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肛门括约肌控制训练和医疗器械治疗早泄的疗效:一项多中心随机对照临床试验。

Efficacy of Sphincter Control Training and medical device in the treatment of premature ejaculation: A multicenter randomized controlled clinical trial.

机构信息

Research Area, Murcian Institute of Sexology, Murcia, Spain.

Department of Health Psychology, University Miguel Hernández of Elche, Elche, Spain.

出版信息

PLoS One. 2021 Sep 21;16(9):e0257284. doi: 10.1371/journal.pone.0257284. eCollection 2021.

Abstract

A new line of treatment for premature ejaculation (PE) based on the use of masturbation aid device in combination with behavioral techniques has emerged in recent years. We report a multicenter randomized clinical trial with a parallel group design to determine the effectiveness of an electronic device called Myhixel I© in the treatment of PE. Forty patients who met the criteria for the diagnosis of lifelong PE, were assigned to two treatment groups completed the Sphincter control training (SCT) program in eight weeks. The only difference between groups was the use of the device. The main measure was the "fold increase" (FI) of the intravaginal ejaculatory latency time (IELT). The geometric means of IELT show, at the end of the treatment at week 8, a superiority of the device group. The mean FI 4.27 (SD 2.59) at the end of treatment for the device group was clearly higher than obtained in the previous clinical trial, in which a specific medical device was not used. No side effects were observed and it required little therapeutic input and no partner involvement. The SCT program in combination with the Myhixel I© is an effective treatment for PE.

摘要

近年来,一种基于使用自慰辅助器具结合行为技术的治疗早泄 (PE) 的新方法出现了。我们报告了一项多中心随机临床试验,采用平行组设计,以确定一种名为 Myhixel I© 的电子设备在治疗 PE 中的有效性。四十名符合终身 PE 诊断标准的患者被分配到两个治疗组,在八周内完成括约肌控制训练 (SCT) 计划。两组之间唯一的区别是使用设备。主要措施是阴道内射精潜伏期时间 (IELT) 的“折叠增加” (FI)。IELT 的几何平均值显示,在治疗结束时第 8 周,设备组具有优势。在治疗结束时,设备组的平均 FI 为 4.27(SD 2.59),明显高于之前未使用特定医疗器械的临床试验中获得的结果。未观察到副作用,且所需的治疗投入和伴侣参与度都很低。SCT 计划结合 Myhixel I© 是治疗 PE 的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97c/8454929/d74948f76748/pone.0257284.g001.jpg

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