Traumatic masturbation syndrome may be an important cause of erectile dysfunction in pre‐mature ejaculation patients

Abstract

We aimed to investigate of whether atypical masturbation behaviour is a pre‐disposing factor in ED aetiology in pre‐mature ejaculation (PE) patients. In addition to demographic data, self‐estimated intravaginal ejaculatory latency time (IELT) was prospectively questioned in 2,572 patients between the ages of 18 and 60 who applied with the complaint of pre‐mature ejaculation between March 2018 and May 2020. The masturbation habits of the patients were questioned with open‐ended questions. After the exclusion criteria, 1,819 patients were evaluated. One thousand one hundred‐fifty (63.2%) of patients were classified as lifelong PE, 369 (20.3%) were acquired PE, while 300 (16.5%) were natural‐variable PE. According to the IIEF score, 714 patients (39.3%) had ED associated with PE. Eighty‐eight per cent of men declared that they had masturbated in the last 4 weeks. Atypical masturbatory behaviours such as ‘through clothes’ and ‘rubbing in prone position’ were significantly higher in patients with ED (13% vs. 9%, p = .04 and 11% vs. 7%, p = .02 respectively). Atypical masturbatory behaviours are also seen in a significant part of the pre‐mature ejaculation population and increase the rate of erectile dysfunction accompanying PE. This situation draws attention to the necessity of questioning masturbation habits, especially in the combination of PE and ED.

Traumatic masturbation and erectile dysfunction: A matched case–control study

“…These behaviors do not mimic real sexual experience. It mostly manifests itself as masturbation by lying on the bed in the prone position without using lubricant, rubbing the penis on the bed or pillow, and pressing it with the hands or rubbing it over the clothes 15 . In patients which we described as TMS in this study, frequently detected sexual dysfunctions are sexual reluctance, anorgasmia, ejaculatory dysfunction, and ED.…”

“…They also found that men with less frequency of vaginal sex had a higher rate of masturbation than those with more vaginal sex 23 . In similar studies conducted on men with sexual dysfunction, 15,24–26 the frequency of masturbation and possible predisposing factors were investigated and the rate of masturbation was found to be between 53% and 88% in the last 1 month period. In addition, the authors concluded that questioning masturbation is an important topic for understanding patients' general sexual attitudes and behaviors.…”

“…They also found that men with less frequency of vaginal sex had a higher rate of masturbation than those with more vaginal sex. 23 In similar studies conducted on men with sexual dysfunction, 15,[24][25][26] the frequency of masturbation and…”

“…Data on TMS in the literature consist of case‐report series 14,16 and clinical studies are very limited 15,17 . In addition, a study evaluating the frequency of TMS in the population and its effect on sexual functions and erection quality is not yet available in the literature.…”

“…Data on TMS in the literature consist of case-report series 14,16 and clinical studies are very limited. 15,17 In addition, a study evaluating the frequency of TMS in the population and its effect on sexual functions and erection quality is not yet available in the literature. In this prospective study, we aimed to investigate masturbation styles in men with or without ED; to identify atypical masturbatory behaviors (AMB); and to reveal their effects on sexual and masturbational erection hardness in men with ED.…”