关键词: Definition Diagnostic Criteria Distress/Bother Early Ejaculation Ejaculatory Control Premature Ejaculation Validity

Mesh : Ejaculation Humans Male Premature Ejaculation / diagnosis Sexual Behavior Treatment Outcome

来  源:   DOI:10.1016/j.sxmr.2021.11.003

Abstract:
Fifteen years have passed since the International Society of Sexual Medicine first established the 3-pronged criteria for premature ejaculation (PE): a short ejaculation latency, lack of ejaculatory control, and bother/distress. Although the process of establishing valid criteria for any condition or disorder is an ongoing one, a dearth of targeted research on these criteria has hindered professional societies from updating and revising them.
To review and critique existing criteria used in the diagnosis of PE, to identify specific problems with them, and to recommend studies that will address shortcomings.
Each of the PE criteria was evaluated and compared against standard procedures for establishing validated measures. Following each analysis, targeted research to address the gaps has been recommended.
Each PE criterion has shortcomings and each can be improved by using standard validation procedures, as noted by the targeted research outcomes. Professional societies can play an important role by encouraging broad participation in research that generates new and relevant data supporting, validating, or challenging the existing criteria.
The concepts underlying the diagnostic criteria for PE have both broad consensus and functional utility. Nevertheless, much of the research investigating PE has uncritically adopted these criteria without concomitantly recognizing their limitations. These limitations prevent determining accurate prevalence rates, interpreting research findings with confidence, and establishing efficacious treatment outcomes. Rowland DL, Althof SE, McMahon CG. The Unfinished Business of Defining Premature Ejaculation: The Need for Targeted Research. Sex Med Rev 2022;10:323-340.
摘要:
自从国际性医学学会首次建立早泄(PE)的三管齐下标准以来,十五年过去了:射精潜伏期短,缺乏射精控制,和烦恼/苦恼。尽管为任何疾病或障碍建立有效标准的过程是一个持续的过程,缺乏对这些标准的有针对性的研究,阻碍了专业协会更新和修订这些标准。
回顾和批评用于诊断PE的现有标准,找出他们的具体问题,并推荐将解决缺点的研究。
对每个PE标准进行评估并与标准程序进行比较以建立验证的测量。每次分析后,建议进行有针对性的研究以弥补差距。
每个PE标准都有缺点,每个标准都可以通过使用标准验证程序进行改进,正如有针对性的研究结果所指出的那样。专业协会可以发挥重要作用,鼓励广泛参与产生新的相关数据支持的研究,正在验证,或者挑战现有的标准。
PE诊断标准的基本概念具有广泛的共识和功能实用性。然而,研究PE的大部分研究都不加批判地采用了这些标准,但没有同时认识到它们的局限性.这些限制妨碍了确定准确的患病率,自信地解释研究结果,并建立有效的治疗结果。罗兰DL,AlthofSE,麦克马洪CG。定义早泄的未完成的业务:需要有针对性的研究。《性医学修订版2022》;10:323-340。
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