Therapeutic targets for premature ejaculation.

Abstract:

:Premature ejaculation (PE) is the most common male sexual complaint, and may exert a profound negative impact on the man's life and partnership. Using currently available treatment alternatives (e.g., selective serotonin uptake inhibitor, agents acting locally on the penis), PE can be treated in most, but not all patients. However, since long term success rates have been disappointing, and the only approved treatment so far is the short-acting selective serotonin re-uptake inhibitor dapoxetine, there is currently an intensive search for new treatment modalities. Selection of the most promising therapeutic targets from a host of current and potential candidates depends heavily on their roles in the pathophysiology of PE. Possible central nervous targets that will be discussed are serotonin transporters, and CNS receptors for 5-HT(IA) and 5-HT(1B), dopamine, oxytocin, opioids, neurokinin-1, and glutamate. Putative peripheral targets include α(1)-adrenoceptors, phosphodiestrase enzymes, Rho kinases, purinergic (P2X) receptors, and penile sensory nerves. It is clear that exploiting the full therapeutic potential of these targets will require additional basic and clinical research.

journal_name

Maturitas

journal_title

Maturitas

authors

Andersson KE,Abdel-Hamid IA

doi

10.1016/j.maturitas.2011.06.007

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

26-33

issue

1

eissn

0378-5122

issn

1873-4111

pii

S0378-5122(11)00206-4

journal_volume

70

pub_type

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