{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:44:44Z","timestamp":1792172684870,"version":"4.4.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T00:00:00Z","timestamp":1583107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81871151"],"award-info":[{"award-number":["81871151"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81971377"],"award-info":[{"award-number":["81971377"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the possible role of serum norepinephrine (NE), leptin, and 5\u2010hydroxytryptamine (5\u2010HT) and their correlations with sympathetic skin response located in the penis (PSSR) in primary premature ejaculation (PPE).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We compared the serum level of NE, leptin, and 5\u2010HT, intravaginal ejaculatory latency time (IELT) and the premature ejaculation diagnostic tool (PEDT) scores between 57 PPE patients and 42 healthy control men as controls, who were recruited between September 2016 and January 2019. Additionally, the amplitude and latency of PSSR were measured and compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with healthy men, both leptin and NE increased significantly in PPE patients (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.003, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.005), while serum 5\u2010HT remarkably decreased (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.002). Serum leptin, NE, and 5\u2010HT were significantly correlated with the diagnosis of PPE, PSSR amplitude, and latency. Moreover, compared with single serum indicator, NE\/5\u2010HT and leptin\/5\u2010HT had a stronger correlation with both PSSR amplitude (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.8377, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001; <jats:italic>r<\/jats:italic>\u00a0=\u00a0.9323, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001, respectively) and latency (<jats:italic>r<\/jats:italic>\u00a0=\u00a0\u2212.8058, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001; <jats:italic>r<\/jats:italic>\u00a0=\u00a0\u2212.8901, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Significant differences in leptin, NE, and 5\u2010HT are observed between PPE patients and the controls, which supports the hypothesis of hyperactive sympathetic nerve system (SNS) in PPE. Additionally, leptin\/5\u2010HT ratio may serve as an ideal indicator for reflecting SNS activity and predicting treatment response in PPE patients in the future.<\/jats:p><\/jats:sec>","DOI":"10.1111\/andr.12773","type":"journal-article","created":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T12:55:55Z","timestamp":1582030555000},"page":"1070-1075","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Association of NE, leptin, and 5\u2010HT with electrophysiological parameters in patients with primary premature ejaculation"],"prefix":"10.1111","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6512-8310","authenticated-orcid":false,"given":"Jiadong","family":"Xia","sequence":"first","affiliation":[{"name":"Department of Urology The First Affiliated Hospital of Nanjing Medical University Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qijie","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology The First Affiliated Hospital of Nanjing Medical University Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yamin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology The First Affiliated Hospital of Nanjing Medical University Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaochen","family":"Luan","sequence":"additional","affiliation":[{"name":"Department of Urology The First Affiliated Hospital of Nanjing Medical University Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Urology The First Affiliated Hospital of Nanjing Medical University Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Cong","sequence":"additional","affiliation":[{"name":"Department of Urology The First Affiliated Hospital of Nanjing Medical University Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7583-4750","authenticated-orcid":false,"given":"Zengjun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology The First Affiliated Hospital of Nanjing Medical University Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5305-1264","authenticated-orcid":false,"given":"Ninghong","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Urology The First Affiliated Hospital of Nanjing Medical University Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2016.05.11"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12551"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/sm2.28"},{"key":"e_1_2_8_5_1","first-page":"737","article-title":"Premature ejaculation: A clinical review for the general physician","volume":"44","author":"Chung E","year":"2015","journal-title":"Aust Fam Physician"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/and.13298"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mce.2017.10.017"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12654"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2013.23"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2012.08.029"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/and.13076"},{"issue":"1","key":"e_1_2_8_12_1","first-page":"v","article-title":"Interventions to treat premature ejaculation: a systematic review short report","volume":"19","author":"Cooper K","year":"2015","journal-title":"Health Technol Assess"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.116.303604"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.08.009"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/2361675"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drudis.2016.05.004"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/aja.aja_9_17"},{"key":"e_1_2_8_18_1","first-page":"277","article-title":"Sympathetic skin response. 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