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Updated: Jan 19, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
The relationship between anogenital distance and lifelong premature ejaculation
1Department of Urology, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Longer anogenital distance, a marker of early development, may indicate a higher likelihood of lifelong premature ejaculation. Further research is needed to confirm this association in men.
Area of Science:
- Reproductive Health
- Andrology
- Developmental Biology
Background:
- Anogenital distance is recognized as a potential indicator of intrauterine androgen exposure.
- Previous research has linked various diseases to anogenital distance measurements.
Purpose of the Study:
- To investigate the relationship between lifelong premature ejaculation and anogenital distance.
- To explore anogenital distance as a potential biomarker in andrology.
Main Methods:
- A comparative study involving 140 participants: 70 with lifelong premature ejaculation and 70 controls.
- Evaluation of ejaculatory function using the Premature Ejaculation Diagnostic Tool and intravaginal ejaculatory latency time.
- Measurement of two anogenital distance variants: anus to posterior scrotum and anus to penile base.
Main Results:
- A statistically significant difference in anogenital distance (anus to posterior scrotum) was found between the premature ejaculation group and the control group (p=0.01).
- A positive correlation was observed between anogenital distance (anus to posterior scrotum) and Premature Ejaculation Diagnostic Tool scores (r=0.199, p=0.019).
- A negative correlation was found between anogenital distance (anus to posterior scrotum) and intravaginal ejaculatory latency time (r=-0.185, p=0.028).
Conclusions:
- Findings suggest a potential association between a longer anogenital distance (anus to posterior scrotum) and an increased likelihood of lifelong premature ejaculation.
- The study highlights the need for further investigation to validate these findings and understand the underlying mechanisms.
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