AB042. The prevalence of sexual disorders in Tashkent (Uzbekistan)

Objective: To identify the appeal ability of patients with sexual disorders among various layers of men of Tashkent.

Materials and Methods: Interviewed 3,216 respondents of men who applied in 7 central clinics in the city of Tashkent. We studied the following parameters: presence or absence of premature ejaculation (PE) by using a dichotomous scale-(yes/no) with a single question asking if ejaculation occurred too early, as well as defining form of PE through the use of an additional item (“Have you experienced early ejaculation from the very first days of your sexual life?”). Moreover we investigated intravaginal ejaculatory latency time (IELT). Because of it has a significant direct effect on perceived control over ejaculation. The presence of erectile dysfunction (ED) was also to sort out by dichotomous scale. For determine severity of ED we used the questionnaire IIEF-5, for PE-IELT.

Results: The mean age of the respondents was 34.49±10.29 (from 19 to 63 years), the mean duration of intravaginal latency time of all men was 7.51±6.82 (0.07 to 50) minutes. Respondents with sexual disorders were 1,254 (39%). Among of this data, with PE were 482 respondents (38.4%), with ED were 382 (30.5%) and a combination of PE and ED was 390 (31.1%). Disease duration respondents who noted PE ranged from 1.5 to 7 years, average 4.43±1.55 years. However, 708 of them do not sought treatment, the average duration was 4.4+1.54 years. In the Multicounty Concept Evaluation and Assessment of PE (MCCA-PE) study, the self-reported time taken for an average man to ejaculate varied greatly from 7 to 14 minutes (Montorsi, 2005). These figures were highly geography dependent, being shorter in Germany (7 minutes), longer in the United States (14 minutes), and average in England, France, and Italy (10 minutes). In compare with undergone data, our study shows that average of IELT in Tashkent (7.51 minutes) among 3,216 respondents.

Conclusions: It became clear that men with PE did not appeal for treatment in time. This interval time by our data was 4.4+1.53 years, which requires paying more attention to sexual life of men from GP. In our study, the incidence of sexual disorders among respondents was 39%. The PE accounted 38.4% of men, 30.5% of male erectile dysfunction and a combination of 31.1%. In addition, we identified a form of PE. In this case, of 872 patients with PE, in 394 (45.2%) PE—was livelong, while 478 (54.8%)—was acquired. This division of PE into two forms improves evaluation which allows to choice of optimal treatment. Erectile dysfunction complicates the PE by reducing IELT. Mean IELT in this group of respondents PE + ED was significantly lower (2.48+3.03 min) than the respondents in PE group (3.01+2.46 min) (P<0.05). Therefore, in a conversation with men who suffers from PE, should be evaluated erectile function of simultaneously.

Keywords: Prevalence; premature ejaculation (PE); erectile dysfunction (ED); dichotomous scale; intravaginal ejaculatory latency time (IELT); Tashkent