Keywords : ejaculation
THE EFFECT OF VARICOCELECTOMY IN IMPROVING PREMATURE EJACULATION IN PATIENTS WITH BOTH PREMATURE EJACULATION AND VARICOCELE
Basrah Journal of Surgery,
2020, Volume 26, Issue 2, Pages 32-37
Premature ejaculation (PE) is the most common sexual dysfunction in men with a prevalence rate reaching up to 75%. Varicocele is defined as elongated, dilated, and tortuous veins of the testicular pampiniform plexus. The link between PE and varicocele was demonstrated in many studies. This study aimed to evaluate the effect of varicocelectomy in improving PE in men with both PE and varicocele.
This prospective study was conducted on sixty patients (age range 19-40 years) who had clinical varicocele and premature ejaculation. The study period was from January 2018 to January 2020 and was performed in Basrah Teaching Hospital. Forty patients met the inclusion criteria of this study. All patients had varicocelectomy and were followed up for the improvement of their PE.
The study showed that majority of patients with concomitant PE and varicocele (26 patients, 65%) had improvement of PE after varicocelectomy with an ability to delay ejaculation.
The development of PE in patients with varicocele may be related to the occurrence of prostatitis due to the backflow of blood from the varicocele to the prostatic venous plexus. The study concluded that improvement of PE in patient with concomitant varicocele could be achieved by performing varicocelectomy.
Key words: Varicocele, premature, ejaculation, improvement, varicocelectomy.
Basrah Journal of Surgery,
2020, Volume 26, Issue 2, Pages 67-70
Premature ejaculation (PE) is the most common sexual dysfunction compliant in about 35 to 45% of men younger than 40 years.
In this study, the efficacy of two drugs (Fluoxetine and Citalopram) which are selective serotonin reuptake inhibitors (SSRI) used for treatment of patients suffering from PE is evaluated. The effectiveness of both drugs in PE patients was studied with different protocol to find out the most effective drugs with least side effect.
A total of 93 patients were referred to the Urology Clinic in Basrah Teaching Hospital for the treatment of PE. Patients were randomly divided into two groups; Patients in group 1 (N=49) received 40mg (2 capsules of 20mg) fluoxetine daily for 4 weeks, and patients in group 2 (N=44) received 40mg citalopram daily for 4 weeks.
The mean intravaginal ejaculation latency time (IVELT) before treatment in patient of group 1 was 65.81±27.63 seconds, while after treatment it raised to 311.47± 43.29 seconds. In group 2, the mean IVELT before treatment was 61.42±32.65 seconds, while after treatment it raised to 293.15± 51.72 seconds.
In conclusion, both drugs (Fluoxetine and Citalopram) improved ejaculation duration significantly.
Key words: Fluoxetine, Citalopram, premature, ejaculation, timing.