Prevalence of chronic prostatitis in men with premature ejaculation

Screponi, Emiliano; Carosa, Eleonora; Stasi, Savino M. Di; Pepe, Mario; Carruba, Giuseppe; Jannini, Emmanuele A.

doi:10.1016/s0090-4295(01)01151-7

Cited by 225 publications

(202 citation statements)

References 26 publications

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“…In fact, sexual arousal and orgasm, aspects modified by PE, are profoundly dependent on subjective and psycho-relational variables. For this reason, it is possible to consider PE as a sexual symptom with a subjective and psycho-relational aetiology, as well as an organic one (Screponi et al, 2001;Carani et al, 2005;Corona et al, 2012;Lotti et al, 2014;Jannini et al, 2010). In addition, an interesting aspect concerning the perceived orgasmic intensity, which is the topic of our study, is the comparison of orgasmic intensity subjectively perceived during masturbation and vaginal penetration.…”

Section: Discussionmentioning

confidence: 98%

The impact of premature ejaculation on the subjective perception of orgasmic intensity: validation and standardisation of the ‘Orgasmometer’

et al. 2016

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SUMMARYTo the best of our knowledge, no psychometric tools have been specifically developed to measure if premature ejaculation (PE) is related to low sexual pleasure in terms of perception of orgasmic intensity. Hence, the aim of this study was to evaluate if men with PE suffer from a low perception of orgasmic intensity using a new tool, the 'Orgasmometer', to quantitatively measure the intensity of orgasmic pleasure. Among 329 subjects attending our andrological unit for suspected PE, 257 men fulfilled the inclusion criteria. Of these, 156 (60.7%; 156/257) were affected by PE (PE group) and 101 (39.3%; 101/257) did not have any sexual dysfunction (Control group). Men were requested to fill out the Premature Ejaculation Diagnostic Tool (PEDT) and the Orgasmometer, a new visual tool recording orgasm intensity on a Likert scale. Interestingly, MANCOVA analysis revealed a statistically significant difference between the two groups (p = 0.044) in the subjective perception of orgasm intensity with the PE group scoring lower on the Orgasmometer (mean 5.8; 95% CI 5.191-6.409) than the Control group (mean 7.95; 95% CI 7.033-8.87). In addition, multiple linear regression revealed an inverse correlation between the PEDT and the Orgasmometer scores (p < 0.0001). Hence, higher PEDT scores were associated with a lower subjective perception of orgasmic intensity. The Orgasmometer was well understood, had good test-retest reliability and a high AUC in differentiating between men with high and low orgasmic pleasure intensity. The ROC curve analysis showed that a cut-off ≤6 had 87.7% sensitivity (95% CI 79.6-92.6), 95% specificity (95% CI 88.7-98.4), 95.3% positive predictive value (PPV) and 86.4% negative predictive value (NPV). Men affected by premature ejaculation perceived significantly lower orgasmic intensity than sexually healthy men. The Orgasmometer is an easy-to-perform, user-friendly tool for measuring orgasmic intensity.

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Section: Discussionmentioning

confidence: 98%

The impact of premature ejaculation on the subjective perception of orgasmic intensity: validation and standardisation of the ‘Orgasmometer’

et al. 2016

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“…27 The presence of urinary tract symptoms also demonstrate an increased risk for PE, ED and low sexual desire; however, this elevated risk is only statistically significant for ED. Screponi et al 44 have shown prostate inflammation and chronic bacterial prostatitis to be more common in men with PE than in controls. These results are not supported by an earlier study by Dunn et al 45 which showed no significant association between a patient's self-report of 'prostate trouble' and PE.…”

Section: Risk Factors For Pementioning

confidence: 99%

Premature ejaculation: definition and prevalence

Carson

Gunn²

2006

Int J Impot Res

102

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Premature ejaculation (PE) is likely the most common sexual dysfunction in men, with a worldwide prevalence of approximately 30%. To date, the lack of a universally acknowledged definition of PE has complicated the examination and analysis of PE in clinical and research-related settings. The impact of PE on men and their partners also needs to be clearly defined. Clearly, a better understanding of the epidemiology of this disorder, especially with regard to prevalence and risk factors, is necessary. The prevalence of PE appears to vary across socio-cultural and geographic populations. The elucidation of the etiology of PE and risk factors associated with PE has been difficult. However, several risk factors for PE exist that have strong support in the literature. Clearly, an improved and universal definition and understanding of PE and its epidemiology will improve the clinical management of PE and the success of future epidemiologic studies and clinical trials.

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“…This syndrome includes urogenital pain, ejaculatory pain, urinary dysfunction, and sexual dysfunction. In the literature, CP has been closely linked with PE (42,(117)(118)(119)(120). While the co-existence of these conditions is common, a true causal relationship or mechanism has not been established.…”

Section: Pe and Chronic Prostatitismentioning

confidence: 99%

“…Prostatic inflammation and chronic bacterial prostatitis have been reported as common findings in men with both lifelong and acquired PE (42,120,126). Shamloul and el-Nashaar reported prostatic inflammation and chronic bacterial prostatitis in 64% and 52% of men with PE (120).…”

Section: Pe and Chronic Prostatitismentioning

confidence: 99%

Pathophysiology of Acquired Premature Ejaculation

Jannini¹,

Lenzi²

2012

Premature Ejaculation

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The second Ad Hoc International Society for Sexual Medicine (ISSM) Committee for the Definition of Premature Ejaculation defined acquired premature ejaculation (PE) as a male sexual dysfunction characterized by a the development of a clinically significant and bothersome reduction in ejaculation latency time in men with previous normal ejaculatory experiences, often to about 3 minutes or less, the inability to delay ejaculation on all or nearly all vaginal penetrations, and the presence of negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy. The literature contains a diverse range of biological and psychological etiological theories. Acquired PE is commonly due to sexual performance anxiety, psychological or relationship problems, erectile dysfunction (ED), and occasionally prostatitis and hyperthyroidism, consistent with the predominant organic etiology of acquired PE, men with this complaint are usually older, have a higher mean BMI and a greater incidence of comorbid disease including hypertension, sexual desire disorder, diabetes mellitus, chronic prostatitis, and ED compared to lifelong, variable and subjective PE.

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Prevalence of chronic prostatitis in men with premature ejaculation

Cited by 225 publications

References 26 publications

The impact of premature ejaculation on the subjective perception of orgasmic intensity: validation and standardisation of the ‘Orgasmometer’

The impact of premature ejaculation on the subjective perception of orgasmic intensity: validation and standardisation of the ‘Orgasmometer’

Premature ejaculation: definition and prevalence

Pathophysiology of Acquired Premature Ejaculation

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