Ejaculatory Impotence

Kaplan, Alex H.; Abrams, Morris

doi:10.1016/s0022-5347(17)66374-2

Cited by 10 publications

(1 citation statement)

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“…In the past, PE was defined as the inability to exert voluntary control over the ejaculatory reflex 26. Hastings27 defined PE as a condition in which a man reaches orgasm and ejaculates before he desires to do so.…”

Section: Definition Of Pementioning

confidence: 99%

Premature ejaculation: an update on definition and pathophysiology

2019

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Premature ejaculation (PE) is the most common male sexual dysfunction, which represents a diagnostic as well as a therapeutic challenge for physicians. However, no universally accepted definition is currently available for PE. As a result, physicians continue to diagnose patients with PE according to major guidelines set by the professional societies. These guidelines either recommend the use of validated questionnaires or patient-reported outcomes. Recent efforts directed toward classifying PE may help provide a better understanding of the prevalence and risk factors of this disorder. While the exact etiology of PE has not been clearly elucidated, several risk factors have been strongly reported in the literature. Clearly, to understand the revised definition of PE, its etiology and pathophysiology is necessary to improve the clinical management of this medical condition and form the basis of future research in this regard. In this review, we highlight the past and current definitions of PE and present an appraisal on the classifications and theories suggested for the etiopathogenesis of PE.

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Section: Definition Of Pementioning

confidence: 99%

Premature ejaculation: an update on definition and pathophysiology

2019

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A Case of Ejaculatory Incompetence Treated with a Mechanical Aid

Newell¹

1978

Perspectives in Sexuality

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Retarded ejaculation: A review

Munjack

Kanno

1979

Arch Sex Behav

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Retarded ejaculation is the persistent difficulty or inability to ejaculate despite the presence of adequate sexual desire, erection, and stimulation. The causes of this dysfunction may be organic, i.e., medical illness or drug ingestion (particularly medications with antiadrenergic effects), the result of surgical interventions, or secondary to inhibiting psychological factors. With regard to psychological determinants, fear, guilt, resentment, and passively have all been implicated, although objective studies are rare. The sexual object choice of men with retarded ejaculation has ben reported by several clinicians and investigators to be other than adult members of the opposite sex, while the marital relationship of these males has been considered etiological in other instances. Outcome assessment to date consists mostly of individual case reports or reports on small groups of patients treated without controls. To some extent, routine reliance on long-term traditional therapy has yielded to shorter, symptomatic learning-based treatments. While improved outcomes have been reported, many patients do not respond well. It is not yet possible to objectively predict succes or failure. Since it is our impression that this sexual dysfunction is more common than previously assumed (or is increasing in frequency), our present lack of data should soon be remedied.

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Ejaculatory Impotence

Cited by 10 publications

References 0 publications

Premature ejaculation: an update on definition and pathophysiology

Premature ejaculation: an update on definition and pathophysiology

A Case of Ejaculatory Incompetence Treated with a Mechanical Aid

Retarded ejaculation: A review

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