Abstract：
BACKGROUND: The narrative surrounding premature ejaculation (PE) has developed and solidified over the past 25 years. Unfortunately, portions of that narrative are outdated and do not reflect more recent conceptualizations or empirical findings regarding this disorder.
OBJECTIVE: In this review we sought to identify existing narratives about PE in need of updating and to provide revised narratives based on the recent research literature.
METHODS: Five PE narratives in need of revision were identified, including: the prevalence of PE, age-related differences in PE prevalence, a validated ejaculation latency (EL) for diagnosing PE, differences between lifelong and acquired PE subtypes, and the application of PE definitions beyond penile-vaginal intercourse. Extensive literature searches provided information supporting both the original narrative and the need for a revised narrative based on both consideration of more recent studies and reinterpretation of studies conducted since the establishment of the original narratives.
RESULTS: For each selected topic, the prevailing narrative based on the extant literature was first presented, followed by discussion of accumulating evidence that challenges the existing narrative. Each section ends with a suggested revised PE narrative. In 2 instances, the revised narrative required significant corrections (eg, PE prevalence, validated EL for diagnosing PE); in 2 instances, it expanded on the existing narrative (eg, PE subtype differences, inclusion of partnered sexual activities beyond penile-vaginal intercourse); and in 2 other instances, it backed off prior conclusions that have since required rethinking (eg, age-related changes in PE, PE subtype differences). Finally, a brief review of the 3-pronged criteria for PE (EL, ejaculatory control, and bother/distress) is presented and discussed.
CONCLUSIONS: This review reiterates the dynamic state of research on PE and demonstrates the need for and value of ongoing research that not only addresses new issues surrounding this dysfunction but also challenges and revises some of the existing narratives about PE.
OBJECTIVE: In this review we sought to identify existing narratives about PE in need of updating and to provide revised narratives based on the recent research literature.
METHODS: Five PE narratives in need of revision were identified, including: the prevalence of PE, age-related differences in PE prevalence, a validated ejaculation latency (EL) for diagnosing PE, differences between lifelong and acquired PE subtypes, and the application of PE definitions beyond penile-vaginal intercourse. Extensive literature searches provided information supporting both the original narrative and the need for a revised narrative based on both consideration of more recent studies and reinterpretation of studies conducted since the establishment of the original narratives.
RESULTS: For each selected topic, the prevailing narrative based on the extant literature was first presented, followed by discussion of accumulating evidence that challenges the existing narrative. Each section ends with a suggested revised PE narrative. In 2 instances, the revised narrative required significant corrections (eg, PE prevalence, validated EL for diagnosing PE); in 2 instances, it expanded on the existing narrative (eg, PE subtype differences, inclusion of partnered sexual activities beyond penile-vaginal intercourse); and in 2 other instances, it backed off prior conclusions that have since required rethinking (eg, age-related changes in PE, PE subtype differences). Finally, a brief review of the 3-pronged criteria for PE (EL, ejaculatory control, and bother/distress) is presented and discussed.
CONCLUSIONS: This review reiterates the dynamic state of research on PE and demonstrates the need for and value of ongoing research that not only addresses new issues surrounding this dysfunction but also challenges and revises some of the existing narratives about PE.
摘要：
背景：在过去的25年中，围绕早泄（PE）的叙述得到了发展和巩固。不幸的是,该叙述的部分是过时的，并不反映最近的概念化或关于这种障碍的经验发现。
目的：在这篇综述中，我们试图确定需要更新的关于体育的现有叙述，并根据最近的研究文献提供修订的叙述。
方法：确定了五个需要修订的体育叙事，包括：PE的患病率，PE患病率的年龄相关差异，用于诊断PE的有效射精延迟（EL），终身和获得性PE亚型之间的差异，以及在阴茎-阴道性交之外的PE定义的应用。广泛的文献搜索提供了支持原始叙事和需要修订叙事的信息，这些信息基于对更多最新研究的考虑和对原始叙事建立以来进行的研究的重新解释。
结果：对于每个选定的主题，首先提出了基于现有文献的流行叙事，接下来是对挑战现有叙述的积累证据的讨论。每个部分都以建议的修订PE叙述结尾。在两种情况下，修订后的叙述需要重大更正(例如，PE患病率，已验证的诊断PE的EL)；在2个实例中，它扩展了现有的叙述(例如，PE亚型差异，包括阴茎-阴道性交以外的伴侣性活动)；在其他两种情况下，它放弃了先前需要重新思考的结论(例如，与年龄相关的PE变化，PE亚型差异)。最后,简要回顾了体育的三管齐下的标准(EL，射精控制,和打扰/困扰)进行了介绍和讨论。
结论：这篇综述重申了PE研究的动态状态，并证明了正在进行的研究的必要性和价值，这些研究不仅解决了围绕这种功能障碍的新问题，而且还挑战和修改了一些现有的关于PE的叙述。
目的：在这篇综述中，我们试图确定需要更新的关于体育的现有叙述，并根据最近的研究文献提供修订的叙述。
方法：确定了五个需要修订的体育叙事，包括：PE的患病率，PE患病率的年龄相关差异，用于诊断PE的有效射精延迟（EL），终身和获得性PE亚型之间的差异，以及在阴茎-阴道性交之外的PE定义的应用。广泛的文献搜索提供了支持原始叙事和需要修订叙事的信息，这些信息基于对更多最新研究的考虑和对原始叙事建立以来进行的研究的重新解释。
结果：对于每个选定的主题，首先提出了基于现有文献的流行叙事，接下来是对挑战现有叙述的积累证据的讨论。每个部分都以建议的修订PE叙述结尾。在两种情况下，修订后的叙述需要重大更正(例如，PE患病率，已验证的诊断PE的EL)；在2个实例中，它扩展了现有的叙述(例如，PE亚型差异，包括阴茎-阴道性交以外的伴侣性活动)；在其他两种情况下，它放弃了先前需要重新思考的结论(例如，与年龄相关的PE变化，PE亚型差异)。最后,简要回顾了体育的三管齐下的标准(EL，射精控制,和打扰/困扰)进行了介绍和讨论。
结论：这篇综述重申了PE研究的动态状态，并证明了正在进行的研究的必要性和价值，这些研究不仅解决了围绕这种功能障碍的新问题，而且还挑战和修改了一些现有的关于PE的叙述。
