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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2007 February;166(1):37-40

language: Italian

Premature ejaculation: clinical and diagnostic management

La Vignera S., Calogero A. E., Vicari E.

Sezione di Endocrinologia, Andrologia e Medicina Interna, Dipartimento di Scienze Biomediche, Ospedale Garibaldi, Università degli Studi di Catania, Catania


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Premature ejaculation is the most frequent male sexual disorder together with erectile dysfunction and, on a par with this latter condition, it has a considerable impact on patients’ quality of life. How the condition should be classified and the appropriate clinical management for it are the subject of open debate in the scientific literature of the sector. From the data to emerge from analyzing the vast number of reviews published on the question between 1996 and 2004 as shown in Medline, there emerges an enormous variety of viewpoints as regards defining the condition and how to diagnose it. Two aetiopathogenetic hypotheses are classically employed to describe how it is determined, the psychogenic and the organic. This is however simplistic and merits further classification into operative diagnostic subgroups. The patient suffering from premature ejaculation rarely lends himself to homogeneous diagnosis, and in the dynamics of his condition dysfunctional aspects can almost always be recognized relative to both the behavioral and the organic localization or iatrogenic phase; therefore the approach of the competent physician must aim to clarify particular problems early on in order to gain a better and more linear understanding of the clinical picture.

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