Pelvic floor rehabilitation prolongs intravaginal ejaculation latency time in patients with lifelong premature ejaculation

  An Italian clinical study in 2014 looked at and reported the effectiveness of pelvic floor rehabilitation therapy in 40 patients with lifelong premature ejaculation.  All patients had a pre-treatment intravaginal ejaculatory latency of less than 1 minute, with a mean of 39.8 seconds.  Patients were subjected to three 60-minute sessions per week, including 20 minutes each of pelvic floor muscle exercise therapy, pelvic floor electrical stimulation therapy, and biofeedback therapy, for 12 weeks.  After 12 weeks 33 (82.5%) patients could effectively control their ejaculatory reflex and their intravaginal ejaculatory latency was prolonged to a mean of 146.2 seconds.  Thirteen of these 33 patients were reviewed at 6 months and had an average intravaginal ejaculation latency time of 112.6 seconds.  The study suggests that pelvic floor rehabilitation is a safe, cost-effective and promising new treatment option for patients with premature ejaculation compared to selective 5hydroxytryptamine reuptake inhibitors.