1245: Predictors of the Clinical Diagnosis of Premature Ejaculation

Abstract

THE JOURNAL OF UROLOGY® U.S. men aged 45-75. Items were selected for assessing both response and bother aspects of sexual function. Participants for the study were selected based on random digit-dialing methodology.RESULTS: Significant, positive correlations were observed (r = 0.48-0.85) between individual item bother scores and overall distress associated with sexual dysfunction. Interdomain correlations were also highly significant in the expected direction. Based on results obtained in the validation sample, 40.9% reported difficulty achieving or maintaining erection; 34.3% reported delayed or absent ejaculation; 21.2% had premature ejaculation on some or most occasions, 16.8% had orgasm without ejaculation on occasion, and 5.4% had pain during ejaculation. Bother scores indicated moderate to higb levels of bother with most sexual symptoms. A new profiling method (sexual function profile) was developed for graphic display of both sexual function and bother scores for individual patients.CONCLUSIONS: The Male Sexual Function Scale is a brief new screening tool for assessing male sexual function in clinical and research settings. It is suitable for use in both primary care and urology practice settings, and for evaluation of sexual function following pelvic surgery or with chronic illness or medications.

Premature Ejaculation in Infertile Couples: Prevalence and Correlates

“…Good concordance between subject response to these questions and more objective criteria for the diagnosis of PE, such as intravaginal ejaculatory latency time (IELT), has been demonstrated by Rosen et al. [17]. The PE assessment questions were not available at the inception of this study, and therefore, they were not completed by all couples who completed the other survey instruments.…”

“…Nevertheless, our PE survey was based on a series of questions developed by Rosen et al. [17], which demonstrated excellent concordance with the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision criteria for the diagnosis of PE as well as partner‐measured stop‐watch IELT. In fact, PROs of male partner control over ejaculation and female partner satisfaction with sexual intercourse and/or personal distress were more predictive of the clinical diagnosis of PE than IELT in Rosen et al.…”

“…A subset of the couples enrolled also completed a five‐item patient and partner‐specific set of questions related to PE adopted from Rosen et al. [17]. These patient‐reported outcomes (PROs) are presented in the and are designed to assess for the presence of and degree of bother from PE within a couple.…”

Diagnosing Premature Ejaculation: A Review

“…Of the PRO measures, IELT (as measured via partner‐held stopwatch) was most strongly correlated with control over ejaculation ( r = 0.51), although all three PRO measures had a positive relationship with IELT [10]. In this study, IELT alone predicted PE with 80% sensitivity and 80.8% specificity; combining IELT with one PRO measure increased the sensitivity to 80.3% with 94.0% specificity [11]. In particular, control over ejaculation and satisfaction with sexual intercourse significantly differentiated between subjects with and without PE ( P < 0.0001) [12].…”

“…In particular, control over ejaculation and satisfaction with sexual intercourse significantly differentiated between subjects with and without PE ( P < 0.0001) [12]. Subject assessment of control over ejaculation was the strongest predictor of PE [11].…”