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Prevalence of chronic prostatitis in men with premature ejaculation
E Screponi1, E Carosa, S M Di Stasi
1Division of Medicine of Reproduction and Sexology, Department of Experimental Medicine, University of L'Aquila, L'Aquila, Italy.
Urology
|August 8, 2001
Summary
Chronic prostatitis is common in men with premature ejaculation, suggesting inflammation may play a role. Early prostate examination is recommended before treatment for premature ejaculation.
Area of Science:
- Urology
- Andrology
- Microbiology
Background:
- Premature ejaculation (PE) is often considered psychological.
- Potential urologic, hormonal, or neurologic factors in PE warrant investigation.
- The prostate's role in ejaculation is significant.
Purpose of the Study:
- To determine the prevalence of chronic prostatitis (CP) in men with PE.
- To explore the association between CP and PE.
- To evaluate the contribution of urologic factors to PE.
Main Methods:
- Bacteriologic localization studies on segmented urine and expressed prostatic secretions.
- Evaluation of 46 men with PE and 30 controls.
- Assessment of PE incidence in subjects with CP.
Main Results:
- Prostatic inflammation detected in 56.5% of men with PE.
- Chronic bacterial prostatitis identified in 47.8% of men with PE.
- These findings were statistically significant compared to controls (P <0.05).
Conclusions:
- Chronic prostate inflammation may contribute to the pathogenesis of some PE cases.
- High prevalence of CP in men with PE underscores the need for prostate evaluation.
- Comprehensive prostate examination is crucial before initiating PE therapy.