Premature Ejaculation: From Etiology to Diagnosis and Treatment

Front Cover
Emmanuele Jannini, Chris G. McMahon, Marcel D. Waldinger
Springer Science & Business Media, Aug 31, 2012 - Medical - 383 pages
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Premature ejaculation (PE) is a common male sexual complaint, with a self-reported prevalence of 20–30% in observational studies. Over the past 10–20 years, our understanding of PE has evolved from the initial premise that it is a psychological disorder to the current recognition of an underlying biological and probably genetic predisposition in many cases. This new understanding has been accompanied by novel approaches to the assessment and treatment of patients with PE.

Premature Ejaculation is the first truly contemporary reference volume on the subject. It covers a broad range of aspects relevant to PE, including past and current definitions of the condition, the etiology of PE, its epidemiology, the impact of PE on both the patient and his partner, and the treatment of PE using pharmacotherapy and/or psychotherapy/cognitive behavioral therapy. The book is well illustrated and referenced, and the primary focus throughout is on evidence-based medicine.

This timely and authoritative volume will be of great value to sexual health physicians, andrologists, endocrinologists, urologists, psychiatrists, sexologists, psychologists, and other interested healthcare professionals.

 

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Contents

1 Introduction
1
2 History of Premature Ejaculation
5
3 Anatomy and Physiology of Ejaculation
25
4 Epidemiology of Premature Ejaculation
45
5 Taxonomy of Ejaculatory Disorders and Definitions of Premature Ejaculation
53
6 Pathophysiology of Lifelong Premature Ejaculation
71
7 Pathophysiology of Acquired Premature Ejaculation
81
The Intrapsychic Risk Factor
99
16 Patient Reported OutcomeOutcomes Used in the AssessmentAssessment of Premature EjaculationPremature Ejaculation
199
17 Treatment of Premature Ejaculation with Cognitive Behavioral Therapy
213
18 The Psychodynamic Approach to Premature Ejaculation
221
19 Treatment of Premature Ejaculation with Selective Serotonin ReUptake Inhibitors
229
20 Treatment of Premature Ejaculation with Dapoxetine
241
21 Use of Local Anesthetics in the Treatment of Premature Ejaculation
263
22 Secondary Premature Ejaculation
273
23 Treatment of Premature Ejaculation and Comorbid Endocrine and Metabolic Disorders
289

The Genetic Risk Factor
111
10 Twin Studies and Quantitative GeneticsQuantitative Genetics in Premature Ejaculation Research
125
The Relational Risk Factor
133
12 Endocrine Control of Ejaculation
141
The Urological Risk Factor
159
The Neurological Risk Factor and the Local Hypersensitivity
167
Experimental Psychology in the Evaluation of Premature EjaculationEjaculation
187
24 Complementary Surgical and Experimental Modalities for Management of Premature Ejaculation
305
The Office Management of Premature Ejaculation
331
Observational Intervention and Intervention Preference Studies
349
27 Future Treatments of Premature Ejaculation
359
Psychometric Tools for Premature Ejaculation and Related Erectile Dysfunction
371
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