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Volume 20, Issue 6 (November 2018) 20, 572–575; 10.4103/aja.aja_30_18

Pelvic muscle floor rehabilitation as a therapeutic option in lifelong premature ejaculation: long-term outcomes

Antonio Luigi Pastore1,2, Giovanni Palleschi1,2, Andrea Fuschi1, Yazan Al Salhi1, Alessandro Zucchi3, Giorgio Bozzini4, Ester Illiano3, Elisabetta Costantini3, Antonio Carbone1,2

1 Urology Unit, Department of Medico-Surgical Sciences and Biotechnologies, ICOT, Faculty of Pharmacy and Medicine, “Sapienza” University of Rome, Latina (LT) 04100, Italy
2 Uroresearch, Nonprofit Association for Research in Urology, Latina 04100, Italy
3 Department of Urology and Andrology, University of Perugia, Perugia 05156, Italy
4 Department of Urology, MATER DOMINI Humanitas, Castellanza (VA) 21053, Italy

Correspondence: Dr. AL Pastore (antopast@hotmail.com)

Date of Submission 30-Oct-2017 Date of Acceptance 08-Mar-2018 Date of Web Publication 03-Jul-2018


The aim of the study was to evaluate the long-term outcomes of pelvic floor muscle (PFM) rehabilitation in males with lifelong premature ejaculation (PE), using intravaginal ejaculatory latency time (IELT) and the self-report Premature Ejaculation Diagnostic Tool (PEDT) as primary outcomes. A total of 154 participants were retrospectively reviewed in this study, with 122 completing the training protocol. At baseline, all participants had an IELT ≤60 s and PEDT score >11. Participants completed a 12-week program of PFM rehabilitation, including physio-kinesiotherapy treatment, electrostimulation, and biofeedback, with three sessions per week, with 20 min for each component completed at each session. The effectiveness of intervention was evaluated by comparing the change in the geometric mean of IELT and PEDT values, from baseline, at 3, 6, and 12 months during the intervention, and at 24 and 36 months postintervention, using a paired sample 2-tailed t-test, including the associated 95% confidence intervals. Of the 122 participants who completed PFM rehabilitation, 111 gained control of their ejaculation reflex, with a mean IELT of 161.6 s and PEDT score of 2.3 at the 12-week endpoint of the intervention, representing an increase from baseline of 40.4 s and 17.0 scores, respectively, for IELT and PEDT (P < 0.0001). Of the 95 participants who completed the 36-month follow-up, 64% and 56% maintained satisfactory ejaculation control at 24 and 36 months postintervention, respectively.

Keywords: biofeedback; electrostimulation; intravaginal ejaculatory latency time; pelvic floor rehabilitation; premature ejaculation; premature ejaculation diagnostic tool

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