{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:08:03Z","timestamp":1789996083837,"version":"4.0.1"},"reference-count":47,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Premature ejaculation is a prevalent male sexual dysfunction, yet real\u2010world clinical practices in China remain poorly characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate current premature ejaculation management practices among Chinese physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A nationwide cross\u2010sectional survey of 1000 physicians was conducted using a structured, self\u2010administered questionnaire exploring diagnostic practices, treatment modalities, and perceived therapeutic effectiveness. Associations between physician characteristics and treatment choices were analyzed using chi\u2010square tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Diagnostic reliance on clinical history (67.4%) exceeded that on standardized tools (32.6%). Around 46.5% of physicians reported treating intravaginal ejaculation latency time &lt;\u00a01\u00a0min without distress, while 32.6% reported treating intravaginal ejaculation latency time &gt;\u00a010\u00a0min with distress. Oral dapoxetine (59.7%) and psychotherapy (92.1%) were preferred first\u2010line therapies, followed by long\u2010acting selective serotonin reuptake inhibitors (13.7%). Prescriptions for long\u2010acting selective serotonin reuptake inhibitors were primarily driven by guideline adherence (25.95%), anxiety\/depression comorbidity (17.56%), dapoxetine inefficacy (6.11%), and clinician experience (6.11%). Combination therapy was common (52.1%), whereas surgical interventions remained rare (14.7%) but more prevalent among andrologists than among non\u2010andrologists (\n                      <jats:italic>p\u00a0<\/jats:italic>\n                      &lt;\u00a00.001). Compared with non\u2010andrologists, andrologists demonstrated greater use of behavioral therapy (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001) and topical agents (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.006) than non\u2010andrologists. Drug selection (54.5%) and psychological factors (16.6%) were identified as key efficacy determinants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusion<\/jats:title>\n                    <jats:p>Chinese physicians commonly use combined pharmacological and psychological approaches for premature ejaculation treatment, but significant challenges persist, including inappropriate treatment of non\u2010premature ejaculation cases, unwarranted surgical interventions, and insufficient utilization of evidence\u2010based selective serotonin reuptake inhibitors, highlighting the need for standardized diagnostic criteria and enhanced physician education on guideline\u2010recommended therapies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/andr.70224","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T08:51:46Z","timestamp":1774515106000},"page":"2320-2328","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Real\u2010World Clinical Practices for Premature Ejaculation: A National Survey of Chinese Physicians"],"prefix":"10.1111","volume":"14","author":[{"given":"Jun","family":"Zhu","sequence":"first","affiliation":[{"name":"Andrology Center Peking University First Hospital  Beijing China"},{"name":"Department of Urology Peking University First Hospital  Beijing China"},{"name":"Institute of Urology Peking University National Urological Cancer Center  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine Harrison International Peace Hospital  Hengshui Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianbiao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Andrology The First Affiliated Hospital of Zhengzhou University  Zhengzhou Henan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianming","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Urology The Second People's Hospital of QinZhou  Qinzhou Guangxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6256-8775","authenticated-orcid":false,"given":"Changwei","family":"Yuan","sequence":"additional","affiliation":[{"name":"Andrology Center Peking University First Hospital  Beijing China"},{"name":"Department of Urology Peking University First Hospital  Beijing China"},{"name":"Institute of Urology Peking University National Urological Cancer Center  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Tang","sequence":"additional","affiliation":[{"name":"Andrology Center Peking University First Hospital  Beijing China"},{"name":"Department of Urology Peking University First Hospital  Beijing China"},{"name":"Institute of Urology Peking University National Urological Cancer Center  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanshou","family":"Cui","sequence":"additional","affiliation":[{"name":"Andrology Center Peking University First Hospital  Beijing China"},{"name":"Department of Urology Peking University First Hospital  Beijing China"},{"name":"Institute of Urology Peking University National Urological Cancer Center  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weidong","family":"Song","sequence":"additional","affiliation":[{"name":"Andrology Center Peking University First Hospital  Beijing China"},{"name":"Department of Urology Peking University First Hospital  Beijing China"},{"name":"Institute of Urology Peking University National Urological Cancer Center  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiming","family":"Yuan","sequence":"additional","affiliation":[{"name":"Andrology Center Peking University First Hospital  Beijing China"},{"name":"Department of Urology Peking University First Hospital  Beijing China"},{"name":"Institute of Urology Peking University National Urological Cancer Center  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2483-7181","authenticated-orcid":false,"given":"Yifeng","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Andrology The First Hospital of Hunan University of Chinese Medicine  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5622-8459","authenticated-orcid":false,"given":"Zhichao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Andrology Center Peking University First Hospital  Beijing China"},{"name":"Department of Urology Peking University First Hospital  Beijing China"},{"name":"Institute of Urology Peking University National Urological Cancer Center  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5417-2356","authenticated-orcid":false,"given":"Hui","family":"Jiang","sequence":"additional","affiliation":[{"name":"Andrology Center Peking University First Hospital  Beijing China"},{"name":"Department of Urology Peking University First Hospital  Beijing China"},{"name":"Institute of Urology Peking University National Urological Cancer Center  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7698-6545","authenticated-orcid":false,"given":"Jing","family":"Peng","sequence":"additional","affiliation":[{"name":"Andrology Center Peking University First Hospital  Beijing China"},{"name":"Department of Urology Peking University First Hospital  Beijing China"},{"name":"Institute of Urology Peking University National Urological Cancer Center  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/0092623x.2017.1405299"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12180"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2008.00789.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.6.537"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2011.02507.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.07.004"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2011.02280.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/sm2.28"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41443\u2010019\u20100188\u2010x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41443\u2010020\u20100277\u2010x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2016.06.04"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2006.00305.x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.13041"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010017\u201009155\u20108"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/1008\u2010682x.126371"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2016.36"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2017.29"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/and.12808"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.10.150"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41443\u2010020\u20100298\u20105"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2005.00107.x"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2009.01570.x"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.05.018"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2011.02386.x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41443\u2010021\u201000424\u20109"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/aja.2010.130"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12612"},{"issue":"2","key":"e_1_2_11_29_1","first-page":"121","article-title":"Sexual Function of Premature Ejaculation Patients Assayed With Chinese Index of Premature Ejaculation","volume":"6","author":"Yuan Y. M.","year":"2004","journal-title":"Asian Journal of Andrology"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2006.00239.x"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464\u2010410X.2008.08041.x"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0033\u20103182(71)71479\u20100"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1965.01720310065008"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41443\u2010018\u20100108\u20105"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/ju.0000000000002392"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40618\u2010020\u201001458\u20104"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/andr.13737"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894\u2010020\u20100580\u20103"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2025.04.010"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1071\/sh18005"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/andr.13403"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.22037\/uj.v18i.6644"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/jsxmed\/qdaf094"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743\u20106109.2009.01404.x"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/andr.13787"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2015.07.1155"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.5534\/wjmh.240260"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau\u201023\u2010240"}],"container-title":["Andrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/andr.70224","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/andr.70224","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/andr.70224","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:32:20Z","timestamp":1789993940000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/andr.70224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,26]]},"references-count":47,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/andr.70224"],"URL":"https:\/\/doi.org\/10.1111\/andr.70224","archive":["Portico"],"relation":{},"ISSN":["2047-2919","2047-2927"],"issn-type":[{"value":"2047-2919","type":"print"},{"value":"2047-2927","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,26]]},"assertion":[{"value":"2025-07-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}