Médecine de la Reproduction, CHU de Toulouse, site de Paule de Viguier, Toulouse, France; Département d'urologie, transplantation rénale et andrologie, Hôpital Rangueil, CHU de Toulouse, Toulouse, France; UMR DEFE Inserm 1203, université de Toulouse III, université de Montpellier, Montpellier, France.
Cabinet de sexologie, 19 bis, rue Magnol, 34000 Montpellier, France.
Fr J Urol. 2024 Sep;34(9):102697. doi: 10.1016/j.fjurol.2024.102697. Epub 2024 Jul 11.
The Association Interdisciplinaire Post-Universitaire de Sexologie (AIUS) has brought together a panel of experts to draw up French recommendations for the management of premature ejaculation. This article presents the recommendations for the diagnosis and evaluation of premature ejaculation.
Systematic review of the literature between 01/1995 and 02/2022. Using the method of recommendations for clinical practice (RPC).
We recommend using the SIAMS definition for everyday clinical practice. PE is defined as: (i) a persistent and recurrent subjective perception of loss of control (management) of the ejaculatory mechanism in the presence of appropriate erotic stimuli; (ii) subjective, PE-related distress induced in the patient and sexual dissatisfaction or PE-related anorgamy in the partner; (iii) a short intravaginal ejaculatory latency time, whether subjectively perceived by the patient and the partner or objectively measured as less than 180seconds (generally). We suggest that the same definition be applied to practices other than vaginal penetration, such as masturbation, oral or anal intercourse, as well as to non-heterosexual contexts. We suggest using information reported by the patient, possibly supplemented by assessment tests/questionnaires (IPE, PEP, PEDT). We recommend investigating the presence of other sexual dysfunctions, in particular erectile dysfunction (ED), as well as any sexual dysfunctions of partners. We recommend taking a medical and psychosexological history, and carrying out a targeted physical examination in patients complaining of PE.
These recommendations should help to improve the management of PE.
性学大学后跨学科协会（AIUS）汇集了一组专家，制定了法国早泄管理的建议。本文提出了早泄的诊断和评估建议。
对 1995 年 1 月至 2022 年 2 月期间的文献进行系统回顾。采用临床实践建议（RPC）方法。
我们建议在日常临床实践中使用 SIAMS 定义。PE 被定义为：（i）存在适当的性刺激时，对射精机制失去控制（管理）的持续和反复出现的主观感知；（ii）患者主观的、与 PE 相关的痛苦以及性伴侣的性不满或与 PE 相关的性交障碍；（iii）阴道内射精潜伏期短，无论是患者和性伴侣主观感知到的还是客观测量到的少于 180 秒（通常）。我们建议将相同的定义应用于阴道内插入以外的其他实践，例如手淫、口交或肛交，以及非异性恋环境。我们建议使用患者报告的信息，可能辅以评估测试/问卷（IPE、PEP、PEDT）。我们建议调查是否存在其他性功能障碍，特别是勃起功能障碍（ED），以及性伴侣的任何性功能障碍。我们建议对出现 PE 症状的患者进行医学和性心理史调查，并进行针对性体检。
这些建议应有助于改善 PE 的管理。
