Urologist, Istinye University, Istanbul, Turkey.
Psychotherapist, President of IICPI, Ankara, Turkey.
PLoS One. 2023 Aug 10;18(8):e0283091. doi: 10.1371/journal.pone.0283091. eCollection 2023.
The aim of this study is to compare the results of stop-start technique with stop-start technique together with sphincter control training applied in the treatment of premature ejaculation.
This research was conducted as a pre-test post-test quasi-experimental study. The sample of the study consisted of 80 men. The study was conducted on men who applied to the urology outpatient clinic of LIV Hospital, a prıvate hospital, in Gaziantep, Turkey, between 01 October 2021 and 01 March 2022. "Personal Information Form", "Intravaginal Ejaculation Latency Time (IELT)", "Fold Increase Intravaginal Ejaculation Latency Time (F-IELT)" "Premature Ejaculation Diagnostic Tool (PEDT) Questionnaire" and "Arabic Index Premature Ejaculation (AIPE)" were used as the data collection tools. Behavioral therapy, consisting of a total of 6 sessions, was applied once every two weeks, with each session lasting for 45 minutes. After 3rd and 6th months from the beginning of the application, the data collection tools were applied again. "Stop-Start Technique (Group A)" and "Stop-Start Technique and Sphincter Control Training (Group B)" were used in the treatment.
In both groups, the IELT and AIPE values after 3rd and 6th months from the beginning of the application were statistically higher than those obtained before (p<0.05). IELT and AIPE values increased more in Group B than Group A (p<0.05). F-IELT values after 6th months from the beginning of the application were found to be statistically significant with a low level of effect size than those obtained before (p<0.05, Cohen's d = 0.027). In both groups, the PEDT values in the 3rd and 6th months after the application were statistically lower than those seen before (p<0.05). PEDT value decreased more in Group B than Group A (p<0.05). The differences between the two groups' IELT (Cohen's d = 0.011), AIPE (Cohen's d = 0.044), and PEDT (Cohen's d = 0.066) values in the 3rd month after the application and IELT (Cohen's d = 0.025), AIPE (Cohen's d = 0.048), and PEDT (Cohen's d = 0.024) values in the 6th month after the application were found to be clinically weak.
It was determined that the stop-start technique given to men with premature ejaculation increased the time spent in the vagina and eliminated the problem of premature ejaculation. It was determined that the stop-start technique in combination with sphincter control training were more effective than the stop-start technique alone.
本研究旨在比较停止-启动技术与停止-启动技术联合括约肌控制训练在治疗早泄中的效果。
这是一项预测试后测试的准实验研究。研究对象为 80 名男性。该研究在土耳其加济安泰普市 LIV 医院泌尿科门诊进行，研究时间为 2021 年 10 月 1 日至 2022 年 3 月 1 日。研究工具包括个人信息表、阴道内射精潜伏期时间（IELT）、阴道内射精潜伏期时间增加率（F-IELT）、早泄诊断工具（PEDT）问卷和阿拉伯早泄指数（AIPE）。行为疗法共 6 个疗程，每两周进行一次，每次 45 分钟。在应用开始后的第 3 个月和第 6 个月再次应用这些数据采集工具。治疗组采用“停止-启动技术（A 组）”和“停止-启动技术联合括约肌控制训练（B 组）”。
在两组中，应用开始后第 3 个月和第 6 个月的 IELT 和 AIPE 值均明显高于应用前（p<0.05）。B 组的 IELT 和 AIPE 值增加高于 A 组（p<0.05）。应用开始后第 6 个月的 F-IELT 值较应用前有统计学意义，效应量水平低（p<0.05，Cohen's d = 0.027）。在两组中，应用后第 3 个月和第 6 个月的 PEDT 值均明显低于应用前（p<0.05）。B 组的 PEDT 值下降明显高于 A 组（p<0.05）。应用后第 3 个月和第 6 个月两组的 IELT（Cohen's d = 0.011）、AIPE（Cohen's d = 0.044）和 PEDT（Cohen's d = 0.066）值以及应用后第 6 个月的 IELT（Cohen's d = 0.025）、AIPE（Cohen's d = 0.048）和 PEDT（Cohen's d = 0.024）值差异均具有临床意义（p<0.05）。
给予早泄男性停止-启动技术可增加阴道内射精潜伏期时间并消除早泄问题。停止-启动技术联合括约肌控制训练比单独使用停止-启动技术更有效。
