Gum Chewing Therapy vs. Biofeedback for Lifelong Premature Ejaculation: A Prospective Randomized Comparative Study.

Area of Science:

• Urology
• Sexual Health
• Behavioral Therapy

Background:

• Lifelong premature ejaculation (LPE) significantly impacts quality of life.
• Current LPE treatments have limitations, necessitating exploration of novel approaches.

Purpose of the Study:

• To compare the efficacy of gum-chewing therapy (GCT) and biofeedback therapy (BFT) for treating lifelong premature ejaculation (LPE).

Main Methods:

• A randomized controlled trial involving 75 patients with LPE (PEDT score >11, IELT <60 seconds).
• Patients were assigned to either GCT (n=39) or BFT (n=36).
• Intravaginal ejaculatory latency time (IELT) and Premature Ejaculation Diagnostic Tool (PEDT) scores were assessed at 1 and 3 months.

Main Results:

• Both GCT and BFT groups showed significant improvements in IELT and PEDT scores (p < 0.001).
• While numerical improvements favored GCT, no statistically significant intergroup differences were observed.
• 61 patients (33 GCT, 28 BFT) completed the study.

Conclusions:

• Gum-chewing therapy (GCT) is a viable, simple, discreet, and cost-effective non-pharmacological treatment for lifelong premature ejaculation (LPE).
• Further research may explore GCT's long-term effectiveness and broader applicability.