Regular penis-root masturbation, a novel behavioral therapy in the treatment of primary premature ejaculation

The primary premature ejaculation (PPE) is a common male sexual disorder. We proposed a novel behavioral therapy for PPE through regular penis-root masturbation (PRM). Nine heterosexual men with PPE completed the self-controlled study. After a 3-month PRM training, the median intravaginal ejaculatory latency time (IELT) increased from 60 s to 180 s (P = 0.018), and the mean Premature Ejaculation Diagnostic Tool (PEDT) score decreased from 14.8 ± 3.7 to 12.8 ± 4.1 (P = 0.074). Five out of eight patients had the prolonged dorsal nerve somatosensory evoked potential (DNSEP). The results suggest that PRM has a short-term therapeutic effect. Randomized controlled trials are needed to validate the efficacy.

[1]  Fei Chen,et al.  Short- and long-range synergism disorders in lifelong premature ejaculation evaluated using the functional connectivity density and network property , 2018, NeuroImage: Clinical.

[2]  S. Althof Psychosexual therapy for premature ejaculation , 2016, Translational andrology and urology.

[3]  A. Salonia,et al.  Current Pharmacological Management of Premature Ejaculation: A Systematic Review and Meta-analysis. , 2016, European urology.

[4]  Juza Chen The pathophysiology of delayed ejaculation , 2016, Translational andrology and urology.

[5]  F. Giuliano,et al.  Physiology and Pharmacology of Ejaculation. , 2016, Basic & clinical pharmacology & toxicology.

[6]  E. Kaltenthaler,et al.  Behavioral Therapies for Management of Premature Ejaculation: A Systematic Review , 2015, Sexual medicine.

[7]  S. Sikka,et al.  The characterization, current medications, and promising therapeutics targets for premature ejaculation , 2015, Andrology.

[8]  Yutian Dai,et al.  AB134. A reassessment of penile sensory pathways and effects of prilocaine-lidocaine cream in primary premature ejaculation , 2015, Translational Andrology and Urology.

[9]  I. Ben-Zion,et al.  Unusual masturbatory practice as an etiological factor in the diagnosis and treatment of sexual dysfunction in young men. , 2014, The journal of sexual medicine.

[10]  W. Hellstrom,et al.  An Update of the International Society of Sexual Medicine's Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE) , 2014, Sexual medicine.

[11]  Jiadong Xia,et al.  Clinical characteristics and penile afferent neuronal function in patients with primary delayed ejaculation , 2013, Andrology.

[12]  G. Palleschi,et al.  A prospective randomized study to compare pelvic floor rehabilitation and dapoxetine for treatment of lifelong premature ejaculation. , 2012, International journal of andrology.

[13]  Oscar Eduardo Hidetoshi Fugita Psychosocial interventions for premature ejaculation. , 2012, Sao Paulo medical journal = Revista paulista de medicina.

[14]  I. Goldstein,et al.  International Society for Sexual Medicine's guidelines for the diagnosis and treatment of premature ejaculation. , 2010, The journal of sexual medicine.

[15]  M. Perelman 1254: Idiosyncratic Masturbation Patterns: A Key Unexplored Variable in the Treatment of Retarded Ejaculation by the Practicing Urologist , 2005 .

[16]  J. Semans Premature ejaculation: a new approach. , 1956, Southern medical journal.