Self-Reported Shorter Than Desired Ejaculation Latency and Related Distress-Prevalence and Clinical Correlates: Results From the European Male Ageing Study
Self-Reported Shorter Than Desired Ejaculation Latency and Related Distress-Prevalence and Clinical Correlates: Results From the European Male Ageing Study
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DOI：
10.1016/j.jsxm.2021.01.187
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发表时间：
2021-05-13
影响因子：
3.5
通讯作者：
Maggi, Mario
中科院分区：
文献类型：
--
作者：
Corona, Giovanni;Rastrelli, Giulia;Maggi, Mario
背景资料：很少有数据关注自我报告的射精潜伏期短于预期的发生率和临床相关性目的：确定欧洲中年和老年男性自我报告的快速射精和快速射精相关的痛苦的患病率和临床相关性。方法：受试者招募的人口样本的男性年龄在40-79岁之间的8个欧洲centers.Outcomes：自报RE及其相关的困扰来自欧洲男性老龄化研究（EMAS）性功能问卷（EMAS-SFQ）。采用Beck抑郁量表（BDI）量化抑郁症状，SF-36健康状况调查表（SF-36）评估生活质量，国际前列腺症状评分（IPSS）评估下尿路症状。约2，888名年龄在40-79岁（平均58.9 +/- 10.8岁）的社区居住男性被纳入分析。在纳入的受试者中，889例（30.8%）自报RE。其中，211人（7.3%）声称感到痛苦（分别为5.9%和1.4%）。RE相关的抑郁水平的增加与性功能的进行性恶化、艾德的风险增加和夫妻关系损害相关，沿着抑郁症状的发生率增加（均P < 0.05）。生活质量差、IPSS评分高与RE相关性抑郁相关（均P < 0.05）。上述结果得到证实，即使使用药物可能干扰射精或那些没有稳定的关系被排除在analysis.Clinical Implications：RE是一种常见的条件，在男性从一般人群，但是，其相关的痛苦是相对温和的。尽管如此，男性与任何程度的自我报告RE显示抑郁症，生活质量差，更糟糕的夫妇satisfactions.Strengths & Limitations：这是第一次研究估计的患病率自我报告RE及其相关的困扰，沿着他们的生物和心理相关性，在欧洲中年和老年男性的人口样本。然而，应该认识到，RE的诊断是来自患者的报告，不支持内射精潜伏期时间（IELT）measurements.Conclusion：自我报告RE是相对常见的欧洲男性年龄超过40岁。报告的RE相关痛苦有限，这可能解释了RE的医疗咨询数量相对较低。RE相关的痛苦与性功能较差、夫妻损害和更多的LUTS相关，导致生活质量较差和情绪障碍。版权所有Copyright（C）2021，International Society of Sexual Medicine.爱思唯尔公司出版
Background: Few data have looked at the occurrence and clinical correlates of self-reported shorter than desired ejaculation latency (rapid ejaculation, RE) and its related distress in the general population.Aim: To determine the prevalence and clinical correlates of self-reported RE and RE-related distress in middle age and older European men.Methods: Subjects were recruited from population samples of men aged 40-79 years across 8 European centers.Outcomes: Self-reported RE and its related distress were derived from the European male Aging Study (EMAS) sexual function questionnaire (EMAS-SFQ). Beck's depression Inventory (BDI) was used for the quantification of depressive symptoms, the Short Form 36 health survey (SF-36) for the assessment of the quality of life, the International Prostate Symptom Score (IPSS) for the evaluation of lower urinary tract symptoms.Results: About 2,888 community dwelling men aged 40-79 years old (mean 58.9 +/- 10.8 years) were included in the analysis. Among the subjects included, 889 (30.8%) self-reported RE. Among them, 211 (7.3%) claimed to be distressed (5.9% and 1.4% reported mild or moderate-severe distress, respectively). Increasing levels of RE-related distress were associated with a progressive worse sexual functioning, higher risk of ED and with couple impairment, along with a higher prevalence of depressive symptoms (all P < 0.05). Furthermore, a worse quality of life and higher IPSS score were associated with RE-related distress (all P < 0.05). The aforementioned results were confirmed even when patients using drugs possibly interfering with ejaculation or those without a stable relationship were excluded from the analysis.Clinical Implications: RE is a frequent condition in men from the general population; however, its related distress is relatively modest. Nonetheless, men with any degree of self-reported RE show increasing levels of depression, worse quality of life and worse couple satisfaction.Strengths & Limitations: This is the first study estimating the prevalence of self-reported RE and its related distress, along with their biological and psychological correlates, in a population sample of European middle age and older men. However, is should be recognized that the diagnosis of RE was derived from patient reports and not supported by Intra-ejaculatory-Latency-Time (IELT) measurements.Conclusion: Self-reported RE is relatively common in European men aged more than 40 years. The reported limited RE-related distress may explain the relatively low number of medical consultations for RE. RE-related distress is associated with worse sexual function, couple impairment, and more LUTS resulting in a worse quality of life and mood disturbances. Copyright Copyright (C) 2021, International Society of Sexual Medicine. Published by Elsevier Inc.