早泄患者（原发性和获得性）生活质量评估。

Evaluation of the quality of life of patients with premature ejaculation (lifelong and acquired).

机构信息

University of Health Sciences, Prof. Dr. Cemil Tascioglu City Hospital, Department of Urology - Istanbul, Turkey.

Istanbul Training and Research Hospital, Department of Urology - Istanbul, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2022 Sep;68(9):1303-1307. doi: 10.1590/1806-9282.20220421.

DOI:10.1590/1806-9282.20220421

PMID:36228262

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9575024/

Abstract

OBJECTIVE

The aim of this study was to evaluate the quality of life of patients with lifelong and acquired premature ejaculation and to examine its relationship with depression and anxiety.

METHODS

Between February 2017 and January 2018, a total of 175 patients with premature ejaculation and 132 control men who applied to the urology department of the training and research hospital with the complaint of Premature Ejaculation were included. Patients were divided into three groups according to International Society for Sexual Medicine (ISSM) criteria as follows: Group 1, lifelong premature ejaculation; Group 2, acquired premature ejaculation, and Group 3, control group without premature ejaculation. A detailed medical history of patients was obtained and physical examinations were performed. Intravaginal ejaculation latency time (IELT) was recorded and patients were administered International Erectile Function Index-5 (IIEF-5), Premature Ejaculation Diagnostic Tool (PEDT), Sexual Health Inventory for Men (SHIM), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI)-1 and STAI-2, and Short Form-36 (SF-36).

RESULTS

The mean mental component score (MCS) of the SF-36 was 51.65±6.57 in the lifelong premature ejaculation group, 49.33±8.65 in the acquired premature ejaculation group, and 61.12±11.09 in the control group (p<0.0001). The mean physical component score (PCS) was 50.99±7.43 in the lifelong premature ejaculation group, 48.32±11.58 in the acquired premature ejaculation group, and 55.17±8.10 in the control group (p<0.0001). Quality of life of premature ejaculation patients as assessed by SF-36 was lower in the subscales of physical functioning, general health perception, vitality, and role limitations due to emotional functioning, compared to the control group.

CONCLUSIONS

Lifelong and acquired premature ejaculation patients deteriorate their quality of life: the deterioration in these patients' quality of life also negatively affects their depression and anxiety states.

摘要

目的

本研究旨在评估终身性和获得性早泄患者的生活质量，并探讨其与抑郁和焦虑的关系。

方法

2017 年 2 月至 2018 年 1 月，共纳入 175 例早泄患者和 132 例因早泄至培训与研究医院泌尿科就诊的对照组男性。根据国际性行为医学会（ISSM）标准，患者被分为三组：第 1 组为终身性早泄，第 2 组为获得性早泄，第 3 组为无早泄的对照组。详细询问患者病史并进行体格检查。记录阴道内射精潜伏期时间（IELT），并对患者进行国际勃起功能指数-5（IIEF-5）、早泄诊断工具（PEDT）、男性性健康问卷（SHIM）、贝克抑郁量表（BDI）、状态-特质焦虑量表（STAI）-1 和 STAI-2、以及 36 项简短健康调查量表（SF-36）评估。

结果

在终身性早泄组中，SF-36 的平均心理成分评分（MCS）为 51.65±6.57，在获得性早泄组中为 49.33±8.65，在对照组中为 61.12±11.09（p<0.0001）。平均生理成分评分（PCS）在终身性早泄组中为 50.99±7.43，在获得性早泄组中为 48.32±11.58，在对照组中为 55.17±8.10（p<0.0001）。与对照组相比，SF-36 评估的早泄患者的生活质量在生理功能、总体健康感知、活力和因情感功能导致的角色限制等方面较低。