Abstract
BackgroundPremature ejaculation (PE) is the most common sexual dysfunction in males. A previous qualitative study identified six communication strategies described by GPs to tackle this topic during consultations.AimTo determine whether these six strategies are more effective than usual care for promoting discussion about PE between patients and their GPs.Design and settingCluster randomised controlled trial, stratified in four French regions, with an intervention group (GPs who received a training session on the six communication strategies) and a control group (routine medical care). Participants were males aged 18–80 years consulting for a sexual, urogenital, or psychological reason.MethodThe efficacy of the training session in communication skills, compared with usual care, was evaluated by determining the percentage of patients who discussed PE with their GP (primary outcome). The percentage of enrolled patients with PE was calculated using a cut-off score >9 of the premature ejaculation diagnostic tool (PEDT) completed by the enrolled patients at Week 4 after the consultation. The quality-of-life changes were evaluated as the SF-12 scale score difference between baseline and Week 4 post-consultation.ResultsIn total, 130 patients were included by 32 GPs (n = 16 in the intervention and n = 16 in the control group). The percentage of patients who discussed PE was higher in the intervention group than in the control group (42.0% versus 4.9%, absolute difference = 37.1%; 95% confidence intervals [CI] = 24% to 50%, P<0.001).ConclusionTraining GPs in communication strategies about PE improves its detection.
Highlights
Premature ejaculation (PE) is the most frequent sexual complaint in men: 21-30% of 18 to 80year-old men report low or absent control over ejaculation and/or too early ejaculation[1,2,3]
The percentage of patients who discussed about premature ejaculation was higher in the intervention than in the control group (42% vs. 4.9%, absolute difference = 37% 95%confidence intervals (CI) [24% to 50%], p
Our results indicate that communication strategies on PE are useful in the naturalistic settings of primary care
Summary
Premature ejaculation (PE) is the most frequent sexual complaint in men: 21-30% of 18 to 80year-old men report low or absent control over ejaculation and/or too early ejaculation[1,2,3]. This is often associated with anorgasmia, low libido, depression, and anxiety that affect the patient and their partners’ quality of life[4,5]. Besides the distinction between acquired and lifelong PE, two other categories have been described: "variable PE" and "subjective PE"8. A previous qualitative study identified six communication strategies described by general practitioners (GP) to tackle this topic during consultations
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