Diagnosis and Treatment of Premature Ejaculation by Urologists in South Korea

Abstract

PurposeThis study discusses the treatment of premature ejaculation (PE) using various approaches with the goal of evaluating the methods of diagnosis and treatment of PE in clinical practice in 2014 in South Korea.Materials and MethodsWe surveyed 200 urologists and andrologists who treated patients with PE from July 1, 2014 to July 29, 2014 using an online questionnaire. The questionnaire was composed of 4 parts: disease, comorbidities, diagnosis, and treatment. Using the answers to this survey, current trends in the diagnosis and treatment of PE were investigated using weighted averages.ResultsThe median number per month of patients who were diagnosed with PE was 14 patients (interquartile range, 7~24). The time to ejaculation necessary for a diagnosis of PE was considered to be <1 minute by 12% of respondents, <2 minutes by 27%, <3 minutes by 28%, <5 minutes by 13%, and 20% stated that diagnosis was based on a patient's subjective complaint. The treatment methods preferred by PE patients were reported to be pharmacological treatment (87%), surgical treatment (9.5%), and behavioral management (3.5%). The treatment methods used by respondents were pharmacological treatment (77%), surgical treatment (15%), and behavioral management (14%). The most commonly used pharmacological treatment was the oral administration of dapoxetine (97%).ConclusionsIn 2014 in South Korea, various methods were used to diagnose and treat PE. The most commonly used treatment for PE was the oral administration of dapoxetine. It was also found that surgical treatment was applied in some cases.

<p>Perceptions, Expectations, Preferences, and Attitudes Toward Premature Ejaculation, Its Diagnosis and Topical Treatment with Fortacin™ Spray: Results from an Expert Panel Discussion</p>

“…This attitude of diagnosing PE mainly on the basis of patients' complaints further reinforced, from a physician's point of view, the concept of PE as a subjective bother, and is in line with results from previously published surveys, and is supported by current European Association of Urology Guidelines. 1,4,8 Of note, although several questionnaires have been proposed, there is a low correlation between a diagnosis provided by questionnaires and a selfreported diagnosis and their role is optional in everyday clinical practice. 1 A hierarchical relationship between the outcomes of PE treatment has been hypothesized.…”

Advantages and limitations of current premature ejaculation assessment and diagnostic methods: a review

“…Further, the lack of cut-off scores on some questionnaires (IPE and PEP) makes it difficult for physicians to judge whether a patient has PE when solely relying on these measures. In a study conducted in Korea, the researchers found that the rate of application of these diagnostic tools is merely 42% in clinical practice, and clinicians are more inclined to make the PE diagnosis based on their patients' subjective descriptions (28). In this regard, the combination of 2 to 3 validated questionnaires, such as the PEDT combined with the IPE or PEP, may be a feasible solution to improve PE assessing accuracy.…”

Practice Patterns Among Korean Urologists for Glans Penis Augmentation Using Hyaluronic Acid Filler in the Management of Premature Ejaculation

“…We have previously reported that GPA using HA filler was effective and safe without permanent sexual dysfunction,13, 14 and recently Abdallah et al 15 reported the usefulness of HA dermal fillers in the treatment of PE. Several studies have evaluated the practice patterns among urologists for the management of PE; however, the previous surveys did not assess practice patterns regarding GPA using HA fillers in the management of PE 10, 16, 17, 18. The practice patterns regarding GPA using HA fillers among contemporary urologists are unknown.…”