射精後持續性交之新行為療法治療早洩病人的有效性
陳煜、謝明里、黃世聰、黃信介、許毓昭、張博誌、李威昌
林口長庚紀念醫院 外科部泌尿科
The efficacy of a new behavioral therapy with non-stop technique in the treatment of premature ejaculation
Divisions of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan
Yu Chen, Ming-Li Hsieh, Shih-Tsung Huang, Hsin-Chien Huang,
Yu-Chao Hsu, Po-Chih Chang and Wei-Chang Lee
Purpose: Premature ejaculation is a common consultation in urological clinic. This study is designed to compare the early outcome of a new behavioral therapy with non-stop technique and traditional behavioral therapy in the treatment of patients with premature ejaculation.
Materials and Methods: Between Jan 2015 and Jun 2016, 80 patients who were diagnosed of premature ejaculation (IELT < 1 min) with normal erectile function, stable sexual partners and without associate underlying diseases were included and were randomized divided into two groups (study and control group, 40 patients each, respectively). The patients in study group were informed to keep vaginal penetration even after ejaculation with condom used. The risk of pregnancy of his sexual partner was told too. The patients in control group were taught to carry out the traditional behavioral therapy included stop and start technique or squeeze technique with condom used. Ejaculatory latency increased more than 50% of the baseline and 30 seconds more on patients who ejaculated at the time of vaginal penetration after 3 months practice were considered to be effective. The maintaining time to keep rigidity after ejaculation in the study group will be recorded too.
Results: The mean ages of the study and control groups were 25.2±5.3 and 25.8±4.5 years, respectively. The average weekly coital frequency is similar to both groups (1.6 per week and 1.8 per week in study and control groups, respectively) before the training course. The effective rate in study and control group was 63% (25/40) and 33% (13/40), respectively (P＜0.01). Mean increased ejaculatory latency time in study group and control group was 3.6 minutes and 2.5 minutes, respectively. On the other hand, the mean maintaining time to keep rigidity after ejaculation in the study group was 1.2±0.4 minutes during the training course.
No side effect included pregnancy of their sexual partners was noted in both groups.
Conclusion: The new behavioral therapy with non-stop technique appears to provide better effect and immediate benefit to traditional behavioral therapy in patients with premature ejaculation.