Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Sohag University, Sohag 82749, Egypt.
Department of Urology, Hamad Medical Corporation and Weill Cornell Medicine-Qatar, Doha 00974, Qatar.
Asian J Androl. 2019 Sep-Oct;21(5):425-432. doi: 10.4103/aja.aja_122_18.
Premature ejaculation (PE) is the most common male sexual dysfunction, which represents a diagnostic as well as a therapeutic challenge for physicians. However, no universally accepted definition is currently available for PE. As a result, physicians continue to diagnose patients with PE according to major guidelines set by the professional societies. These guidelines either recommend the use of validated questionnaires or patient-reported outcomes. Recent efforts directed toward classifying PE may help provide a better understanding of the prevalence and risk factors of this disorder. While the exact etiology of PE has not been clearly elucidated, several risk factors have been strongly reported in the literature. Clearly, to understand the revised definition of PE, its etiology and pathophysiology is necessary to improve the clinical management of this medical condition and form the basis of future research in this regard. In this review, we highlight the past and current definitions of PE and present an appraisal on the classifications and theories suggested for the etiopathogenesis of PE.
早泄（PE）是最常见的男性性功能障碍，这对医生来说既是诊断上的挑战，也是治疗上的挑战。然而，目前还没有一个被普遍接受的 PE 定义。因此，医生们继续根据专业协会制定的主要指南来诊断患有 PE 的患者。这些指南要么推荐使用经过验证的问卷，要么推荐使用患者报告的结果。最近针对 PE 的分类工作可能有助于更好地了解这种疾病的流行率和危险因素。虽然 PE 的确切病因尚未明确阐明，但文献中已经强烈报道了一些危险因素。显然，为了理解 PE 的修订定义、病因和病理生理学，有必要改善这种医疗状况的临床管理，并为这方面的未来研究奠定基础。在这篇综述中，我们强调了过去和现在的 PE 定义，并对 PE 的病因发病机制提出的分类和理论进行了评估。
