Premature ejaculation among men with erectile dysfunction-findings from a real-life cross-sectional study
Articolo
Data di Pubblicazione:
2022
Citazione:
Premature ejaculation among men with erectile dysfunction-findings from a real-life cross-sectional study / S. Cilio, E. Pozzi, G. Fallara, F. Belladelli, C. Corsini, A. D'Arma, L. Boeri, P. Capogrosso, C. Imbimbo, V. Mirone, F. Montorsi, A. Salonia. - In: INTERNATIONAL JOURNAL OF IMPOTENCE RESEARCH. - ISSN 0955-9930. - (2022), pp. 1-6. [Epub ahead of print] [10.1038/s41443-022-00601-4]
Abstract:
Concomitant sexual disorders have progressively shown increased prevalence in men at first outpatient presentation. We sought to i) estimate the prevalence of unreported premature ejaculation (PE) in a homogenous cohort of 1258 men seeking first medical help for erectile dysfunction (ED) as their primary compliant; ii) compare the baseline sociodemographic and clinical characteristics of men with only ED(ED-only) compared to those with ED and PE(ED + PE); and, iii) investigate the likelihood of detecting PE among men self-reporting only ED over a 16-year period at a single tertiary-referral centre. Descriptive statistics compared sociodemographic and clinical characteristics between ED-only patients and those with unreported concomitant primary/secondary PE(ED + PE). Logistic regression models predicted the risk of having ED + PE at baseline. Local polynomial regression models graphically explored the probability of reporting PE among ED men with <= 40 vs. 41-60 vs. >60 years over the analysed timeframe. Of all, 932 (74.1%) were ED-only and 326 (25.9%) ED + PE patients, respectively. ED + PE patients were younger, presented with fewer comorbidities, and lower rates of severe ED (all p <= 0.04). At multivariable logistic regression analysis, younger age (OR:0.98) and low sexual desire/interest (OR:1.54) were independently associated with ED + PE at first clinical assessment (all p = 0.03). The likelihood of detecting unreported concomitant primary/secondary PE among patients complaining of only ED at first presentation worrisomely increased among younger and middle-aged men over the last 16 years.
Tipologia IRIS:
01 - Articolo su periodico
Elenco autori:
S. Cilio, E. Pozzi, G. Fallara, F. Belladelli, C. Corsini, A. D'Arma, L. Boeri, P. Capogrosso, C. Imbimbo, V. Mirone, F. Montorsi, A. Salonia
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