{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T19:42:53Z","timestamp":1772048573271,"version":"3.50.1"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":2386,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T00:00:00Z","timestamp":1466640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,6,2]],"date-time":"2016-06-02T00:00:00Z","timestamp":1464825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["smoa.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Premature ejaculation (PE) is one of the commonest sexual dysfunctions in men. Because the definition of and guidelines for the management of PE have been revised in recent years, our understanding of PE has changed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To investigate the clinical practice patterns of sexual medicine specialists regarding the diagnosis and treatment of PE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Attendees of the 17th Annual Congress of the European Society of Sexual Medicine, held in February 2015 in Copenhagen, Denmark, were asked to participate in a survey during the congress.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>A 23-item, self-reported, closed-question questionnaire was distributed. Sociodemographic data, professional background, and personal practice patterns of the attendees were assessed in relation to PE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In total, 217 physicians (median age\u00a0= 47 years, range\u00a0= 22\u201374) completed the survey. Most responders (79.3%) considered PE an important sexual dysfunction that should be treated. Almost half the participants stated there is insufficient information about PE for patients and physicians (46.1% and 45.2%, respectively). When asked about the main goal of treating PE, two thirds responded that main goal is to improve patients' sexual function and 35.9% responded that the main goal was to improve partners' satisfaction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>These findings confirmed that there are many differences among sex health experts in their understanding of PE. Educational activities are crucial in implementing the new guidelines on PE.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.esxm.2016.05.001","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T22:53:27Z","timestamp":1466722407000},"page":"e209-e216","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Attitudes of Sexual Medicine Specialists Toward Premature Ejaculation Diagnosis and Therapy"],"prefix":"10.1093","volume":"4","author":[{"given":"Arik","family":"Shechter","sequence":"first","affiliation":[{"name":"Department of Neurology \u00a0 , Haifa , Israel"},{"name":"Rambam Medical Center \u00a0 , Haifa , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lior","family":"Lowenstein","sequence":"additional","affiliation":[{"name":"Department of Family Medicine \u00a0 \u00a0 \u00a0 , Haifa , Israel"},{"name":"Ruth and Bruce Rappaport Faculty of Medicine \u00a0 \u00a0 \u00a0 , Haifa , Israel"},{"name":"Clalit Health Services and Neuro-urology Unit \u00a0 \u00a0 \u00a0 , Haifa , Israel"},{"name":"Rambam Medical Center \u00a0 \u00a0 \u00a0 , Haifa , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ege Can","family":"Serefoglu","sequence":"additional","affiliation":[{"name":"Department of Urology \u00a0 , Istanbul , Turkey"},{"name":"Bagcilar Training and Research Hospital \u00a0 , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yacov","family":"Reisman","sequence":"additional","affiliation":[{"name":"Department of Urology \u00a0 , Amstelveen , Netherlands"},{"name":"Amstelland Hospital \u00a0 , Amstelveen , Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2016,6,23]]},"reference":[{"key":"2023011908390400400_bib1","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1530\/EJE-13-0321","article-title":"Testosterone deficiency is associated with increased risk of mortality and testosterone replacement improves survival in men with type 2 diabetes","volume":"169","author":"Muraleedharan","year":"2013","journal-title":"Eur J Endocrinol"},{"key":"2023011908390400400_bib2","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1001\/jama.281.6.537","article-title":"Sexual dysfunction in the United States: prevalence and predictors","volume":"281","author":"Laumann","year":"1999","journal-title":"JAMA"},{"key":"2023011908390400400_bib3","first-page":"540","article-title":"Prevalence of the complaint of ejaculating prematurely and the four premature ejaculation syndromes: results from the Turkish Society of Andrology Sexual Health Survey","volume":"8","author":"Serefoglu","year":"2011","journal-title":"J\u00a0Sex Med"},{"key":"2023011908390400400_bib4","first-page":"1874","article-title":"Prevalence and factors associated with the complaint of premature ejaculation and the four premature ejaculation syndromes: a large observational study in China","volume":"10","author":"Gao","year":"2013","journal-title":"J\u00a0Sex Med"},{"key":"2023011908390400400_bib5","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1038\/sj.ijir.3901250","article-title":"Sexual problems among women and men aged 40\u201380 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors","volume":"17","author":"Laumann","year":"2005","journal-title":"Int J Impot Res"},{"key":"2023011908390400400_bib6","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1016\/j.eururo.2006.07.004","article-title":"The Premature Ejaculation Prevalence and Attitudes (PEPA) survey: prevalence, comorbidities, and professional help-seeking","volume":"51","author":"Porst","year":"2007","journal-title":"Eur Urol"},{"key":"2023011908390400400_bib7","first-page":"39","article-title":"Potency disorders in the male; a review of 1960 cases of premature ejaculation","volume":"45","author":"Schapiro","year":"1953","journal-title":"Harefuah"},{"issue":"4","key":"2023011908390400400_bib8","article-title":"The association of anxiety with the subtypes of premature ejaculation: a chart review","volume":"16","author":"Rajkumar","year":"2014","journal-title":"Prim Care Companion CNS Disord"},{"key":"2023011908390400400_bib9","first-page":"1590","article-title":"An evidence-based definition of lifelong premature ejaculation: report of the International Society for Sexual Medicine (ISSM) ad hoc committee for the definition of premature ejaculation","volume":"5","author":"McMahon","year":"2008","journal-title":"J\u00a0Sex Med"},{"key":"2023011908390400400_bib10","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1002\/sm2.27","article-title":"An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the Second International Society for Sexual Medicine Ad Hoc Committee for the Definition of Premature Ejaculation","volume":"2","author":"Serefoglu","year":"2014","journal-title":"Sex Med"},{"key":"2023011908390400400_bib11","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","article-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2013"},{"key":"2023011908390400400_bib12","first-page":"199","article-title":"Urologist practice patterns in the management of premature ejaculation: a nationwide survey","volume":"5","author":"Shindel","year":"2008","journal-title":"J\u00a0Sex Med"},{"key":"2023011908390400400_bib13","author":"Montague DK, Jarow J, Broderick GA, et\u00a0al. 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Published by Elsevier Inc. on behalf of the International Society for Sexual Medicine.","name":"copyright","label":"Copyright"}]}}