Assessment of penile vibratory stimulation as a management strategy in men with secondary retarded orgasm Journal Article


Authors: Nelson, C. J.; Ahmed, A.; Valenzuela, R.; Parker, M.; Mulhall, J. P.
Article Title: Assessment of penile vibratory stimulation as a management strategy in men with secondary retarded orgasm
Abstract: Objectives: To evaluate the effectiveness of penile vibratory stimulation for the management of retarded orgasm. Retarded orgasm, a condition characterized by difficulty achieving orgasm and ejaculation, is one of the most recalcitrant of the male sexual dysfunctions. Currently, no evidence-based treatments have been proven to ameliorate this condition. Methods: Men who had a complete inability to achieve an orgasm during sexual relations in the previous 3 months were instructed in the use of penile vibratory stimulation. The men's responses were measured by self-report of orgasm function and using the orgasm and satisfaction domains of the International Index of Erectile Function. The responses were assessed at baseline (admission into the study) and at 3 and 6 months. Results: A total of 36 men met the inclusion criteria, and 72% reported the restoration of orgasm. These responders reported that orgasm during sexual relations occurred 62% of the time. A statistically and clinically significant increase occurred in the orgasm and satisfaction domains of the International Index of Erectile Function between the baseline visit and the 3-month follow-up visit. These gains were sustained at 6 months. Conclusions: Penile vibratory stimulation is an effective treatment for retarded orgasm. Penile vibratory stimulation should be integrated into current cognitive-behavioral sex therapy techniques to achieve maximal effectiveness and satisfaction. © 2007 Elsevier Inc. All rights reserved.
Keywords: adult; clinical article; treatment outcome; middle aged; follow up; self report; sexuality; statistical significance; cognition; penis erection; penis; ejaculation; sexual dysfunctions, psychological; male sexual dysfunction; orgasm disorder; sex therapy; vibration
Journal Title: Urology
Volume: 69
Issue: 3
ISSN: 0090-4295
Publisher: Elsevier Science, Inc.  
Date Published: 2007-03-01
Start Page: 552
End Page: 555
Language: English
DOI: 10.1016/j.urology.2006.02.048
PUBMED: 17382163
PROVIDER: scopus
PMCID: PMC4765806
DOI/URL:
Notes: --- - "Cited By (since 1996): 8" - "Export Date: 17 November 2011" - "CODEN: URGYA" - "Source: Scopus"
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  1. John P Mulhall
    601 Mulhall
  2. Christian Nelson
    391 Nelson