Premature ejaculation: Clinical subgroups and etiology

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Abstract
Forty-six patients suffering from premature ejaculation (PE) were subdivided into primary premature ejaculators (PPE)-those who suffered from PE since the beginning of their sexual lives-and secondary premature ejaculators (SPE)-those who suffered from PE after years of normal sexual functioning. It is postulated that these two groups can be clinically differentiated by: bulbocavernosus reflex (BCR) latency time; sequential natural history of PPE vs. nonsequential development of SPE; and nondemonstrable organic illness vs. demonstrable organic cause in the great majority of SPE. This classification appears to be helpful in formulating appropiate treatment plans.

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