| Disorders of orgasm and ejaculation in men. | |
| | |
MedLine Citation:
|
PMID: 20388164 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: Ejaculatory/orgasmic disorders are common male sexual dysfunctions, and include premature ejaculation (PE), inhibited ejaculation, anejaculation, retrograde ejaculation, and anorgasmia. AIM: To provide recommendations and guidelines concerning current state-of-the-art knowledge for management of ejaculation/orgasmic disorders in men. METHODS: An international consultation in collaboration with the major urology and sexual medicine associations assembled over 200 multidisciplinary experts from 60 countries into 25 committees. Committee members established specific objectives and scopes for various male and female sexual medicine topics. The recommendations concerning state-of-the-art knowledge of disorders of orgasm and ejaculation represent the opinion of seven experts from seven countries developed in a process over a 2-year period. MAIN OUTCOME MEASURE: Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation and debate. RESULTS: Premature ejaculation management is largely dependent upon etiology. Lifelong PE is best managed with PE pharmacotherapy (selective serotonin re-uptake inhibitor [SSRI] and/or topical anesthetics). The management of acquired PE is etiology specific and may include erectile dysfunction (ED) pharmacotherapy in men with comorbid ED. Behavioral therapy is indicated when psychogenic or relationship factors are present and is often best combined with PE pharmacotherapy in an integrated treatment program. Retrograde ejaculation is managed by education, patient reassurance, pharmacotherapy, or bladder neck reconstruction. Delayed ejaculation, anejaculation, and/or anorgasmia may have a biogenic and/or psychogenic atiology. Men with age-related penile hypoanesthesia should be educated, reassured, and instructed in revised sexual techniques which maximize arousal. CONCLUSIONS: Additional research is required to further the understanding of the disorders of ejaculation and orgasm. |
| | |
Authors:
|
David Rowland; Chris G McMahon; Carmita Abdo; Juza Chen; Emmanuele Jannini; Marcel D Waldinger; Tai Young Ahn |
Related Documents
:
|
20029004 - Evaluation of morning report in an emergency medicine department. 8144804 - Attitudes and opinions of dietetics professionals toward cost-benefit and cost-effectiv... 12822394 - Smart strategies ease the way for new managers. softer skills key to leadership position. 16861134 - Hands across the water: clinical observations of hand therapy practices in great britai... 8671104 - The costs and benefits of asking patients for their opinions about general practice. 20029004 - Evaluation of morning report in an emergency medicine department. |
Publication Detail:
|
Type: Consensus Development Conference; Journal Article |
Journal Detail:
|
Title: The journal of sexual medicine Volume: 7 ISSN: 1743-6109 ISO Abbreviation: J Sex Med Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-04-14 Completed Date: 2010-08-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101230693 Medline TA: J Sex Med Country: United States |
Other Details:
|
Languages: eng Pagination: 1668-86 Citation Subset: IM |
Affiliation:
|
Valparaiso University, Psychology, Valparaiso, IN, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Algorithms Anesthetics, Local / therapeutic use Behavior Therapy Ejaculation* / physiology Humans Male Medicine / methods, standards Office Visits Patient Education as Topic Practice Guidelines as Topic Prevalence Serotonin Uptake Inhibitors / therapeutic use Sexology / methods, standards Sexual Dysfunction, Physiological / diagnosis, epidemiology, etiology, therapy* Sexual Dysfunctions, Psychological / diagnosis, epidemiology, etiology, therapy* Urology / methods, standards |
| Chemical | |
Reg. No./Substance:
|
0/Anesthetics, Local; 0/Serotonin Uptake Inhibitors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Trauma, gender reassignment, and penile augmentation.
Next Document: Erectile function rehabilitation in the radical prostatectomy patient.