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 Health & Beauty | May 2008 
AUA 2008: Definition of Premature Ejaculation
 Wendy Waldsachs Isett - AUA
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Orlando, FL - Despite the fact that it has long been a major concern for men, an evidence-based definition for premature ejaculation has not existed until now. In October 2007, the International Society for Sexual Medicine (ISSM) gathered the world’s leading sexual health experts to develop an evidence-based definition of premature ejaculation. Experts presented the definition to reporters in a special press conference on May 19th at Monday, May 19, 2008 at 10:00 a.m. at the 103rd Annual Scientific Meeting of the American Urological Association (AUA).
The ISSM has defined premature ejaculation as “a male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration; and, inability to delay ejaculation on all or nearly all vaginal penetrations; and, negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy.”
“For something that has such a profound effect on men young and old, there needs to be a definitive measure to diagnose premature ejaculation,” said Ira D. Sharlip, M.D., the study’s main author. “The hope is that more people with these symptoms will understand this is an actual health condition and seek treatment. They no longer need to suffer in silence.”
The ISSM panel of experts agreed that the constructs that are necessary to define PE are: time to ejaculation, inability to delay ejaculation and negative consequences from PE. The panel concluded that the definition could also apply to men with premature ejaculation who engage in sexual activities other than vaginal intercourse, although the definition does not apply to acquired premature ejaculation.
Sharlip ID, Hellstrom WJG, Broderick GA: The ISSM definition of premature ejaculation: a contemporary, evidence-based definition. J Urol, suppl., 2008; 179: 340, abstract 988.
AUA 2008: Gastric Bypass Surgery Restores Sexual Function in Morbidly Obese Men
Wendy Waldsachs Isett - AUA
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Losing weight may help resolve erectile dysfunction in obese men, according to research presented today at the 103rd Annual Scientific Meeting of the American Urological Association (AUA). Morbid obesity can cause sexual dysfunction independent of other common confounders, including diabetes, hypertension and smoking. In this study from researchers in Boston and Philadelphia, sexual function was normalized in some men who underwent gastric bypass surgery for weight loss. Researchers presented data to reporters during a special press conference on May 19, 2008 at 10:30 a.m.
“This study shows that weight loss and other risk factors which are alleviated by weight loss may be keys to restoring sexual function,” said Anthony Y. Smith, M.D. “These results give men another reason to improve their health by losing weight.”
In this study, 95 patients undergoing gastric bypass surgery for weight loss completed the Brief Sexual Inventory (BSI) pre- and post-operatively. On average, BSI scores improved in all categories, including sexual drive, erectile function, ejaculatory function, problem assessment and sexual satisfaction. The amount of weight lost predicted the degree of improvement in all areas of the survey. Results were then compared to data from the Olmstead County Study of Urinary Health Status Survey, a community-based prospective study often used as a baseline for study comparison. After an average of 67 percent weight loss post-bypass, BSI scores were comparable to patients in the Olmstead Study.
Gastric bypass surgery, a procedure that reduces the body’s caloric intake, can be used to induce significant weight loss in the obese. Calorie reduction is accomplished by making the stomach smaller and bypassing part of the stomach and small intestines so that fewer calories are absorbed. The patient feels full faster and learns to reduce the amount of food that he/she eats.
In addition to the author, Anthony Y. Smith, M.D., a member of the AUA Public Media Committee, will be on hand to answer questions and provide third-party perspective on the study.
Dallal Rm, Smith JA, O’Leary MP, Harkaway RC, Sawh SL: Profound sexual dysfunction is common in the morbidly obese male and is reversed after gastric bypass surgery. J Urol, suppl., 2008; 179:405, abstract 1178.
wisett(at)auanet.org
About the American Urological Association: Founded in 1902 and headquartered near Baltimore, Maryland, the American Urological Association is the pre-eminent professional organization for urologists, with more than 15,000 members throughout the world. An educational nonprofit organization, the AUA pursues its mission of fostering the highest standards of urologic care by carrying out a wide variety of programs for members and their patients, including UrologyHealth.org, an award-winning on-line patient education resource, and the American Urological Association Foundation, Inc. |
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