早泄诊断和治疗

作者:王晓峰 刊名:中华男科学杂志 上传者:魏洁

【摘要】早泄(premature ejaculation,PE)是临床上最常见的主诉之一,其共同特征为:射精潜伏期缩短、延迟或控制射精的能力下降、并引起患者痛苦/烦恼。目前尚无一致公认的PE定义。不同定义之间争论的焦点是如何设定射精潜伏期(intravaginal ejaculatory latency time,IELT)。新的分类方法将PE分为:原发性、继发性、自然变异性和早泄样射精障碍。不同类型PE发生的病理生理和病因学不同,决定了治疗方案的差异。

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NJA纂Natio nal Journa lofAndrolo gy ·3· l view Article · 专 家 谈 · 早泄诊断和治疗 王晓峰 (北京大学人民医院泌尿外科 ,北京 100044) 【摘要】早泄(premature ejaculation,PE)是临床上最常见的主诉之一,其共同特征为:射精潜伏期缩短、延迟或 控制射精的能力下降、并引起患者痛苦/烦恼。目前尚无一致公认的 PE定义。不同定义之间争论的焦点是如何设 定射精潜伏期(intravaginal ejaculatory latency time,IELT)。新的分类方法将 PE分为:原发性、继发性、自然变异性 和早泄样射精障碍。不同类型 PE发生的病理生理和病因学不同,决定了治疗方案的差异。 【关键词】早泄;阴道内射精潜伏期;控制能力;定义;分类 中图分类号 :R698 文献标志码 :A 文章编号 :1009-3591(加11)01-0003-05 Current situation in the diagnosis and treatment of premature ejaculation WANG Xiao—feng Department of Urology,People's Hospital,Peking University,Beijing 100044,China 【Abstract】As one of the most common complaints in clinical setting,premature ejaculation(PE)is characterized by a very short intravaginal ejaculatory latency time(IELT),the inability to control Or delay ejaculation and negative consequences(bother/dis- tress).At present time,there is no universally accepted definition of PE,and the focus of the controversy on its definition is how to quantify IELT.A new proposal distinguishes PE into 4 categories:lifelong PE,acquired PE,natural variable PE and premature-like e— jaculatory dysfunction.The dierence in the underlying pathophysiology and etiology of dierent PE categories determines the first choice oftreatment. Nail-,Androl,2011,17(1):3—7 【Key words】premature ejaculation;intravaginal ejaculatory latency time;the ability to control;definition;category Correspondence to:W ANG Xiao—feng,email:wwwxx@ sohu.eom Received:June 3,2010;accepted:October 18,2010 早泄(p

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