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Prve hrvatske smjernice za dijagnostiku, liječenje i praćenje osoba s prijevremenom ejakulacijom / Arbanas, Goran ; Jurin, Tanja ; Mozetič, Vladimir ; Mimica Matanović, Suzana ; Rožman, Josipa ; Markić, Dean ; Žegura, Iva.

By: Arbanas, Goran.
Contributor(s): Jurin, Tanja [aut] | Mozetič, Vladimir [aut] | Mimica Matanović, Suzana [aut] | Rožman, Josipa [aut] | Markić, Dean [aut] | Žegura, Iva [aut].
Material type: ArticleArticleDescription: 321-327 str.Other title: The first Croatian guidelines for diagnosis, treatment and follow-up of persons with premature ejaculation [Naslov na engleskom:].Subject(s): 3.02 | prijevremena ejakulacija ; dijagnostika ; SIPPSi ; dapoksetin ; tehnika stani-kreni ; tehnika stiskanja ; novo funkcionalno seksološko liječenje | premature ejaculation ; diagnosis ; SSRI ; dapoxetine ; start-stop technique ; squeeze technique ; new functional sexological treatmentOnline resources: Elektronička verzija In: Liječnički vjesnik : glasilo Hrvatskoga liječničkog zbora 138 (2017), 11-12 ; str. 321-327Abstract: Prijevremena ejakulacija (PE) čest je seksualni poremećaj, defi niran trima obilježjima: kratkim vremenom intravaginalne latencije ejakulacije, slabom kontrolom nad mogućnošću odgađanja ejakulacije i patnjom osobe i/ili partnerice. Dijagnoza se postavlja na temelju dobre i sveobuhvatne anamneze, koja treba uključiti i prisutnost/odsutnost drugih često komorbidnih stanja (npr. erektilne disfunkcije, anksioznosti) te utvrđivanje vrste PE (primarna, sekundarna, promjenjiva, subjektivna). Važno je savjetovanje bolesnika (i po mogućnosti partnerice) o ovom stanju i mogućnostima liječenja. Prva linija liječenja su selektivni inhibitori ponovne pohrane serotonina (dapoksetin, koji jedini ima odobrenu službenu indikaciju, paroksetin, sertralin, fl uoksetin, citalopram, escitalopram). U prvoj su liniji liječenja i psihološko/seksološke metode liječenja, kao što su bihevioralne metode (tehnika stani-kreni i tehnika stiskanja) te novo funkcionalno seksološko liječenje. Izbor metode ovisi o vrsti PE i o izboru bolesnika. U drugoj liniji liječenja jesu klomipramin i lokalni anestetici, a u trećoj tramadol. Premature ejaculation (PE) is a sexual disorder with high prevalence, defi ned by three characteristics: short intravaginal ejaculation latency time, poor control over delaying ejaculation and personal and/or partner distress. The diagnosis is reached by a thorough and comprehensive history taking, which should include presence/absence of other co-morbid conditions (e.g. erectile dysfunction, anxiety), and assessing the type of PE (primary, secondary, variable, subjective). It is important to counsel the patient (and, if possible, the partner) about this condition and treatment options. The fi rst line of treatment is selective serotonin reuptake inhibitors (dapoxetine, which is the only drug with an offi cial label for this indication, paroxetine, sertraline, fl uoxetine, citalopram, escitalopram). The fi rst line of treatment also includes psychological/ sexological treatment methods, such as behavioural methods (stop-start and squeeze techniques), and new functional sexological treatment. The choice of the method depends on the type of PE and on the patient preference. The second line of treatment are clomipramine and local anaesthetics, and the third line is tramadol.
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Prijevremena ejakulacija (PE) čest je seksualni poremećaj, defi niran trima obilježjima: kratkim vremenom intravaginalne latencije ejakulacije, slabom kontrolom nad mogućnošću odgađanja ejakulacije i patnjom osobe i/ili partnerice. Dijagnoza se postavlja na temelju dobre i sveobuhvatne anamneze, koja treba uključiti i prisutnost/odsutnost drugih često komorbidnih stanja (npr. erektilne disfunkcije, anksioznosti) te utvrđivanje vrste PE (primarna, sekundarna, promjenjiva, subjektivna). Važno je savjetovanje bolesnika (i po mogućnosti partnerice) o ovom stanju i mogućnostima liječenja. Prva linija liječenja su selektivni inhibitori ponovne pohrane serotonina (dapoksetin, koji jedini ima odobrenu službenu indikaciju, paroksetin, sertralin, fl uoksetin, citalopram, escitalopram). U prvoj su liniji liječenja i psihološko/seksološke metode liječenja, kao što su bihevioralne metode (tehnika stani-kreni i tehnika stiskanja) te novo funkcionalno seksološko liječenje. Izbor metode ovisi o vrsti PE i o izboru bolesnika. U drugoj liniji liječenja jesu klomipramin i lokalni anestetici, a u trećoj tramadol. Premature ejaculation (PE) is a sexual disorder with high prevalence, defi ned by three characteristics: short intravaginal ejaculation latency time, poor control over delaying ejaculation and personal and/or partner distress. The diagnosis is reached by a thorough and comprehensive history taking, which should include presence/absence of other co-morbid conditions (e.g. erectile dysfunction, anxiety), and assessing the type of PE (primary, secondary, variable, subjective). It is important to counsel the patient (and, if possible, the partner) about this condition and treatment options. The fi rst line of treatment is selective serotonin reuptake inhibitors (dapoxetine, which is the only drug with an offi cial label for this indication, paroxetine, sertraline, fl uoxetine, citalopram, escitalopram). The fi rst line of treatment also includes psychological/ sexological treatment methods, such as behavioural methods (stop-start and squeeze techniques), and new functional sexological treatment. The choice of the method depends on the type of PE and on the patient preference. The second line of treatment are clomipramine and local anaesthetics, and the third line is tramadol.

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