Cochrane · systematic review · CD012799

Selective serotonin re‐uptake inhibitors for premature ejaculation in adult men

Sathianathen, NJ, Hwang, EC, Mian, R, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

UrologyAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 5 · 71.4%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

SSRI compared to placebo for premature ejaculation

Population: adult men with premature ejaculation
7 questions
OutcomeEffectEvidenceStatus / GRADE
Participant perception of change with treatment
SSRI vs placebo
RR 1.92 [1.66, 2.23]6 studies · 3260 participantsModerate
Downgraded: risk of bias
Participant satisfaction with intercourse
SSRI vs placebo
RR 1.63 [1.42, 1.87]3 studies · 4273 participantsModerate
Downgraded: risk of bias, inconsistency
Study withdrawal due to adverse events
SSRI vs placebo
RR 3.8 [2.61, 5.51]20 studies · 7367 participantsLow
Downgraded: risk of bias
Perceived control over ejaculation
SSRI vs placebo
RR 2.29 [1.72, 3.05]3 studies · 4273 participantsModerate
Downgraded: risk of bias
Participant distress about PE
SSRI vs placebo
RR 1.54 [1.26, 1.88]1 study · 652 participantsModerate
Downgraded: risk of bias
Adverse events
SSRI vs placebo
RR 1.71 [1.48, 1.99]17 studies · 4624 participantsModerate
Downgraded: risk of bias
IELT
SSRI vs placebo
no estimate extracted20 studies · 5872 participantsLow
Downgraded: risk of bias, inconsistency