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KMID : 1037120130310030226
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The World Journal of Men′s Health
2013 Volume.31 No. 3 p.226 ~ p.231
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Urologist’s Practice Patterns Including Surgical Treatment in the Management of Premature Ejaculation: A Korean Nationwide Survey
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Yang Dae-Yul
Ko Kyung-Tae
Lee Won-Ki
Park Hyun-Jun
Lee Sung-Won
Moon Ki-Hak
Kim Sae-Woong
Kim Soo-Woong
Kang Su-Cho
Moon Du-Geon
Min Kweon-Sik
Yang Sang-Kuk
Son Hwan-Cheol
Park Kwang-Sung
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Abstract
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Purpose: According to previous studies, the prevalence of premature ejaculation (PE) in Korea ranges from 11.3% to 33%. However, the actual practice patterns in managing patients with PE is not well known. In this study, we have endeavored to determine how contemporary urologists in Korea manage patients with PE.
Materials and Methods: The e-mailing list was obtained from the Korean Urological Association Registry of Physicians. A specifically designed questionnaire was e-mailed to the 2,421 urologists in Korea from May 2012 to August 2012.
Results: Urologists in Korea diagnosed PE using various criteria: the definition of the International Society for Sexual Medicine (63.4%), Diagnostic and Statistical Manual of Mental Disorders (43.8%), International Statistical Classification of Disease, 10th edition (61.7%), or perceptional self-diagnosis by the patient himself (23.5%). A brief self-administered questionnaire, the Premature Ejaculation Diagnostic Tool, was used by only 42.5% of the urologists. Selective-serotonin reuptake inhibitor (SSRI) therapy was the main treatment modality (91.5%) for PE patients. 40.2% of the urologists used phosphodiesterase type 5 inhibitors, 47.6% behavior therapy, and 53.7% local anesthetics. Further, 286 (54.3%) urologists managed PE patients with a surgical modality such as selective dorsal neurotomy (SDN).
Conclusions: A majority of Korean urologists diagnose PE by a multidimensional approach using various diagnostic tools. Most urologists believe that medical treatment with an SSRI is effective in the management of PE. At the same time, surgical treatment such as SDN also investigated as one of major treatment modality despite the lack of scientific evidence.
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KEYWORD
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Physician’s practice patterns, Premature ejaculation, Urologic surgical procedures
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