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首页> 外文期刊>The journal of sexual medicine >The comparison of premature ejaculation assessment questionnaires and their sensitivity for the four premature ejaculation syndromes: results from the Turkish society of andrology sexual health survey.
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The comparison of premature ejaculation assessment questionnaires and their sensitivity for the four premature ejaculation syndromes: results from the Turkish society of andrology sexual health survey.

机译：早泄评估问卷的比较及其对四种早泄综合征的敏感性：土耳其男科学会性健康调查的结果。

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INTRODUCTION: In addition to the previously defined "lifelong" and "acquired" premature ejaculation (PE), the existence of two more subtypes of PE, namely natural variable PE proposed. AIMS: To evaluate the diagnostic value of the Premature Ejaculation Diagnostic Tool (PEDT) and Arabic Index of Premature Ejaculation (AIPE) in a population-based study, in relation to their sensitivity across these four different PE syndromes and to assess the Premature Ejaculation Profile (PEP) scores of patients with lifelong, acquired, natural variable PE and premature-like ejaculatory dysfunction. METHODS: Between June 2009 and December 2009, couples were randomly selected from 17 provinces of Turkey. Subjects with the complaint of ejaculating prematurely were classified as lifelong, acquired, natural variable PE, and premature-like ejaculatory dysfunction according to the medical and sexual history they described. PE status was also assessed with PEDT, AIPE and PEP. The sensitivity, specificity, positive predictive value and negative predictive value were calculated for PEDT and AIPE in the study population whereas detection rates of these two questionnaires were also compared among the four PE syndromes. Moreover, PEP scores of patients with lifelong, acquired, natural variable PE and premature-like ejaculatory dysfunction were compared. Significance level was considered as P < 0.05. MAIN OUTCOME MEASURES: Scores obtained from PEDT, AIPE, and PEP questionnaires. RESULTS: A total of 2,593 couples were enrolled where 512 (20.0%) male subjects reported PE. PEDT, AIPE, and PEP measures of the PE patients indicated worse sexual function (P < 0.001 each). Mean scores obtained from questionnaires were significantly better in patients with premature-like ejaculatory dysfunction and they were the worst in patients with acquired PE (P < 0.001 each). The sensitivity values of PEDT and AIPE were 89.3 and 89.5, whereas their specificity values were 50.5 and 39.1, respectively. There were statistically significant differences in detection rates of PEDT and AIPE among the four PE syndromes (P = 0.006 and P < 0.001). They were higher in acquired and lifelong PE and lower in premature-like ejaculatory dysfunction. CONCLUSION: PEDT and AIPE can diagnose PE with high sensitivity, especially in patients with lifelong and acquired PE. The complaint of patients with acquired PE seems to be more severe than those complaining of lifelong, natural variable PE and premature-like ejaculatory dysfunction patients.
机译：引言：除了先前定义的“终生”和“获得性”早泄（PE）外，还存在另外两种亚型的PE，即自然变量PE。目的：在一项基于人群的研究中评估早泄诊断工具（PEDT）和阿拉伯早泄指数（AIPE）的诊断价值，以及它们对这四种不同的PE综合征的敏感性，并评估早泄概况（PEP）患者终生，自然获得性PE以及早泄样射精功能障碍的得分。方法：2009年6月至2009年12月之间，从土耳其的17个省中随机选择了夫妻。根据他们描述的病史和性病史，患有过早射精的受试者被分类为终生，获得性，自然可变性PE和过早样射精功能障碍。 PEDT，AIPE和PEP还评估了PE的状态。计算了研究人群中PEDT和AIPE的敏感性，特异性，阳性预测值和阴性预测值，同时还比较了这四种问卷对四种PE综合征的检出率。此外，比较了终身，获得性，自然变量PE和早泄样射精功能障碍患者的PEP评分。显着性水平被认为是P <0.05。主要观察指标：从PEDT，AIPE和PEP问卷获得分数。结果：总共纳入了2593对夫妇，其中512名（20.0％）男性受试者报告了PE。 PE患者的PEDT，AIPE和PEP指标表明性功能较差（每人P <0.001）。早泄样射精功能障碍患者通过问卷调查获得的平均评分明显更好，而获得性PE患者的平均评分最差（每人P <0.001）。 PEDT和AIPE的敏感度值分别为89.3和89.5，而它们的特异性值分别为50.5和39.1。四种PE综合征之间PEDT和AIPE的检出率在统计学上有显着差异（P = 0.006和P <0.001）。他们获得性和终生PE较高，而早泄样射精功能障碍较低。结论：PEDT和AIPE对PE的诊断具有很高的敏感性，特别是对于终身获得性PE的患者。获得性PE患者的抱怨似乎比那些终身，自然可变PE和早泄样射精功能障碍患者的抱怨更为严重。

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