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Current and emerging treatment options for premature ejaculation

Nature Reviews Urology · Kasım 2022

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Current and emerging treatment options for premature ejaculation
Nature Reviews Urology · 2022 SSCI
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Makale Bilgileri

DergiNature Reviews Urology
Yayın TarihiKasım 2022
Cilt / Sayfa19 · 659-680
Özet Premature ejaculation (PE) is a prevalent male sexual dysfunction. Current standard treatment regimens include behavioural therapies, topical anaesthetics, dapoxetine and other selective serotonin reuptake inhibitors (SSRIs). Most of the pharmacotherapeutic options target neurotransmitters (such as serotonin and oxytocin) that have a role in the ejaculation mechanism. However, these treatments are mildly effective and only provide a temporary delay in the ejaculation latency time, and PE recurs when the treatment is stopped. Thus, a treatment for PE is urgently needed and research is ongoing to find the ideal PE therapy. The efficacy and safety of topical anaesthetics and SSRIs in delaying ejaculation have been confirmed in many well-designed controlled trials. Both preclinical and clinical studies on new-generation SSRIs are ongoing. Moreover, promising results came from clinical trials in which the efficacy of on-demand PE therapies targeting neurotransmitters other than serotonin, such as α1-adrenoceptor antagonists and oxytocin antagonists, was assessed. Surgical intervention and neuromodulation have been proposed as potential treatment options for PE; however, current PE guidelines do not recommend these treatments owing to safety concerns.

Yazarlar (3)

1
Murat Gul
ORCID: 0000-0002-6657-6227
2
Kadir Böcü
3
Ege Can Şerefoǧlu

Kurumlar

Biruni Üniversitesi
Istanbul Turkey
Selçuk Üniversitesi
Selçuklu Turkey
Silopi State Hospital
Sirnak Turkey

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33
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3
Yazar

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