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Yang Q, Cai H, Wan Z, Chen M, Yang B, Xie Y, Zhang Y, Sun X, Tang J, Kuang M, Liu H, Deng C. Impact of cognitive behavioral therapy on premature ejaculation patients: A prospective, randomized controlled trial protocol. PLoS One 2023; 18:e0295663. [PMID: 38150424 PMCID: PMC10752513 DOI: 10.1371/journal.pone.0295663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 11/14/2023] [Indexed: 12/29/2023] Open
Abstract
BACKGROUND Premature ejaculation (PE) is one of the most common male sexual dysfunctions, with a prevalence of about 4%-39% in the Chinese population. Studies have shown that a variety of biological factors can lead to premature ejaculation, such as central nervous system disorders, hypersensitivity of the penis head, and psychological factors. Based on clinical experience, psychological counseling and education of patients and partners should be ranked as the first priority when treating PE. Cognitive behavioral therapy (CBT) addresses emotional, behavioral, and cognitive disorders by altering beliefs and actions. It has also been demonstrated to be clinically useful in treating a number of diseases. The purpose of this trial is to evaluate the efficacy of a mobile-based CBT intervention on patients with PE compared to conventional routine treatment. METHODS This study is a prospective randomized controlled trial that will be conducted from May 2023 to Dec 2024 at ten hospitals, primarily including the First Affiliated Hospital of Sun Yat-sen University with an 8-week follow-up. The clinical trial central randomization system will be used to create and implement the specific randomization method. Baseline data of both groups will be measured and collected. The premature ejaculation diagnostic tool (PEDT) and the female sexual distress scale-revised for premature ejaculation (FSDS-R-PE) will be collected on the first day, 28±2 days, and 56±2 days during the intervention period, and the intravaginal ejaculatory latency time (IELT) will be measured in both groups. The Shapiro-Wilk test will be used for normality testing. Pearson correlation analysis will be used for correlation analysis. Differences between groups will be compared using analysis of variance or exact probability calculations. DISCUSSION This study will investigate the effect of a mobile-based CBT intervention on patients with PE. TRIAL REGISTRATION Chinese Clinical Trial Registry (ChiCTR2300070581).
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Affiliation(s)
- Qiyun Yang
- The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Hongcai Cai
- The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Zi Wan
- The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Min Chen
- The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Bicheng Yang
- The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Yun Xie
- The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Yadong Zhang
- The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Xiangzhou Sun
- The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Jia Tang
- Hangzhou Kang Ming Information Technology Co., Ltd, Hangzhou, China
| | - Ming Kuang
- Hangzhou Kang Ming Information Technology Co., Ltd, Hangzhou, China
| | - Hongying Liu
- Hangzhou Kang Ming Information Technology Co., Ltd, Hangzhou, China
| | - Chunhua Deng
- The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
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Al‐Kuraishy HM, Alsaidan AA, Al‐Gareeb AI, Alexiou A, Papadakis M, Batiha GE. Sildenafil and depression: True or false prophecy. CNS Neurosci Ther 2023; 29:3108-3109. [PMID: 37452476 PMCID: PMC10493652 DOI: 10.1111/cns.14358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 06/27/2023] [Accepted: 07/02/2023] [Indexed: 07/18/2023] Open
Affiliation(s)
- Hayder M. Al‐Kuraishy
- Department of Clinical Pharmacology and MedicineCollege of Medicine, Mustansiriyah UniversityBaghdadIraq
| | - Aseel Awad Alsaidan
- Department of Family and Community MedicineCollege of Medicine, Jouf UniversitySakakaSaudi Arabia
| | - Ali I. Al‐Gareeb
- Department of Clinical Pharmacology and MedicineCollege of Medicine, Mustansiriyah UniversityBaghdadIraq
| | - Athanasios Alexiou
- Department of Science and EngineeringNovel Global Community Educational FoundationHebershamNew South WalesAustralia
- AFNP Med, AustriaWienAustria
| | - Marios Papadakis
- Department of Surgery IIUniversity Hospital Witten‐Herdecke, Heusnerstrasse 40, University of Witten‐HerdeckeWuppertalGermany
| | - Gaber El‐Saber Batiha
- Department of Pharmacology and Therapeutics, Faculty of Veterinary MedicineDamanhour UniversityDamanhourEgypt
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Vasconcelos P, Gomez Ponce de Leon R, Serruya SJ, Carneiro B, Nóbrega C, Pereira R, Quinta Gomes A, Paúl MC, Nobre PJ. A Systematic Review on Psychological Interventions for Sexual Health in Older Age. INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2023; 35:399-413. [PMID: 38595928 PMCID: PMC10903596 DOI: 10.1080/19317611.2023.2215766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Revised: 05/13/2023] [Accepted: 05/14/2023] [Indexed: 04/11/2024]
Abstract
Objectives The present review aims to identify the existing evidence on outcome-treatment studies of psychological sexual health interventions in older age. Methods A systematic search was conducted for studies published until October 2022. Data search was conducted on EBSCO, MEDLINE, Web of Science, and Cochrane Central Register of Controlled Trials databases. Results From 30,840 screened records, 12 reports were selected. Results were grouped into four categories according to the intervention that was implemented. Conclusions Despite results presenting some bias concerns, this review suggests that educational and cognitive-behavioral approaches seem to be effective for promoting sexual health in older age.
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Affiliation(s)
- Priscila Vasconcelos
- Faculty of Psychology and Education Sciences, Center for Psychology at University of Porto, Porto, Portugal
| | - Rodolfo Gomez Ponce de Leon
- Centro Latinoamericano de Perinatología, Salud de la Mujer y Reproductiva (CLAP-SMR/OPS-OMS), Montevideo,Uruguay
| | - Suzanne J. Serruya
- Centro Latinoamericano de Perinatología, Salud de la Mujer y Reproductiva (CLAP-SMR/OPS-OMS), Montevideo,Uruguay
| | - Bruna Carneiro
- Faculty of Psychology and Education Sciences, Center for Psychology at University of Porto, Porto, Portugal
| | - Catarina Nóbrega
- Faculty of Psychology and Education Sciences, Center for Psychology at University of Porto, Porto, Portugal
| | - Raquel Pereira
- Faculty of Psychology and Education Sciences, Center for Psychology at University of Porto, Porto, Portugal
| | - Ana Quinta Gomes
- Faculty of Psychology and Education Sciences, Center for Psychology at University of Porto, Porto, Portugal
| | | | - Pedro J. Nobre
- Faculty of Psychology and Education Sciences, Center for Psychology at University of Porto, Porto, Portugal
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Alonso-Isa M, García-Gómez B, González-Ginel I, García-Rayo-Encina C, Del Prado Caro-González M, Medina-Polo J, García-Rojo E, Romero-Otero J. Conservative Non-surgical Options for Erectile Dysfunction. Curr Urol Rep 2023; 24:75-104. [PMID: 36445614 DOI: 10.1007/s11934-022-01137-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/08/2022] [Indexed: 11/30/2022]
Abstract
PURPOSE OF REVIEW This study aimed to review recent evidence on conservative non-surgical options for erectile dysfunction (ED) in men. A narrative review of the literature was performed. A comprehensive search in the MEDLINE, Embase, and Cochrane databases was done. Papers in English language, published from May 2017 until May 2022, were included. Papers reporting basic research or animal research were excluded, as long as reviews or meta-analyses. Congress reports, clinical cases, or clinical trials protocols with no results were also excluded. RECENT FINDINGS We found a multitude of different treatment modalities for ED. We must take into account the type of patient, their comorbidities, the origin of their ED, and its severity in order to reproduce effective results using these therapies. Some of the treatments show good results with a good level of evidence (new IPDE5 formulations, intracavernous injections, shock wave therapy, hormonal theraphy, psycho-sexual theraphy). However, others (some new molecules, stem cell theraphy, platelet-rich plasma injections, oxygenation-based therapy, nutraceuticals), although some of them present promising results, require randomized studies with a larger number of patients and a longer follow-up time to be able to establish firm recommendations. Regarding the conservative treatment of erectile dysfunction, in recent years, some therapies have been consolidated as effective and safe for certain types of patients. On the other hand, other treatment modalities, although promising, still lack the evidence and the necessary follow-up to be recommended in daily practice.
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Affiliation(s)
- Manuel Alonso-Isa
- Department of Urology, Hospital Universitario 12 Octubre, Instituto de Investigación Sanitaria Hospital, 12 de Octubre (imas12), Madrid, Spain
- Department of Urology, HM Hospitales (Montepríncipe, Puerta del Sur, Sanchinarro), Madrid, Spain
- ROC Clinic, Madrid, Spain
| | - Borja García-Gómez
- Department of Urology, Hospital Universitario 12 Octubre, Instituto de Investigación Sanitaria Hospital, 12 de Octubre (imas12), Madrid, Spain
- Department of Urology, HM Hospitales (Montepríncipe, Puerta del Sur, Sanchinarro), Madrid, Spain
- ROC Clinic, Madrid, Spain
| | - Ignacio González-Ginel
- Department of Urology, Hospital Universitario 12 Octubre, Instituto de Investigación Sanitaria Hospital, 12 de Octubre (imas12), Madrid, Spain
| | - Clara García-Rayo-Encina
- Department of Urology, Hospital Universitario 12 Octubre, Instituto de Investigación Sanitaria Hospital, 12 de Octubre (imas12), Madrid, Spain
| | - María Del Prado Caro-González
- Department of Urology, Hospital Universitario 12 Octubre, Instituto de Investigación Sanitaria Hospital, 12 de Octubre (imas12), Madrid, Spain
| | - José Medina-Polo
- Department of Urology, Hospital Universitario 12 Octubre, Instituto de Investigación Sanitaria Hospital, 12 de Octubre (imas12), Madrid, Spain
- Department of Urology, HM Hospitales (Montepríncipe, Puerta del Sur, Sanchinarro), Madrid, Spain
- ROC Clinic, Madrid, Spain
| | - Esther García-Rojo
- Department of Urology, HM Hospitales (Montepríncipe, Puerta del Sur, Sanchinarro), Madrid, Spain
- ROC Clinic, Madrid, Spain
| | - Javier Romero-Otero
- Department of Urology, HM Hospitales (Montepríncipe, Puerta del Sur, Sanchinarro), Madrid, Spain.
- ROC Clinic, Madrid, Spain.
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