of this sexual disorder. In the same way, the detection of premature ejaculation in medical practise requires doctors being receptive and suitable to make an active detection into risk groups for this sexual dysfunction, also describe in the present work. Furthermore, essential aspects of the clinical interview in patients with premature ejaculation, criteria to get an accurate diagnosis, and basic aspects of the physical exploration, complementary studies and main specific questionnaires are described
Subject(s)
Humans , Male , Premature Ejaculation/diagnosis , Medical History Taking/methods , Severity of Illness Index , Premature Ejaculation/classification , Risk Factors , Physician-Patient Relations , Sexual Partners/psychology , Comorbidity , Self Report/statistics & numerical dataABSTRACT
Recently, a new classification of the premature ejaculation has been proposed. According to this classification, four clinical forms are distinguished: primary premature ejaculation, secondary or acquired premature ejaculation, normal variant that appears in certain situations and a false premature ejaculation that is given in misinformed patients or with exaggerate sexual expectations. To know these clinical forms is important for the clinical boarding of this sexual disorder. In the same way, the detection of premature ejaculation in medical practise requires doctors being receptive and suitable to make an active detection into risk groups for this sexual dysfunction, also describe in the present work. Furthermore, essential aspects of the clinical interview in patients with premature ejaculation, criteria to get an accurate diagnosis, and basic aspects of the physical exploration, complementary studies and main specific questionnaires are described.
Subject(s)
Premature Ejaculation/diagnosis , Sexual Behavior/psychology , Surveys and Questionnaires , Humans , Male , Premature Ejaculation/classification , Risk FactorsABSTRACT
Los trastornos eyaculatorios son una de las áreas menos estudiadas dentro de las disfunciones sexuales masculinas. Los avances recientes sobre la eyaculación han permitido ahondar en el conocimiento de este proceso fisiológico de máxima importancia para la reproducción. La eyaculación consiste en una serie coordinada de fenómenos neurológicos y musculares, que dan lugar al depósito de los constituyentes del eyaculado en la uretra posterior para su evacuación anterógrada a través de la uretra. Recientemente se han dado a conocer estudios sobre la posible implicación genética en la etiopatogénia de este trastorno. También están apareciendo nuevas moléculas para el tratamiento farmacológico de esta condición que ayudarán a mitigar el sufrimiento de estos pacientes y sus parejas (AU)
Within the field of male sexual dysfunctions, ejaculation disorders are among the less studied areas. Recent developments have deepened our understanding of the physiologic process of ejaculation, so extremely important for reproduction. Ejaculation consists in a co-ordinated series of neurological and muscular phenomena that cause deposition of the ejaculate constituents into the posterior urethra for their antegrade expulsion through the urethra. Recently, studies have been published on potential genetic participation in the pathogenesis of premature ejaculation. New molecules are also emerging for the pharmacological treatment of this condition, and they will undoubtedly help to alleviate the suffering of these patients and their partners (AU)
Subject(s)
Humans , Male , Ejaculation/physiology , Sexual Dysfunction, Physiological/physiopathology , Sexual Dysfunctions, Psychological/physiopathology , Risk Factors , Antidepressive Agents/therapeutic useABSTRACT
La eyaculación prematura se define como la incapacidad para conseguir un control voluntario de la eyaculación tras alcanzar un alto nivel de excitación sexual en presencia de ansiedad notoria. Éste trastorno puede acontecer de forma permanente o adquirida y provocar trastornos de ansiedad, baja autoestima y conductas autodestructivas que se reflejan en la esfera socio-laboral de estos individuos. Se presenta un caso con dos trastornos eyaculatorios exponiéndose las directrices a seguir para un correcto enfoque diagnóstico-etiológico y así mismo definir la actitud y estrategia terapéutica en estos pacientes
Premature ejaculation is defined as the inability to exert an adequate voluntary control on ejaculation after reaching degree of sexual arousal, in presence of marked distress. This disorder can take place permanently or can be acquired leading sexual disorders, low self-consideration and selfdestructive behaviours reflected in the socio-labour sphere of these individuals. We report a case of two ejeculatory disorders expounding the guidelines for a better diagnostic-etiologic approach whatever defining the attitude and therapeutic strategy in these patients
