Evidence Hub

(221) on-demand paroxetine for premature ejaculation - systematic review and meta-analysis

Faisal Nawaz, Simon Williams

Journal of Sexual Medicine, 2023

721 participants

Abstract

This review aims to compare the efficacy of On-demand Paroxetine to on-demand Dapoxetine and Placebo for the treatment of Premature Ejaculation.

In patients with premature ejaculation, does on-demand Paroxetine increase the Intravaginal ejaculatory latency time compared to on-demand Dapoxetine therapy?

Electronic databases were systematically searched to identify the eligible Randomized Controlled Trials, comparing on-demand Paroxetine to Dapoxetine or placebo, following the Cochrane Collaboration methodology. Non-randomized trials were excluded.

The Protocol for this systematic review was prospectively registered on PROSPERO - International Prospective Register of Systematic Reviews with the reference number CRD42022316352.

Highly sensitive search strategies were designed following the PRISMA-S guidelines to search the MEDLINE, Cochrane CENTRAL, EMBASE, PsycINFO, and other bibliographic databases. Subject terms (MeSH) "Premature Ejaculation", "Paroxetine", "Dapoxetine", and "on-demand" were adapted to each database for a comprehensive literature search. Results are reported in line with PRISMA guidelines. 1171 abstracts were identified for screening by two independent reviewers using the Covidence software. Full-text screening of the 30 records was performed. The meta-analysis included nine eligible randomized controlled trials, recruiting a total of 721 participants. Meta-analysis was performed using the Cochrane Collaboration's Review manager software.

Meta-analysis of…

How strong is the evidence?

Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 721 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free