Urological risk factors for premature ejaculation

Premature ejaculation (PE) is considered the most common form of male sexual dysfunction, and the prevalence of PE complaints range from 20% to 40% among sexually active men. Acquired PE, which occurs due to an underlying organic and/or psychological cause, may be a treatable condition. Recent evidence has suggested that certain medical conditions such as hyperthyroidism may cause PE. In addition to hyperthyroidism, the literature has also revealed several urologic risk factors that may predispose a man to acquired PE; these include erectile dysfunction, prostatic diseases and chronic pelvic pain syndrome, varicocele, monosymptomatic enuresis and circumcision. This review aims to provide a systematic analysis of the literature regarding these urological risk factors of acquired PE.