{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:02:01Z","timestamp":1787022121307,"version":"build-2736575974"},"reference-count":31,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\n Background<\/jats:title>\n The aim of this study is to compare the results of stop-start technique with stop-start technique together with sphincter control training applied in the treatment of premature ejaculation.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This research was conducted as a pre-test post-test quasi-experimental study. The sample of the study consisted of 80 men. The study was conducted on men who applied to the urology outpatient clinic of LIV Hospital, a pr\u0131vate hospital, in Gaziantep, Turkey, between 01 October 2021 and 01 March 2022. \u201cPersonal Information Form\u201d, \u201cIntravaginal Ejaculation Latency Time (IELT)\u201d, \u201cFold Increase Intravaginal Ejaculation Latency Time (F-IELT)\u201d \u201cPremature Ejaculation Diagnostic Tool (PEDT) Questionnaire\u201d and \u201cArabic Index Premature Ejaculation (AIPE)\u201d were used as the data collection tools. Behavioral therapy, consisting of a total of 6 sessions, was applied once every two weeks, with each session lasting for 45 minutes. After 3rd and 6th months from the beginning of the application, the data collection tools were applied again. \u201cStop-Start Technique (Group A)\u201d and \u201cStop-Start Technique and Sphincter Control Training (Group B)\u201d were used in the treatment.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In both groups, the IELT and AIPE values after 3rd and 6th months from the beginning of the application were statistically higher than those obtained before (p<0.05). IELT and AIPE values increased more in Group B than Group A (p<0.05). F-IELT values after 6th months from the beginning of the application were found to be statistically significant with a low level of effect size than those obtained before (p<0.05, Cohen\u2019s d = 0.027). In both groups, the PEDT values in the 3rd and 6th months after the application were statistically lower than those seen before (p<0.05). PEDT value decreased more in Group B than Group A (p<0.05). The differences between the two groups\u2019 IELT (Cohen\u2019s d = 0.011), AIPE (Cohen\u2019s d = 0.044), and PEDT (Cohen\u2019s d = 0.066) values in the 3rd month after the application and IELT (Cohen\u2019s d = 0.025), AIPE (Cohen\u2019s d = 0.048), and PEDT (Cohen\u2019s d = 0.024) values in the 6th month after the application were found to be clinically weak.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n It was determined that the stop-start technique given to men with premature ejaculation increased the time spent in the vagina and eliminated the problem of premature ejaculation. It was determined that the stop-start technique in combination with sphincter control training were more effective than the stop-start technique alone.<\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0283091","type":"journal-article","created":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T13:31:43Z","timestamp":1691674303000},"page":"e0283091","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":8,"title":["Comparison of the results of stop-start technique with stop-start technique and sphincter control training applied in premature ejaculation 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