中国中年早泄男性自我估计的阴道内射精潜伏期与国际前列腺症状评分之间的关系。

The relationship between self-estimated intravaginal ejaculatory latency time and International Prostate Symptom Score in middle-aged men complaining of ejaculating prematurely in China.

作者信息

Zhang Xiansheng, Tang Dongdong, Xu Chuan, Gao Pan, Hao Zongyao, Zhou Jun, Liang Chaozhao

机构信息

Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

出版信息

J Sex Med. 2015 Mar;12(3):705-12. doi: 10.1111/jsm.12811. Epub 2015 Jan 29.

DOI:10.1111/jsm.12811

PMID:25630352

Abstract

INTRODUCTION

Some factors associated with the four premature ejaculation (PE) syndromes have been studied, but the association between International Prostate Symptom Score (IPSS) and the four PE syndromes has not been investigated.

AIMS

We performed this study to evaluate the association between IPSS and intravaginal ejaculatory latency time (IELT) in men with the four PE syndromes.

METHODS

From June 2012 to January 2014, a total of 690 men aged 40-59 years complaining of ejaculating prematurely and another 452 male healthy subjects of the same age without these complaints were included in this study. Men with the complaints of ejaculating prematurely were classified as one of the four PE syndromes: lifelong PE, acquired PE (APE), variable PE, and subjective PE. Each of them completed a detailed questionnaire including information on demographics, medical and sexual history (e.g., self-estimated IELT), IPSS, and International Index of Erectile Function-5.

MAIN OUTCOME MEASURES

Associations between IPSS and self-estimated IELT in middle-aged men with the four PE syndromes.

RESULTS

Men complaining of ejaculating prematurely reported higher IPSS (11.2 ± 6.0 vs. 5.5 ± 3.3 ) and shorter self-estimated IELT (2.1 ± 1.6 minutes vs. 4.8 ± 3.3) than men without complaints (P < 0.001 for each). By unilabiate analysis, self-estimated IELT in men with the four PE syndromes showed significant correlations with IPSS (P < 0.001 for all). After adjusting for age, self-estimated IELT was negatively associated with IPSS in men with PE complaints (adjusted r = -0.378, P < 0.001). Also, the association was stronger in men with APE (adjusted r = -0.502, P < 0.001).

CONCLUSIONS

Men complaining of ejaculating prematurely reported worse IPSS than men without these complaints. Self-estimated IELT was negatively associated with IPSS in men complaining of ejaculating prematurely, and the correlation was the strongest in men with APE.

摘要

引言

已经对与四种早泄（PE）综合征相关的一些因素进行了研究，但国际前列腺症状评分（IPSS）与四种PE综合征之间的关联尚未得到研究。

目的

我们进行这项研究以评估IPSS与患有四种PE综合征男性的阴道内射精潜伏期（IELT）之间的关联。

方法

2012年6月至2014年1月，本研究纳入了690名年龄在40 - 59岁之间主诉早泄的男性以及另外452名同年龄段无这些主诉的男性健康受试者。主诉早泄的男性被分为四种PE综合征之一：终身性PE、获得性PE（APE）、变异性PE和主观性PE。他们每人都完成了一份详细问卷，包括人口统计学、医学和性病史（如自我估计的IELT）、IPSS以及国际勃起功能指数-5等信息。

主要观察指标

IPSS与患有四种PE综合征中年男性自我估计的IELT之间的关联。

结果

主诉早泄的男性报告的IPSS更高（11.2±6.0对5.5±3.3），且自我估计的IELT更短（2.1±1.6分钟对4.8±3.3），均高于无主诉的男性（每项P < 0.001）。通过单因素分析，患有四种PE综合征男性的自我估计IELT与IPSS显示出显著相关性（所有P < 0.001）。在调整年龄后，主诉早泄男性的自我估计IELT与IPSS呈负相关（调整后r = -0.378，P < 0.001）。此外，在患有APE的男性中这种关联更强（调整后r = -0.502，P < 0.001）。