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Premature ejaculation among men with erectile dysfunction-findings from a real-life cross-sectional study
Simone Cilio1,2, Edoardo Pozzi1,3, Giuseppe Fallara1,3
1Division of Experimental Oncology/Unit of Urology, URI; IRCCS Ospedale San Raffaele, Milan, Italy.
International Journal of Impotence Research
|August 1, 2022
Summary
Many men seeking help for erectile dysfunction (ED) also have undiagnosed premature ejaculation (PE). Younger men with ED are more likely to have undiagnosed PE, with detection rates increasing over time.
Area of Science:
- Urology
- Men's Health
- Sexual Medicine
Background:
- Concomitant sexual disorders are increasingly prevalent in men presenting for outpatient care.
- Premature ejaculation (PE) often co-occurs with erectile dysfunction (ED), yet may be underreported.
Purpose of the Study:
- To estimate the prevalence of unreported PE in men primarily seeking help for ED.
- To compare characteristics of men with ED only versus those with ED and PE.
- To analyze trends in PE detection among men with ED over 16 years.
Main Methods:
- Retrospective analysis of 1258 men with a primary complaint of ED.
- Comparison of sociodemographic and clinical data between ED-only and ED+PE groups.
- Logistic regression and local polynomial regression models to assess associations and trends.
Main Results:
- 25.9% of men with ED also had unreported PE (ED+PE group).
- ED+PE patients were younger, had fewer comorbidities, and less severe ED.
- Younger age and low sexual desire were independently associated with coexisting PE.
Conclusions:
- A significant proportion of men presenting with ED have undiagnosed PE.
- Younger and middle-aged men show an increasing likelihood of presenting with both ED and PE.
- Clinicians should screen for PE in men presenting with ED, especially younger individuals.
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