2017, Number 4
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ABSTRACTIt is the most common male sexual disorder and can be classified as lifelong or acquired premature ejaculation, but the mechanism causing it is still unknown. Four events are identified in as normal response during sexual activity: 1) erection, 2) emission, 3) ejaculation, and 4) orgasm. When premature ejaculation produces few symptoms, treatment should be limited to psychosexual counseling. Several behavioral techniques have been shown to be beneficial in erectile dysfunction treatment, but they should not be considered first-line or sole treatment in patients with lifelong premature ejaculation. Those patients require drug-based management. Premature ejaculation is a frequent pathology with considerable psychosocial consequences. Treatment is directed at improving the duration of the sexual act and should be individualized for each patient.
Bar-Or D, Salottolo KM, Orlando A, Winkler JV; Tramadol ODT Study Group. A randomized double-blind, placebocontrolled multicenter study to evaluate the efficacy and safety of two doses of the tramadol orally disintegrating tablet for the treatment of premature ejaculation within less than 2 minutes. Eur Urol 2012;61:736-43.