Skip to main content

Use of Local Anesthetics in the Treatment of Premature Ejaculation

  • Chapter
  • First Online:
Premature Ejaculation
  • 1964 Accesses

Abstract

There are a range of treatment options for men with PE, directed at different components of the complex mechanism of the ejaculatory process. These include behavioral therapy, systemic treatments, and topical therapies. However, there are currently no pharmacological agents approved for use in PE, and all drugs have to be administered off-label.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Montague D, Jarrow J, Broderick GA et al (2004) The AUA erectile dysfunction guideline update panel. AUA guideline on the pharmacologic management of premature ejaculation. J Urol 172:290–294

    Article  PubMed  Google Scholar 

  2. McMahon CG, Abdo C, lncrocci L, et al (2004) Disorders of orgasm and ejaculation in men. In: Lue TF, Basson R, Rosen R, et al (eds) Sexual medicine: sexual dysfunctions in men and women. 21st edn, Paris, 411–68

    Google Scholar 

  3. Hellstrom W (2006) Current and future pharmacotherapies of premature ejaculation. J Sex Med 3(Suppl 4):332–341

    Article  PubMed  CAS  Google Scholar 

  4. Montorsi F, Gauzzione G, Trimbolie F, et al (1995) Clomipramine for premature ejaculation: a ramdomized, double-blind, placebo controlled study. Acta Urol ltal 1: S-6

    Google Scholar 

  5. Girgis S (1982) EI-Haggar S, EI-Hermouzy S. A double-blind trial of clomipramine in premature ejaculation. Andrologia 14:364–369

    Article  PubMed  CAS  Google Scholar 

  6. Sharlip ID (2006) Guidelines for the diagnosis and management of premature ejaculation. J Sex Med 3(suppl 4):309–317

    Article  PubMed  CAS  Google Scholar 

  7. Pryor J, Althof S, Steidle C, Miloslavsky M (2005) Efficacy and tolerability of dapoxetine in the treatment of premature ejaculation. J Urol 173:201

    Google Scholar 

  8. Rowland DL, Haensel SM, Blom JH, Slob AK (1993) Penile sensitivity in men with premature ejaculation and erectile dysfunction. J Sex Marital Ther 19:189–197

    Article  PubMed  CAS  Google Scholar 

  9. Xin ZC, Chung WS, Choi YO et al (1996) Penile sensitivity in patients with primary premature ejaculation. J Urol 156:979–981

    Article  PubMed  CAS  Google Scholar 

  10. Wyllie MG, Hellstrom WJ (2011) The link between penile hypersensitivity and premature ejaculation. BJU Int 107:452–457

    Article  PubMed  Google Scholar 

  11. Schapiro B (1943) Premature ejaculation: a review of 1130 cases. J Urol 3:374–379

    Google Scholar 

  12. Xin ZC, Choi YO, Lee WH et al (1998) Changes in ejaculatory latency and penile vibratory threshold with SS-cream in patients with primary premature ejaculation. Sex Dyfunction 1:89–93

    Article  Google Scholar 

  13. Xin ZC, Choi YO, LEE SH, Choi HK (1997) Efficacy of a topical agent SS-cream in the treatment of premature ejaculation: preliminary clinical studies. Yonsei Med J 38:91–95

    PubMed  CAS  Google Scholar 

  14. Choi HK, jung GW, Moon KH et al (2005) Clinical study of SS-cream in patients with lifelong premature ejaculation. Urology 55:257–261

    Article  Google Scholar 

  15. Tian L, Xin ZC, Xin H et al (2004) Effect of renewed SS-cream on spinal somatosensory evoked potentials in rabbits. Asian J Androl 6:15–18

    PubMed  CAS  Google Scholar 

  16. Lee TY, Lam TH (1988) Irritant contact dermatitis due to a Chinese herbal medicine lu-shen-wan. Contact Dermatitis 18:213–218

    Article  PubMed  CAS  Google Scholar 

  17. Berkovitch M, Kerestechi AG, Koren G (1995) Efficacy of prilocaine-lidocaine cream in the treatment of premature ejaculation. J Urol 154:1360–1361

    Article  PubMed  CAS  Google Scholar 

  18. Atikeler MK, Gecit I, Senol FA (2002) Optimum usage of prilocaine-lidocaine cream in premature ejaculation. Androlog 34:356–359

    Article  CAS  Google Scholar 

  19. Busato W, Galindo CC (2004) Topical anesthetic use for treating premature ejaculation: a double-blind, randomized, placebo-controlled study. BJU lnt 93:1018–1021

    Article  CAS  Google Scholar 

  20. Gittleman MC, Mo J, Lu M (2006) Synergistic effect of meatal application on dyclonine/alprostadil cream for the treatment of early ejaculation in a double-blind crossover study. J Sex Med 3(Supp 3):176

    Google Scholar 

  21. Henry R, Morales A (2003) Topical lidocaine-prilocaine spray for the treatment of premature ejaculation: a proof of concept study. lnt J Imp Res 15:277–81

    Google Scholar 

  22. Dinsmore WW, Hackett G, Goldmeier D et al (2007) Topical eutectic mixture for premature ejaculation (TEMPE): a novel aerosol-delivery form of lidocaine-prilocaine for treating premature ejaculation. BJU lnt 99:369–375

    Article  CAS  Google Scholar 

  23. Dinsmore WW, Wyllie MG (2009) PSD502 improves ejaculatory latency, control and sexual satisfaction when applied topically 5 min before intercourse in men with premature ejaculation: results of a phase III multi-centre, double-blind, placebo-controlled study. BJU Int 103:940–949

    Article  PubMed  CAS  Google Scholar 

  24. Carson C, Wyllie MG (2010) Improved ejaculatory latency, control and sexual satisfaction when PSD502 is applied topically in men with premature ejaculation: results of a phase III, double-blind, placebo-controlled study. J Sex Med 9:3179–3189

    Article  Google Scholar 

  25. McMahon CG, Althof S, Waldinger MD et al (2008) An evidence-based definition of lifetime premature ejaculation: report of the international society of sexual medicine ad hoc committee for the definition of premature ejaculation. BJU Int 102:338–350

    Article  PubMed  Google Scholar 

  26. Waldinger MD (2003) Towards evidence-based drug treatment research on premature ejaculation: a critical evaluation of methodology. Int J Imp Res 15:309–313

    Article  CAS  Google Scholar 

  27. Hirsch M, Donatucci C, Glina S et al (2004) Standards for clinical trials in male sexual dysfunction: erectile dysfunction and rapid ejaculation. J Sex Med 1:87–91

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wallace Dinsmore .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Italia

About this chapter

Cite this chapter

Dinsmore, W., McCarty, E. (2013). Use of Local Anesthetics in the Treatment of Premature Ejaculation. In: Jannini, E., McMahon, C., Waldinger, M. (eds) Premature Ejaculation. Springer, Milano. https://doi.org/10.1007/978-88-470-2646-9_21

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2646-9_21

  • Published:

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2645-2

  • Online ISBN: 978-88-470-2646-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics