Effectiveness of treatment of sexual dysfunction in men with premature ejaculation, injured as a result of hostilities
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1
Department of Urology, Danylo Halytsky Lviv National Medical University, Ukraine
2
Department of Disaster Medicine and Military Medicine, Danylo Halytsky Lviv National Medical University, Ukraine
3
Department of Microbiology, Danylo Halytsky Lviv National Medical University, Ukraine
4
Department of medical biology, parasitology and genetics, Danylo Halytsky Lviv National Medical University, Ukraine
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Department of Normal Anatomy, Danylo Halytsky Lviv National Medical University, Ukraine
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Biophysics Department, Danylo Halytsky Lviv National Medical University, Ukraine
Submission date: 2024-06-07
Final revision date: 2024-11-17
Acceptance date: 2024-12-09
Publication date: 2025-02-28
Corresponding author
Dmytro Vorobets
Department of Urology, Danylo Halytsky Lviv National Medical University, Ukraine
Wiadomości Lekarskie 2025;(2):265-272
KEYWORDS
TOPICS
ABSTRACT
Aim:
To evaluate the effectiveness of selective serotonin reuptake inhibitors (SSRIs) to the treatment of patients with premature ejaculation who have been affected by combat actions.
Material and methods:
Results of an examination of 50 men injured as a result of hostilities, with sexual dysfunction and complaints of premature ejaculation. Patients were divided into smaller subgroups depending on the selected serotonin reuptake inhibitors, which they received for at least 1.5 months: sertraline (n=14), paroxetine (n=12), citalopram (n=12), venlafaxine (n=12).
Results:
After treatment with all serotonin reuptake inhibitors, reactive and personal anxiety symptoms, as assessed by the Spielberger-Hanan scale, were objectively reduced in men. Only treatment with paroxetine and citalopram resulted in a likely reduction in depressive symptoms in men with premature ejaculation, Paroxetine and sertraline appeared to be relatively balanced drugs with moderate efficacy but relatively few side effects. The lack of a «gold standard» among serotonin reuptake inhibitor drugs for the treatment of premature ejaculation on the Ukrainian market necessitates the search for new, more effective drugs with the possibility of flexible use.
Conclusions:
The study demonstrates that the neurotransmitter serotonin plays a key role in the modulation of ejaculation, as the use of reuptake inhibitors increases the intravaginal latency to ejaculation. Among the selective serotonin reuptake inhibitors, venlafaxine was found to be the most effective.
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