Department of Psychology, Valparaiso University, Valparaiso, IN, USA.
Center for Marital and Sexual Health of South Florida, Greenacres, FL, USA and Case Western Reserve School of Medicine, Cleveland, OH, USA.
Sex Med Rev. 2022 Apr;10(2):323-340. doi: 10.1016/j.sxmr.2021.11.003. Epub 2022 Jan 4.
Fifteen years have passed since the International Society of Sexual Medicine first established the 3-pronged criteria for premature ejaculation (PE): a short ejaculation latency, lack of ejaculatory control, and bother/distress. Although the process of establishing valid criteria for any condition or disorder is an ongoing one, a dearth of targeted research on these criteria has hindered professional societies from updating and revising them.
To review and critique existing criteria used in the diagnosis of PE, to identify specific problems with them, and to recommend studies that will address shortcomings.
Each of the PE criteria was evaluated and compared against standard procedures for establishing validated measures. Following each analysis, targeted research to address the gaps has been recommended.
Each PE criterion has shortcomings and each can be improved by using standard validation procedures, as noted by the targeted research outcomes. Professional societies can play an important role by encouraging broad participation in research that generates new and relevant data supporting, validating, or challenging the existing criteria.
The concepts underlying the diagnostic criteria for PE have both broad consensus and functional utility. Nevertheless, much of the research investigating PE has uncritically adopted these criteria without concomitantly recognizing their limitations. These limitations prevent determining accurate prevalence rates, interpreting research findings with confidence, and establishing efficacious treatment outcomes. Rowland DL, Althof SE, McMahon CG. The Unfinished Business of Defining Premature Ejaculation: The Need for Targeted Research. Sex Med Rev 2022;10:323-340.
自国际性医学会首次确立早泄（PE）的三向标准以来，已经过去了 15 年：射精潜伏期短、缺乏射精控制和烦恼/痛苦。尽管为任何疾病或障碍建立有效标准的过程是一个持续的过程，但针对这些标准的针对性研究不足，阻碍了专业协会对其进行更新和修订。
回顾和批评用于诊断 PE 的现有标准，确定它们存在的具体问题，并推荐研究来解决这些问题。
评估每个 PE 标准，并将其与建立有效措施的标准程序进行比较。在每次分析之后，都推荐了有针对性的研究来解决这些差距。
每个 PE 标准都存在缺陷，并且每个标准都可以通过使用标准验证程序来改进，正如有针对性的研究结果所指出的。专业协会可以通过鼓励广泛参与研究来发挥重要作用，这些研究可以生成支持、验证或挑战现有标准的新的和相关数据。
PE 诊断标准背后的概念既有广泛共识，也有功能实用性。尽管如此，许多研究 PE 的研究都不假思索地采用了这些标准，而没有同时认识到它们的局限性。这些局限性妨碍了确定准确的患病率、有信心地解释研究结果以及建立有效的治疗效果。Rowland DL、Althof SE、McMahon CG。定义早泄的未尽事宜：需要有针对性的研究。性医学评论 2022；10:323-340.
