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Erectile dysfunction in premature ejaculation

B Oztürk1, M Cetinkaya, H Saglam

  • 1Ankara Numune Hospital, Urology Department, Türkiye.

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica
|June 1, 1997
PubMed
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Investigating organic causes for premature ejaculation (PE) is crucial, especially for secondary PE. This study found specific vascular issues like venous leakage in a significant portion of PE patients, aiding accurate diagnosis.

Area of Science:

  • Urology
  • Andrology
  • Sexual Medicine

Background:

  • Premature ejaculation (PE) is a common male sexual dysfunction.
  • Understanding the underlying organic etiology is essential for effective treatment.

Purpose of the Study:

  • To investigate the prevalence of organic causes in patients diagnosed with premature ejaculation.
  • To differentiate between primary and secondary PE and assess organic etiologies in each group.

Main Methods:

  • A cohort of 45 patients with premature ejaculation (PE) were evaluated between October 1993 and December 1995.
  • Patients were categorized into primary and secondary PE groups.
  • Diagnostic methods included laboratory evaluation, papaverine testing, color Doppler ultrasonography, and pharmacocavernosometry-cavernosography to identify vascular abnormalities.

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Main Results:

  • In primary PE, venous leakage was identified in 5 patients (22.7%) and arterial or mixed insufficiency in 2 patients (9%).
  • In secondary PE, venous leakage was found in 9 patients (39.1%) and arterial insufficiency in 2 patients (8.6%).

Conclusions:

  • Investigation of organic etiology, particularly vascular factors like venous leakage and arterial insufficiency, is beneficial for diagnosing premature ejaculation.
  • Secondary premature ejaculation patients showed a higher prevalence of identified organic vascular causes.