Evidence map›Paper›PMID 40583025›Full record

ArticleThe world journal of men's health2026

Prevalence and Factors Associated with Premature Ejaculation in Japan: First Nationwide Cross-Sectional Survey by the Japanese Society for Sexual Medicine.

Masato Shirai, Akira Tsujimura, Shinichiro Fukuhara, Koji Chiba, Tsuyoshi Yoshizawa, Hikaru Tomoe, Kazunori Kimura, Eiji Kikuchi, Eri Maeda, Yoshikazu Sato and 4 more

Abstract read
In one paragraph

Article in The world journal of men's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Masato ShiraiDepartment of Urology, Juntendo University Urayasu Hospital, Urayasu, Japan.ORCID https://orcid.org/0000-0002-2120-3611
Akira TsujimuraDepartment of Urology, Juntendo University Urayasu Hospital, Urayasu, Japan. atsujimu@juntendo.ac.jp.ORCID https://orcid.org/0000-0002-3821-5184
Shinichiro FukuharaDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.ORCID https://orcid.org/0000-0003-1336-4316
Koji ChibaDepartment of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID https://orcid.org/0000-0001-5575-0667
Tsuyoshi YoshizawaDepartment of Urology, Nihon University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6257-3117
Hikaru TomoeDepartment of Urology, Sayama Sougou Clinic, Saitama, Japan.ORCID https://orcid.org/0009-0001-3242-3396
Kazunori KimuraDepartment of Hospital Pharmacy, Graduate School of Pharmaceutical Sciences, Nagoya City University, Nagoya, Japan.ORCID https://orcid.org/0000-0002-2473-4776
Eiji KikuchiDepartment of Urology, St. Marianna University School of Medicine, Kawasaki, Japan.ORCID https://orcid.org/0000-0002-1624-6676
Eri MaedaDepartment of Public Health, Faculty of Medicine, Hokkaido University, Sapporo, Japan.ORCID https://orcid.org/0000-0002-6858-3754
Yoshikazu SatoDepartment of Urology, Sanjukai Urological Hospital, Sapporo, Japan.ORCID https://orcid.org/0000-0002-2205-1357
Atsushi NagaiManagement Department of Kawasaki Medical School Hospital, Kurashiki, Japan.ORCID https://orcid.org/0009-0003-0328-3042
Koichi NagaoDepartment of Urology, Faculty of Medicine, Toho University, Tokyo, Japan.ORCID https://orcid.org/0000-0003-2798-4567
Haruaki SasakiDepartment of Urology, Showa University Fujigaoka Hospital, Yokohama, Japan.ORCID https://orcid.org/0009-0004-0903-1871
Clinical Research Promotion Committee of the Japanese Society for Sexual Medicine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePremature ejaculation (PE) is a most common sexual complaint among men worldwide, but its prevalence and associated factors in Japan remain underexplored. This study aimed to determine the prevalence of self-reported PE, lifelong PE (LPE), and acquired PE (APE) among Japanese men, as well as to identify associated factors, distress levels, and healthcare-seeking behaviors through a nationwide cross-sectional survey. MATERIALS AND

methodsThis internet-based nationwide cross-sectional survey was conducted among Japanese men from 20 to 79 years old by the Clinical Research Promotion Committee of the Japanese Society for Sexual Medicine (JSSM). Data were collected using validated questionnaires, including the International Society for Sexual Medicine (ISSM) criteria for LPE and APE.

resultsOf 37,485 invited participants, 6,228 provided valid responses (response rate: 16.61%), with 5,331 sexually active men included in the analysis. The prevalence of self-reported PE distress was 23.39%. ISSM-defined LPE and APE were observed in 0.54% and 3.47% of respondents, respectively. Univariate analysis identified erectile dysfunction (ED), psychotropic drug use, neurological diseases, trauma, aortic aneurysm surgery, and partnership dissatisfaction as significant associated factors for both LPE and APE. Multivariate analysis confirmed ED as the common associated factor. Despite 51.00% of respondents expressing a desire for treatment, only 4.81% had sought medical help.

conclusionsThis study provides the first epidemiological insights into PE in Japan, revealing a notable prevalence and identifying ED as a key associated factor. Despite significant distress, most affected individuals do not seek medical help, highlighting the necessity for greater public awareness and better access to treatment options. Future research should focus on longitudinal assessments to explore causal relationships and evaluate potential interventions.

Indexed as

Cross-sectional studiesEpidemiologic factorsInternetPremature ejaculationPrevalence

Identifiers

PMID40583025
PMCPMC13036254

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.