检查过早射精的患病率作为性功能障碍的三维构造 - - 一项系统性审查
Mariella Opolony1, Martin Rettenberger1,2, Peer Briken3
1Department of Psychology, Johannes Gutenberg-University (JGU) Mainz, 55122 Mainz, Germany.
The journal of sexual medicine
|August 12, 2025
概括
提前射精 (PE) 是常见的,其患病率因亚型和诊断标准而异. 本次审查建议扩大PE的定义,包括其各种形式,以改善治疗方法.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性医学性医学性医学性医学
- 公共卫生 公共卫生
背景情况:
- 早泄 (PE) 是一个普遍存在的男性性功能障碍.
- 从历史上看,PE亚型包括终身,获得,自然变量和主观,被分类为心理或体质.
- 目前的研究缺乏普遍接受的,亚型特异性疗法,因为病因和流行数据不足.
研究的目的:
- 在一般人群中系统地审查早泄 (PE) 的患病率.
- 检查不同PE亚型的流行率.
- 评估诊断标准对PE患病率估计的影响.
主要方法:
- 1986年至2024年8月期间以英语或德语出版的79项流行研究的系统审查.
- 包括来自33个国家的158个患病率估计,共包含319,468名参与者.
- 分析数据使用平均差异来确保可比性并确定基于人口的趋势,因为研究异质性阻止了元分析.
主要成果:
- 过早射精 (PE) 的总体患病率为14.19%,受到使用的诊断标准的显著影响.
- 心理性射精投诉 (自然变量和主观PE) 比体质性射精控制障碍 (终身和获得的PE) 更为普遍.
- 亚型的患病率各不相同:自然变异性PE (43.89%),主观PE (24.79%),获得性PE (18.96%),以及终身PE (11.67%).
结论:
- 过早射精 (PE) 的患病率高度依赖于所采用的诊断标准.
- 皮质前列腺的精神性亚型似乎比体质性亚型更常见.
- 建议在基于需求的治疗策略中扩大PE的定义,以涵盖其各种形式和亚型.
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