Dos Reis Margareth de Mello Ferreira, Barros Eduardo Augusto Corrêa, Monteiro Leonardo, Pazeto Cristiano Linck, Baccaglini Willy, Glina Sidney
Psychological Care, Sexual Medicine Outpatient Clinic, Urology Department, Faculdade de Medicina do ABC, São Paulo, Brazil.
Sexual Medicine Outpatient Clinic, Urology Department, Faculdade de Medicina do ABC, São Paulo, Brazil.
Sex Med. 2022 Feb;10(1):100463. doi: 10.1016/j.esxm.2021.100463. Epub 2021 Dec 8.
Premature ejaculation (PE) prevalence can vary according to different definitions, assessment methods and populational demographics and culture.
To investigate the differences between men classified as having "probable PE" (PEDT≥11), "possible PE" (PEDT = 9 or 10) or "no PE" (PEDT≤8) according to the Premature Ejaculation Diagnostic Tool (PEDT) criteria in regard to sociodemographic characteristics, and sexual and relational behavior. To assess the agreement of prevalence of PE according to 3 assessment methods: (i) the ejaculation latency time (ELT) according to the participant's memory; (ii) PEDT and (iii) a direct question about the self-perception of ejaculation as being normal, too early (premature) or retarded.
In this web-based cross-sectional study, men aged ≥ 18 years living in the metropolitan region of São Paulo, Brazil, responded anonymously to an online survey. We used multinomial regression to estimate the association between PE according PEDT criteria and other features and the kappa coefficient to estimate agreement between the assessment methods.
Association between PEDT-PE, sociodemographic characteristics and sexual and relational behaviors; agreement between PEDT, ELT and self-perception of PE.
Obesity, trying to hold back ejaculation, short or nonexistent foreplay and age <30 years were associated with PEDT ≥11. Men who considered that latency was shorter for oral, anal and vaginal sex than for masturbation were more likely to have probable PE according to PEDT. Possible PE (PEDT scores 9/10) was associated with trying to hold back ejaculation and considering time for ejaculation shorter for vaginal sex. There was fair agreement between assessments (kappa 0.39; CI:0.28 -0.42; P < .001).
PE prevalence varies according to instruments and cut-offs used, with fair agreement between them. This finding shows that the methods evaluate different aspects of the EP syndrome and they must be combined to allow the discrimination between the different types of PE and treatments. Clinical approaches should consider the sexual behavior and relationship of the patient and their distress. dos Reis M de MF, Barros EAC, Monteiro L, et al. Premature Ejaculation Among Internet Users Living in the Metropolitan Region of São Paulo, Brazil: A Cross-Sectional Comparison Between the Premature Ejaculation Diagnostic Tool (PEDT) and Patient-Reported Latency Time and Perception. Sex Med 2022;10:100463.
早泄（PE）的患病率会因不同的定义、评估方法以及人群的人口统计学特征和文化而有所不同。
根据早泄诊断工具（PEDT）标准，调查被归类为患有“可能早泄”（PEDT≥11）、“可能早泄”（PEDT = 9或10）或“无早泄”（PEDT≤8）的男性在社会人口学特征、性行为和关系行为方面的差异。根据三种评估方法评估早泄患病率的一致性：（i）根据参与者记忆的射精潜伏期时间（ELT）；（ii）PEDT；（iii）一个关于射精自我认知是正常、过早（早泄）还是延迟的直接问题。
在这项基于网络的横断面研究中，居住在巴西圣保罗大都市区的18岁及以上男性对在线调查进行了匿名回复。我们使用多项回归来估计根据PEDT标准的早泄与其他特征之间的关联，并使用kappa系数来估计评估方法之间的一致性。
肥胖、试图抑制射精、前戏时间短或没有前戏以及年龄<30岁与PEDT≥11相关。根据PEDT，那些认为口交、肛交和阴道性交的潜伏期比手淫短的男性更有可能患有可能早泄。可能早泄（PEDT评分为9/10）与试图抑制射精以及认为阴道性交射精时间较短有关。评估之间存在中等程度的一致性（kappa 0.39；CI：0.28 - 0.42；P <.001）。
早泄患病率因所使用的工具和临界值而异，它们之间存在中等程度的一致性。这一发现表明，这些方法评估了早泄综合征的不同方面，必须将它们结合起来，以便区分不同类型的早泄和治疗方法。临床方法应考虑患者的性行为、关系及其困扰。多斯·雷斯M·德·MF、巴罗斯EAC、蒙泰罗L等。巴西圣保罗大都市区互联网用户中的早泄：早泄诊断工具（PEDT）与患者报告的潜伏期时间和认知之间的横断面比较。性医学2022；10：100463。
