Pelvic Floor Therapies for Lifelong Premature Ejaculation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
Age18-50
SponsorTanta University

About this trial

This randomized controlled trial will compare three pelvic floor-based treatment modalities in men with lifelong premature ejaculation: electromagnetic pelvic floor stimulation, biofeedback-assisted pelvic floor muscle training, and conventional pelvic floor muscle training. A total of 150 men aged 18 to 50 years with lifelong premature ejaculation and stopwatch-measured intravaginal ejaculatory latency time of less than 1 minute will be randomly assigned to one of the three treatment groups. The primary outcome will be the change in intravaginal ejaculatory latency time from baseline to the end of treatment at 6 weeks. Secondary outcomes will include changes in Premature Ejaculation Diagnostic Tool score, International Index of Erectile Function-5 score, patient-reported ejaculatory control, sexual satisfaction, partner satisfaction, treatment adherence, and adverse events.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Men aged 18 to 50 years.

Diagnosis of lifelong premature ejaculation.

Intravaginal ejaculatory latency time less than 1 minute.

Ability and willingness to comply with the treatment protocol and follow-up visits.

Disqualifiers

Erectile dysfunction.

Neurological disease.

Previous pelvic surgery.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Electromagnetic Pelvic Floor Stimulation

    Device

    Non-invasive electromagnetic pelvic floor stimulation will be applied to induce repeated pelvic floor muscle contractions. Treatment will be delivered over 6 weeks according to the institutional pelvic floor rehabilitation protocol.

  • Biofeedback-Assisted Pelvic Floor Muscle Training

    Behavioral

    Participants will receive supervised pelvic floor muscle training assisted by biofeedback over a 6-week treatment period to improve pelvic floor muscle awareness, contraction, relaxation, and coordination.

  • Conventional Pelvic Floor Muscle Training

    Behavioral

    Participants will receive conventional pelvic floor muscle training aimed at improving pelvic floor muscle control and ejaculatory control. Treatment will be delivered over 6 weeks according to the institutional physiotherapy protocol.

Treatment groups

150 Participants
are divided into 3 treatment groups
Group A: Electromagnetic Pelvic Floor StimulationExperimental treatment 1 intervention
Group B: Biofeedback-Assisted Pelvic Floor Muscle TrainingActive comparator 1 intervention
Group C: Conventional Pelvic Floor Muscle TrainingActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in Intravaginal Ejaculatory Latency Time at 6 Weeks

Intravaginal ejaculatory latency time will be measured using a stopwatch. The average of at least three consecutive intercourse attempts will be recorded. The outcome will be expressed as the change in intravaginal ejaculatory latency time from baseline to the end of treatment at 6 weeks.

Time frame
Baseline and 6 weeks

Secondary outcomes

1

Change in Intravaginal Ejaculatory Latency Time at 3 Months

Intravaginal ejaculatory latency time will be measured using a stopwatch. The average of at least three consecutive intercourse attempts will be recorded. The outcome will be expressed as the change from baseline to 3-month follow-up.

Time frame
Baseline and 3 months
2

Change in Premature Ejaculation Diagnostic Tool Score at 6 Weeks

The Premature Ejaculation Diagnostic Tool will be used to assess the severity of premature ejaculation. The outcome will be expressed as the change in total score from baseline to 6 weeks.

Time frame
Baseline and 6 weeks
3

Change in Patient-Reported Ejaculatory Control at 6 Weeks

Patient-reported ejaculatory control will be assessed using a Likert scale. The outcome will be expressed as the change from baseline to 6 weeks.

Time frame
Baseline and 6 weeks

Other outcomes

Sponsors and contacts

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