Disturbi eiaculatori
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I DISTURBI DELLA I DISTURBI DELLA EIACULAZIONEEIACULAZIONE
Prof. ALESSANDRO NATALI
Responsabile Servizio Andrologia Urologica
Clinica Urologica I
Università di Firenze
EIACULATIO PRAECOX E PDE5EIACULATIO PRAECOX E PDE5--IsIs138 138 menmen (PE) (PE) ((meanmean ageage 29 29 yearsyears))
••DecreaseDecrease frequencyfrequency PEPE
••IncreaseIncrease IVELT (IVELT (p=p= <0,05)<0,05)
((IntraVaginalIntraVaginal EjaculatoryEjaculatory LatencyLatency Time)Time)
3 months
38 pts. Lidocaine applications
42 pts SSRI 20mg once daily
SSRI 20mg once daily
58 pts (60%) +
Sildenafil (25-100mg) 1h before sex
Chen J. et al. Efficacy of Sildenafil as adjuvant therapy to SSRI in PE Urology 2003
38 men (PE) (mean age 45 years)
••DecreaseDecrease frequencyfrequency PEPE••IncreaseIncrease IVELT IVELT ((p=p= <0,05)<0,05)((IntraVaginalIntraVaginal EjaculatoryEjaculatory LatencyLatency Time)Time)
3 monthsSildenafil50-100 mg 1h before
sex
36 pts(95%)
Lobik L. et al. The effect of sildenafil in the treatment of PE J. Urol. 2003