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Abstract：
We aimed to investigate of whether atypical masturbation behaviour is a pre-disposing factor in ED aetiology in pre-mature ejaculation (PE) patients. In addition to demographic data, self-estimated intravaginal ejaculatory latency time (IELT) was prospectively questioned in 2,572 patients between the ages of 18 and 60 who applied with the complaint of pre-mature ejaculation between March 2018 and May 2020. The masturbation habits of the patients were questioned with open-ended questions. After the exclusion criteria, 1,819 patients were evaluated. One thousand one hundred-fifty (63.2%) of patients were classified as lifelong PE, 369 (20.3%) were acquired PE, while 300 (16.5%) were natural-variable PE. According to the IIEF score, 714 patients (39.3%) had ED associated with PE. Eighty-eight per cent of men declared that they had masturbated in the last 4 weeks. Atypical masturbatory behaviours such as \'through clothes\' and \'rubbing in prone position\' were significantly higher in patients with ED (13% vs. 9%, p = .04 and 11% vs. 7%, p = .02 respectively). Atypical masturbatory behaviours are also seen in a significant part of the pre-mature ejaculation population and increase the rate of erectile dysfunction accompanying PE. This situation draws attention to the necessity of questioning masturbation habits, especially in the combination of PE and ED.
摘要：
我们旨在调查不典型的手淫行为是否是早泄（PE）患者ED病因的诱发因素。除了人口统计数据，在2018年3月至2020年5月期间,对2,572例年龄在18至60岁之间的患者进行了自我估计的阴道内射精潜伏期(IELT)的前瞻性询问.患者的手淫习惯受到开放式问题的质疑。排除标准之后，对1,819例患者进行了评估。一千一百五十（63.2%）的患者被归类为终身PE，369人（20.3%）获得PE，300（16.5%）是自然变量PE。根据IIEF的评分,714例（39.3%）患者有与PE相关的ED。88%的男性声称他们在过去4周内手淫过。ED患者的非典型自慰行为，例如“通过衣服”和“俯卧位摩擦”明显更高（13％与9%,p=.04和11%与7%,分别为p=.02）。在早泄人群的很大一部分中也看到了非典型的手淫行为，并增加了伴随PE的勃起功能障碍的发生率。这种情况引起了人们对质疑手淫习惯的必要性的关注，尤其是在PE和ED的结合中。
