You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Medical and Non-Surgical Therapy1 Apr 20111678 HOW TO MANAGEMENT PREMATURE EJACULATION UROLOGY RESIDENTS? AN EUROPEAN SURVEY Saturnino Luján, Gonzalo García-Fadrique, Gonzalo Morales, Cristina Santamaria, Jose Francisco Morera, Enrique Broseta, and Juan Fernando Jiménez-Cruz Saturnino LujánSaturnino Luján Valencia, Spain More articles by this author , Gonzalo García-FadriqueGonzalo García-Fadrique Valencia, Spain More articles by this author , Gonzalo MoralesGonzalo Morales Valencia, Spain More articles by this author , Cristina SantamariaCristina Santamaria Valencia, Spain More articles by this author , Jose Francisco MoreraJose Francisco Morera Valencia, Spain More articles by this author , Enrique BrosetaEnrique Broseta Valencia, Spain More articles by this author , and Juan Fernando Jiménez-CruzJuan Fernando Jiménez-Cruz Valencia, Spain More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1832AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To determine how future European urologists are currently addressing premature ejaculation (PE). Our hypothesis was to check the urology residents adherence to 2010 European Urology Association (EUA), International Society for Sexual Medicine's (ISSM) and American Urology Association (AUA) Guidelines for the diagnosis and treatment of PE. METHODS A specifically designed survey was submitted to urology residents during the 8th European Urology Education Programme (EUREP). The survey assessed different aspects about PE management among European urology residents. Results were tabulated, and descriptive statistics used to analyze differences in practice patterns. RESULTS Approximately 360 urologists attended the course and 140, from 18 different European countries, answered the survey (response rate: 38,8%). A total of 17 (12,1%) of the respondents considered that PE is a very common male sexual dysfunction, 62(44,3%) frequent, 33(23,6%) uncommon and 28(20%) did not considered PE a real dysfunction. Regarding incidence, 87 urologists (47,9%) treated 1 PE patient per week and 58 (41,4%) no patient at all. In the other hand, 14 urologists (10,7%) treated 2–5 patients per week. Regarding diagnosis, 132 urologists (94,3%) used patient's medical and sexual history, 37 (26,4%) physical examination, 38(27,1%) questionnaires and 4(2,9%) laboratory testing. The preferred initial management for PE was psychological/behavioral therapies, in 65(46,4%). Topical anesthetic, andrology centre referral and SSRI on demand were favored by 34(24,3%), 19(13,6%), 8(12,9%) of the respondents, respectively. Other options were psychiatric referral in 2(1,4%) and daily SSRI in 2(1,4%). The preferred secondary treatments for patients who did not improve with the first choice were 46(32,9%) SSRI on demand, 38(27,1%) andrology center referral, 25(17,9%) topical anesthetic, 14(10%) daily SSRI, 9(6,4%) Psychological/behavioral therapies, Psychiatric referral 7(5%) and 1 (0,7%) tramadol prescription. In cases where patients had concomitant PE and erectile dysfunction (ED), 16 (11.4%) treated only the ED while 60 (42.9%) treated both conditions. CONCLUSIONS In this current approach to PE in Europe the majority of urology residents follow the guidelines regarding diagnosis but not treatment. Our results suggest that young urologists need to improve their knowledge in treating this highly prevalent dysfunction. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e674-e675 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Saturnino Luján Valencia, Spain More articles by this author Gonzalo García-Fadrique Valencia, Spain More articles by this author Gonzalo Morales Valencia, Spain More articles by this author Cristina Santamaria Valencia, Spain More articles by this author Jose Francisco Morera Valencia, Spain More articles by this author Enrique Broseta Valencia, Spain More articles by this author Juan Fernando Jiménez-Cruz Valencia, Spain More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...