J Korean Androl Soc.
1995 Jan;13(1):39-43.
Comparison of Modified Squeeze Technique and Oral Phenoxybenzamine in the Treatment of Premature Ejaculation
- Affiliations
-
- 1Department of Urology, Korea University College of Medicine, Seoul, Korea.
Abstract
- Behavior therapy has been accepted as the most effective treatment for premature ejaculation. Although many kinds of pharmacotherapy have been tried, their effectiveness is not clear. We compared the squeeze technique (N=14) and oral phenoxybenzamine 20-30 mg per day (N=24) in the treatment of premature ejaculation. The response to treatment was assessed by an interview with the couple and graded as satisfaction, improvement or no improvement for three parameters: erection, ejaculation and the wife's satisfaction. Six of the patients who started with the squeeze technique completed treatment. Their age range was 26 to 38 years, and the duration of treatment was 20 to 95 days. The overall improvement was 67% in ejaculation and 83% in wife's satisfaction. Eighteen of the patients who started with oral phenoxybenzamine completed treatment. Their age range was 26 to 50 years, and the duration of treatment was 20 to 90 days. The overall improvement was 67% in ejaculation and 61% in wife's satisfaction. With oral phenoxybenzamine, there was no complication except dry ejaculation in 50% of the patients. Cessation of the drug eliminated this problem. Our results confirm that the squeeze technique is effective and suggest that oral phenoxybenzamine can be recommended for temporary use in patients who refuse the squeeze technique or who do not with to procreated.