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(416) Management and Treatment Variations in Premature Ejaculation: A Nationwide Survey by the Andrology Working Group of the Society of Urological Surgery in Turkey

O. Cinar, G. Çeker, T. Turunç, Y. Kızılkan, H. Anıl, U. Akgun, E. Çavuşoğlu, Ç. Doğan et al.

Journal of Sexual Medicine, 2026

Abstract

Abstract Introduction Premature ejaculation (PE) is the most prevalent male sexual dysfunction, significantly affecting the quality of life of both affected individuals and their partners. It is defined by ejaculation occurring earlier than desired, either before or shortly after vaginal penetration. PE is traditionally classified into lifelong and acquired, with distinct diagnostic criteria introduced by the International Society for Sexual Medicine (ISSM), the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and the International Classification of Diseases, 11th Revision (ICD-11). Current treatment options include pharmacological therapies such as SSRIs, topical anesthetics, behavioral therapies, pelvic floor exercises, and sexual psychotherapy with a partner. In recent years, surgical interventions such as glans augmentation, dorsal nerve neurectomy, and botulinum toxin injections into the bulbospongiosus muscle have garnered increasing interest as promising treatment modalities. Although numerous therapeutic options are available, there remains no consensus on their optimal application, sequencing, or combination in clinical practice. The growing interest in surgical treatments further underscores the variability in PE management strategies. This study aims to fill these gaps by evaluating clinicians’ practices in diagnosing and managing PE, focusing on treatment patterns and the use of innovative therapies, through a comprehensive nationwide…

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