Reply to Pero Bokarica's Letter to the Editor re: K. Hatzimouratidis, I. Eardley, F. Giuliano, I. Moncada, A. Salonia. Guidelines on Male Sexual Dysfunction: Erectile Dysfunction and Premature Ejaculation. European Association of Urology Website. http://uroweb.org/guideline/male-sexual-dysfunction/. Updated 2015

Hatzimouratidis, Konstantinos

doi:10.1016/j.eururo.2015.06.014

Cited by 46 publications

(21 citation statements)

References 1 publication

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“…Анализ международной базы данных по простатиту показал, что боль при ХП локализована в промежности (63 %), яичках (58 %), в лобковой области (42 %) и на кончике пениса (32 %), при эякуляции (45 %); почти в половине случаев (43 %) имеет место дизурия [11]. Нередко при ХП происходят уменьшение длительности полового акта и развитие преждевременной эякуляции [6]. На фоне ХП снижается качество жизни, сопоставимое со стенокардией, инфарктом миокарда, болезнью Крона и сахарным диабетом [18].…”

Section: эпидемиологияunclassified

“…Лечение с доказанной эффективностью существует только для ХП категории II, т. е. вызванного установленными инфекциями. В этом случае эффективна антибиотикотерапия (GR: А) [1][2][3][4][5][6][7][8]. Рекомендуемые антибиотики при ХП категории II, их достоинства и недостатки описаны во многих руководствах: российском [1], европейском [5], британском [4], канадском [14] и др.…”

Section: терапия хронического простатитаunclassified

“…Для лечения органоспецифического типа ХП следует избегать диетических триггеров, перечисленных ранее. Поскольку большинство симптомов локализуется в мочевом пузыре, можно использовать конкрет- [6]. Инфекционный тип ХП.…”

Section: терапия хронического простатитаunclassified

“…), так и трудно выявляемые внутриклеточные возбудители (Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis и др. ), которые часто не появляются на наружных слизистых оболочках из-за закупорки ацинусов железы, также может иметь место аутоиммунное воспаление [1][2][3][4][5][6][7][8]. До конца не ясен механизм проникновения микроорганизмов в ПЖ.…”

Section: Introductionunclassified

“…Предметом дискуссий остается вопрос взаимосвязи ХП с качеством сексуальной жизни и мужской И ГЕНИТАЛЬНАЯ ХИРУРГИЯ ТОМ 17 / VOL. 17 2 0 1 6 ANDROLOGY AND GENITAL SURGERY фертильностью [5][6][7][8]. В последних европейских клинических рекомендациях Guidelines EAU (European Association of Urology, 2016) вопросы лечения бактериального простатита, болевого синдрома ПЖ и СНМП представлены в различных разделах, хотя они традиционно считаются проявлениями одного заболевания [5,9], при этом ХП исключен из перечня причин мужского бесплодия [10].…”

Section: Introductionunclassified

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Modern opportunities for the treatment of chronic prostatitis

Bozhedomov¹

2016

Androl. genit. hir.

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Section: эпидемиологияunclassified

Section: терапия хронического простатитаunclassified

Section: Introductionunclassified

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Modern opportunities for the treatment of chronic prostatitis

Bozhedomov¹

2016

Androl. genit. hir.

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Comprehensive review of the anatomy and physiology of male ejaculation: Premature ejaculation is not a disease

Puppo¹,

Puppo

2015

Clinical Anatomy

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Human semen contains spermatozoa secreted by the testes and a mixture of components produced by the bulbo-urethral and Littre (paraurethral) glands, prostate, seminal vesicles, ampulla, and epididymis. Ejaculation is used as a synonym for the external ejection of semen, but it comprises two phases: emission and expulsion. As semen collects in the prostatic urethra, the rapid preorgasmic distension of the urethral bulb is pathognomonic of impeding orgasm, and the man experiences a sensation that ejaculation is inevitable (in women, emission is the only phase of orgasm). The semen is propelled along the penile urethra mainly by the bulbocavernosus muscle. With Kegel exercises, it is possible to train the perineal muscles. Immediately after the expulsion phase the male enters a refractory period, a recovery time during which further orgasm or ejaculation is physiologically impossible. Age affects the recovery time: as a man grows older, the refractory period increases. Sexual medicine experts consider premature ejaculation only in the case of vaginal intercourse, but vaginal orgasm has no scientific basis, so the duration of intercourse is not important for a woman's orgasm. The key to female orgasm are the female erectile organs; vaginal orgasm, G-spot, G-spot amplification, clitoral bulbs, clitoris-urethra-vaginal complex, internal clitoris and female ejaculation are terms without scientific basis. Female sexual dysfunctions are popular because they are based on something that does not exist, i.e. the vaginal orgasm. The physiology of ejaculation and orgasm is not impaired in premature ejaculation: it is not a disease, and non-coital sexual acts after male ejaculation can be used to produce orgasm in women. Teenagers and men can understand their sexual responses by masturbation and learn ejaculatory control with the stop-start method and the squeeze technique. Premature ejaculation must not be classified as a male sexual dysfunction. It has become the center of a multimillion dollar business: is premature ejaculation-and female sexual dysfunction-an illness constructed by sexual medicine experts under the influence of drug companies?

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Non‐pharmacological approaches for treatment of premature ejaculation: a systematic review

Pizzol¹,

Sánchez

Ilie

et al. 2023

Trends Urol & Men's Health

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Premature ejaculation is a common male condition worldwide with prevalence estimates varying from 30% to 85%. Owing to the lack of a clear definition and a clear understanding of the potentially multifactorial pathophysiology, treatment remains challenging. The aim of this systematic review was to evaluate the non‐pharmacological treatment modalities for PE to inform clinical practice and patients.

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Cited by 46 publications

References 1 publication

Modern opportunities for the treatment of chronic prostatitis

Modern opportunities for the treatment of chronic prostatitis

Comprehensive review of the anatomy and physiology of male ejaculation: Premature ejaculation is not a disease

Non‐pharmacological approaches for treatment of premature ejaculation: a systematic review

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