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- W2053288577 abstract "No AccessJournal of UrologyAdult urology1 Mar 2007Correlates to the Clinical Diagnosis of Premature Ejaculation: Results From a Large Observational Study of Men and Their Partners Raymond C. Rosen, Chris G. McMahon, Craig Niederberger, Gregory A. Broderick, Carol Jamieson, and Dennis D. Gagnon Raymond C. RosenRaymond C. Rosen New England Research Institutes, Watertown, Massachusetts Financial interest and/or other relationship with Johnson & Johnson, Pfizer Inc., Lilly Icos, Bayer, Sanofi-Aventis and Auxilium. More articles by this author , Chris G. McMahonChris G. McMahon Australian Centre for Sexual Health, Sydney, Australia Nothing to disclose. More articles by this author , Craig NiederbergerCraig Niederberger University of Illinois, Chicago, Illinois Financial interest and/or other relationship with Sanofi, Auxilium, Myogen, Schering, Pfizer, GSK, Lilly ICOS and Federal Trade Commission. More articles by this author , Gregory A. BroderickGregory A. Broderick Mayo Clinic, Jacksonville, Florida Financial interest and/or other relationship with Eli Lilly, Johnson & Johnson – OrthoUrology and Pfizer. More articles by this author , Carol JamiesonCarol Jamieson Johnson & Johnson Pharmaceutical Services, LLC, Raritan, New Jersey Financial interest and/or other relationship with Johnson & Johnson. More articles by this author , and Dennis D. GagnonDennis D. Gagnon Johnson & Johnson Pharmaceutical Services, LLC, Raritan, New Jersey Financial interest and/or other relationship with Johnson & Johnson Pharmaceutical Services, LLC. More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2006.10.044AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: A recent observational study characterized intravaginal ejaculatory latency time and single item patient reported outcome measures in a large population of males with and without premature ejaculation, as well as their female partners. In the current analysis we assessed the relative influence of those measures in identifying premature ejaculation as diagnosed by the clinician. Materials and Methods: Data were from a 4-week, multicenter, observational study of men with (207) and without (1,380) premature ejaculation (diagnosed using The Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision criteria), as well as their female partners. Estimated and measured intravaginal ejaculatory latency time, age, and responses to single item (control over ejaculation, personal distress, satisfaction with sexual intercourse and interpersonal difficulty) and multiple item (male and female Golombok-Rust Inventory of Sexual Satisfaction, male Self-Esteem and Relationship questionnaire, and Short Form 36) measures were evaluated with stepwise logistic regression analysis. Results: Self-estimated and stopwatch measured intravaginal ejaculatory latency time were interchangeable, correctly assigning premature ejaculation status with 80% sensitivity and 80% specificity, increasing to 80% sensitivity and 96% specificity when combined with single item patient reported outcomes. Subject reported control over ejaculation and personal distress most strongly indicated premature ejaculation status. Partner personal distress was more influential in determining premature ejaculation status than estimated or measured intravaginal ejaculatory latency time, and single item measures were more influential than multiple item measures. Age was not influential in assigning premature ejaculation status. Conclusions: Neither self-estimated nor stopwatch measured intravaginal ejaculatory latency time alone was optimal for assigning premature ejaculation status. Subject and partner responses to single item measures, particularly control over ejaculation and personal distress, were important. Results suggest that a combination of estimated intravaginal ejaculatory latency time and the 4 single item patient reported outcome measures can adequately identify premature ejaculation status. References 1 : Sexual dysfunction in the United States: prevalence and predictors. JAMA1999; 281: 537. 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Arch Sex Behav1997; 26: 27. Google Scholar 17 : Operationalizing premature or rapid ejaculation. J Sex Res2001; 38: 369. Google Scholar 18 : Premature or rapid ejaculation: heterosexual couples’ perceptions of men’s ejaculatory behavior. Arch Sex Behav2003; 32: 261. Google Scholar 19 : How does premature ejaculation impact a man’s life?. J Sex Marital Ther2003; 29: 361. Google Scholar 20 : Marital problems and sexual dysfunction: how are they related?. Br J Psychiatry1988; 152: 629. Google Scholar © 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byYang B, Hong Z, Luse D, Han Y, Sun G, Feng Y, Zhang C, Sun C, Xu Z, Chen H, Yao B, Liu K, Zhu W, Chen Y, Wang R, Dai Y and Xia J (2021) The Diagnostic Role of Neurophysiological Tests for Premature Ejaculation: A Prospective Multicenter StudyJournal of Urology, VOL. 207, NO. 1, (172-182), Online publication date: 1-Jan-2022.Limoncin E, Tomassetti M, Gravina G, Ciocca G, Carosa E, Di Sante S, Gentile V, Mirone V, Montorsi F, Lenzi A and Jannini E (2012) Premature Ejaculation Results in Female Sexual Distress: Standardization and Validation of a New Diagnostic Tool for Sexual DistressJournal of Urology, VOL. 189, NO. 5, (1830-1835), Online publication date: 1-May-2013. Volume 177Issue 3March 2007Page: 1059-1064 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordssexual dysfunctionsdiagnosissexual partnerslogistic modelsejaculationpsychologicalMetricsAuthor Information Raymond C. Rosen New England Research Institutes, Watertown, Massachusetts Financial interest and/or other relationship with Johnson & Johnson, Pfizer Inc., Lilly Icos, Bayer, Sanofi-Aventis and Auxilium. More articles by this author Chris G. McMahon Australian Centre for Sexual Health, Sydney, Australia Nothing to disclose. More articles by this author Craig Niederberger University of Illinois, Chicago, Illinois Financial interest and/or other relationship with Sanofi, Auxilium, Myogen, Schering, Pfizer, GSK, Lilly ICOS and Federal Trade Commission. More articles by this author Gregory A. Broderick Mayo Clinic, Jacksonville, Florida Financial interest and/or other relationship with Eli Lilly, Johnson & Johnson – OrthoUrology and Pfizer. More articles by this author Carol Jamieson Johnson & Johnson Pharmaceutical Services, LLC, Raritan, New Jersey Financial interest and/or other relationship with Johnson & Johnson. More articles by this author Dennis D. Gagnon Johnson & Johnson Pharmaceutical Services, LLC, Raritan, New Jersey Financial interest and/or other relationship with Johnson & Johnson Pharmaceutical Services, LLC. More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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