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Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
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[Premature ejaculation in urological routine practice].

M J Mathers1, F Sommer, S Degener

  • 1PandaMED Remscheid, Urologische Kooperationspraxis der Klinik für Urologie und Kinderurologie, Helios Klinikum Wuppertal, Universität Witten/Herdecke. M.J.Mathers@t-online.de

Aktuelle Urologie
|February 6, 2013
PubMed
Summary
This summary is machine-generated.

Premature ejaculation (PE) is a common male sexual concern. This review covers PE definition, prevalence, causes, and treatments like SSRIs and dapoxetine, referencing clinical guidelines.

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Area of Science:

  • Urology
  • Sexual Medicine
  • Pharmacology

Context:

  • Premature ejaculation (PE) is a prevalent male sexual complaint encountered in urological and outpatient settings.
  • Prevalence estimates vary widely (3-25%) depending on the definition used.
  • Patient and partner distress are significant subjective components, despite objective measures like intravaginal ejaculation latency time (IELT).

Purpose:

  • To provide a comprehensive overview of the clinical approach to premature ejaculation (PE).
  • To discuss the definition, prevalence, etiology, and neurophysiology of PE.
  • To review current pharmacological treatment options and relevant international guidelines.

Summary:

  • PE is characterized by the inability to delay ejaculation, causing distress.
  • Clinical assessment often relies on validated questionnaires (e.g., Premature Ejaculation Profile) due to the impracticality of objective IELT measurement in routine practice.
  • Pharmacological treatments include topical anesthetics, selective serotonin reuptake inhibitors (SSRIs), and dapoxetine, with varying efficacy and usage patterns.

Impact:

  • This review aids clinicians in understanding and managing PE.
  • It highlights the importance of considering both subjective patient experience and objective parameters in PE assessment.
  • Provides insights into evidence-based treatment strategies and adherence to international standards of care.