Nat Clin Pract Urol. 2008 Feb;5(2):93-103.
Bettocchi C, Verze P, Palumbo F, Arcaniolo D, Mirone V.
Department of Urology, University of Bari, Italy.
Ejaculatory dysfunction (EjD) is one of the most common male sexual disorders, yet EjD is still frequently misdiagnosed or overlooked as a result of numerous patient and physician barriers. The wide spectrum of EjD ranges from premature or rapid ejaculation, through delayed ejaculation, to a complete inability to ejaculate--otherwise known as anejaculation--and includes retrograde ejaculation and painful ejaculation. Conventional algorithms for managing ejaculatory disorders are based either on an organic or psychogenic etiology, with the latter more traditionally considered the main cause. This paper reviews physiopathological, diagnostic and therapeutic aspects of ejaculation disorders, with a particular focus on the most prevalent disorder, premature ejaculation.
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Bettocchi C, Verze P, Palumbo F, Arcaniolo D, Mirone V.
Department of Urology, University of Bari, Italy.
Ejaculatory dysfunction (EjD) is one of the most common male sexual disorders, yet EjD is still frequently misdiagnosed or overlooked as a result of numerous patient and physician barriers. The wide spectrum of EjD ranges from premature or rapid ejaculation, through delayed ejaculation, to a complete inability to ejaculate--otherwise known as anejaculation--and includes retrograde ejaculation and painful ejaculation. Conventional algorithms for managing ejaculatory disorders are based either on an organic or psychogenic etiology, with the latter more traditionally considered the main cause. This paper reviews physiopathological, diagnostic and therapeutic aspects of ejaculation disorders, with a particular focus on the most prevalent disorder, premature ejaculation.
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NOSSA OPINIÃO:
NOSSA OPINIÃO:
A ejaculação precoce é quase sempre de causa emocional e deve ser tratada obrigatoriamente com a participação de um psicologo, junto com o urologista. O ideal é a terapia combinada e o tratamento dura de 2 a 3 meses.
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