Titre du document / Document title

Efficacy and safety of fluoxetine, sertraline and clomipramine in patients with premature ejaculation : A double-blind, placebo controlled study

Auteur(s) / Author(s)

SAE CHUL KIM ⁽¹⁾ ; KYUNG KEUN SEO ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Urology, College of Medicine, Chung-Ang University, Seoul, COREE, REPUBLIQUE DE

Résumé / Abstract

Purpose: We compared the efficacy and safety of fluoxetine, sertraline, clomipramine and placebo for the oral pharmacotherapy of premature ejaculation. Materials and Methods: The study included 36 men (mean age 44 years) who had intravaginal ejaculation latency of less than 2 minutes. Patients took each of 3 drugs and the placebo consecutively during a 4-week period per each agent. Efficacy and side effects data were obtained by a self-reported patient questionnaire that rated intravaginal ejaculation latency, sexual satisfaction of patient and partner, and possible side effects. Results: After 4 weeks of treatment with placebo, fluoxetine, sertraline and clomipramine the mean intravaginal ejaculation latency time was significantly increased from 46 seconds to 2.27 minutes, 2.30 minutes, 4.27 minutes and 5.75 minutes, respectively (all p <0.01). However, treatment with clomipramine or sertraline caused a greater increase in mean intravaginal ejaculation latency time than fluoxetine or placebo (p <0.01). Patient sexual satisfaction rate after treatment with clomipramine was significantly higher (p <0.05) than with sertraline, fluoxetine or placebo. Partner sexual satisfaction rate was also higher with clomipramine than with sertraline or fluoxetine but no statistical difference was found. The incidence of side effects with clomipramine was significantly higher (p <0.05) compared to that of fluoxetine, sertraline and placebo, while no significant difference among sertraline, fluoxetine and placebo was noted. Conclusions: In men with premature ejaculation clomipramine was the most useful drug in terms of efficacy. Treatment with sertraline was nearly as effective and had a lower incidence of side effects.

Revue / Journal Title

The Journal of urology   ISSN 0022-5347   CODEN JOURAA 

Source / Source

1998, vol. 159, n^o2, pp. 425-427 (19 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1917) (Revue)

Mots-clés anglais / English Keywords

Premature ejaculation ; Fluoxetine ; Chemotherapy ; Sertraline ; Oral administration ; Clomipramine ; Comparative study ; Treatment ; Adult ; Male ; Treatment efficiency ; Tricyclic compound ; Human ; Male genital diseases ; Ejaculation disorders ;

Mots-clés français / French Keywords

Ejaculation précoce ; Fluoxétine ; Chimiothérapie ; Sertraline ; Voie orale ; Clomipramine ; Etude comparative ; Traitement ; Adulte ; Mâle ; Efficacité traitement ; Composé tricyclique ; Homme ; Appareil génital mâle pathologie ; Ejaculation pathologie ;

Mots-clés espagnols / Spanish Keywords

Eyaculación precoz ; Fluoxetina ; Quimioterapia ; Sertralina ; Vía oral ; Clomipramina ; Estudio comparativo ; Tratamiento ; Adulto ; Macho ; Eficacia tratamiento ; Compuesto tricíclico ; Hombre ; Aparato genital macho patología ; Eyaculación patología ;

Localisation / Location

INIST-CNRS, Cote INIST : 2081, 35400007730683.0180