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Electrical Stimulation in Sexual Dysfunction

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Electrical Stimulation for Pelvic Floor Disorders

Abstract

Sexual dysfunction (SD) refers to a problem occurring during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. Most types of sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Symptoms of Sexual Dysfunctions overlap with those of the other pelvic floor dysfunction, such as urinary or fecal disorders. Electrotherapies could have a potential role in treating specific symptoms in specific patients. The principles of using electrical stimulation of peripheral nerves or nerve roots for restoring sexual function have been reported. The actual role of Sacral and Pudendal Neuromodulation, Pelvic Floor rehabilitation, electroejaculation, acupuncture, tibial nerve stimulation, and other electrical stimulation techniques were described .

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References

  1. Masters WH, Johnson VE (1966) Human sexual response. Little, Brown, Oxford

    Google Scholar 

  2. Rosen RC (2000) Prevalence and risk factors of sexual dysfunction in men and women. Curr Psychiatry Rep 2:189–195

    PubMed  CAS  Google Scholar 

  3. Lewis RW, Fugl-Meyer KS, Carona G, Hayes RD, Laumann EO, Moreira ED Jr, Rellini AH, Segraves T (2010) Definitions/epidemiology/risk factors for sexual factors for sexual dysfunction. J Sex Med 7:1598–1607

    PubMed  Google Scholar 

  4. Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, Wang T, GSSAB Investigators’ Group (2005) Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 17:39–57

    PubMed  CAS  Google Scholar 

  5. Basson R, Rees P, Wang R, Montejo AL, Incrocci L (2010) Sexual function in chronic illness. J Sex Med 7:374–388

    PubMed  Google Scholar 

  6. Strassberg DS, Perelman MA (2009) Sexual dysfunctions. In: Blaney PH, Millon T (eds) Oxford textbook of psychopathology, 2nd edn. Oxford University Press, New York, pp 399–430

    Google Scholar 

  7. Balon R, Segraves RT, Clayton A (2007) Issues for DSM-V: sexual dysfunction, disorder, or variation along normal distribution: toward rethinking DSM criteria of sexual dysfunctions. Am J Psychiatry 164:198–200

    PubMed  Google Scholar 

  8. Segraves KB, Segraves RT (1991) Hypoactive sexual desire disorder: prevalence and comorbidity in 906 subjects. J Sex Marital Ther 17:55–58

    PubMed  CAS  Google Scholar 

  9. Jha S, Strelley K, Radle S (2012) Incontinence during intercourse: myths unravelled. Int Urogynecol J 23:633–637

    PubMed  Google Scholar 

  10. Aslan G, Koseog˘lu H, Sadik O, Gimen S, Cihan A, Esen A (2005) Sexual function in women with urinary incontinence. Int J Impot Res 17:248–251

    PubMed  CAS  Google Scholar 

  11. Salonia A, Zanni G, Nappi RE, Briganti A, Deho F, Fabbri F, Colombo R, Guazzoni G, Di Girolamo V, Rigatti P, Montorsi F (2004) Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study. Eur Urol 45:642–648

    PubMed  Google Scholar 

  12. Laumann EO, Paik A, Rosen RC (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281:537–544

    PubMed  CAS  Google Scholar 

  13. Hayes RD, Bennett CM, Fairley CK, Dennerstein L (2006) What can prevalence studies tell us about female sexual difficulty and dysfunction? J Sex Med 3:589–595

    PubMed  Google Scholar 

  14. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A (2002) The standardization of terminology in lower urinary tract function. Report from the Standardization Sub-committee of the International Continence Society. Am J Obstet Gynecol 187:116–126

    PubMed  Google Scholar 

  15. Butrick CW (2003) Interstitial cystitis and chronic pelvic pain: new insights in neuropathology, diagnosis, and treatment. Clin Obstet Gynecol 46:811–823

    PubMed  Google Scholar 

  16. Peters KM, Killinger KA, Carrico DJ, Ibrahim IA, Diokno AC, Graziottin A (2007) Sexual function and sexual distress in women with interstitial cystitis: a case-control study. Urology 70:543–547

    PubMed  Google Scholar 

  17. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506

    PubMed  CAS  Google Scholar 

  18. Bachmann GA, Leiblum SR, Grill J (1989) Brief sexual inquiry in gynecologic practice. Obstet Gynecol 73:425–427

    PubMed  CAS  Google Scholar 

  19. Pauls RN (2010) Impact of gynecological surgery on female sexual function. Int J Impot Res 22:105–114

    PubMed  CAS  Google Scholar 

  20. Dua A, Jha S, Farkas A, Radley S (2012) The effect of prolapse repair on sexual function in women. J Sex Med 9:1459–1465

    PubMed  Google Scholar 

  21. Maher C, Feiner B, Baessler K, Schmid C (2013) Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 4, CD004014

    PubMed  Google Scholar 

  22. Cundiff GW, Fenner D (2004) Evaluation and treatment of women with rectocele: focus on associated defecatory and sexual dysfunction. Obstet Gynecol 104:1403–1421

    PubMed  Google Scholar 

  23. Lange MM, van de Velde CJ (2011) Urinary and sexual dysfunction after rectal cancer treatment. Nat Rev Urol 8:51–57

    PubMed  Google Scholar 

  24. McGlone ER, Khan O, Flashman K, Khan J, Parvaiz A (2012) Urogenital function following laparoscopic and open rectal cancer resection: a comparative study. Surg Endosc 26:2559–2565

    PubMed  Google Scholar 

  25. Hyun JS (2012) Prostate cancer and sexual function. World J Mens Health 30:99–107

    PubMed  PubMed Central  Google Scholar 

  26. Cichowski SB, Komesu YM, Dunivan GC, Rogers RG (2013) The association between fecal incontinence and sexual activity and function in women attending a tertiary referral center. Int Urogynecol J 24:1489–1494

    PubMed  PubMed Central  Google Scholar 

  27. Bachmann G (2006) Female sexuality and sexual dysfunction: are we stuck on the learning curve? J Sex Med 3:639–645

    PubMed  Google Scholar 

  28. Shamloul R, Ghanem H (2013) Erectile dysfunction. Lancet 381:153–165

    PubMed  CAS  Google Scholar 

  29. Bella AJ, Brock GB (2004) Intracavernous pharmacotherapy for erectile dysfunction. Endocrine 23:149–155

    PubMed  CAS  Google Scholar 

  30. Frank JE, Mistretta P, Will J (2008) Diagnosis and treatment of female sexual dysfunction. Am Fam Physician 77:635–642

    PubMed  Google Scholar 

  31. Wehbe SA, Whitmore K, Kellogg-Spadt S (2010) Urogenital complaints and female sexual dysfunction (part 1). J Sex Med 7:1704–1713

    PubMed  Google Scholar 

  32. Gill BC, Swartz MA, Firoozi F, Rackley RR, Moore CK, Goldman HB, Vasavada SP (2011) Improved sexual and urinary function in women with sacral nerve stimulation. Neuromodulation 14:436–443

    PubMed  Google Scholar 

  33. Signorello D, Seitz CC, Berner L, Trenti E, Martini T, Galantini A, Lusuardi L, Lodde M, Pycha A (2011) Impact of sacral neuromodulation on female sexual function and his correlation with clinical outcome and quality of life indexes: a monocentric experience. J Sex Med 8:1147–1155

    PubMed  Google Scholar 

  34. Pauls RN, Marinkovic SP, Silva WA, Rooney CM, Kleeman SD, Karram MM (2007) Effects of sacral neuromodulation on female sexual function. Int Urogynecol J Pelvic Floor Dysfunct 18:391–395

    PubMed  Google Scholar 

  35. Lombardi G, Mondaini N, Macchiarella A, Cilotti A, Del Popolo G (2008) Clinical female sexual outcome after sacral neuromodulation implant for lower urinary tract symptom (LUTS). J Sex Med 5:1411–1417

    PubMed  Google Scholar 

  36. Yih JM, Killinger KA, Boura JA, Peters KM (2013) Changes in sexual functioning in women after neuromodulation for voiding dysfunction. J Sex Med 10:2477–2483

    PubMed  Google Scholar 

  37. Ingber MS, Ibrahim IA, Killinger KA, Diokno AC, Peters KM (2009) Neuromodulation and female sexual function: does treatment for refractory voiding symptoms have an added benefit? Int Urogynecol J Pelvic Floor Dysfunct 20:1055–1059

    PubMed  Google Scholar 

  38. Peters KM (2013) Pudendal neuromodulation for sexual dysfunction. J Sex Med 10:908–911

    PubMed  Google Scholar 

  39. Spinelli M, Malaguti S, Giardiello G, Lazzeri M, Tarantola J, Van Den Hombergh U (2005) A new minimally invasive procedure for pudendal nerve stimulation to treat neurogenic bladder: description of the method and preliminary data. Neurourol Urodyn 24:305–309

    PubMed  Google Scholar 

  40. van Voskuilen AC, Oerlemans DJ, Gielen N, Lansen-Koch SM, Weil EH, van Lankveld JJ, van den Hombergh U, Baeten CG, van Kerrenbroeck PE (2012) Sexual response in patients treated with sacral neuromodulation for lower urinary tract symptoms or fecal incontinence. Urol Int 88:423–430

    PubMed  Google Scholar 

  41. Jarrett ME, Nicholls RJ, Kamm MA (2005) Effect of sacral neuromodulation for faecal incontinence on sexual activity. Colorectal Dis 7:523–525

    PubMed  CAS  Google Scholar 

  42. Zabihi N, Mourtzinos A, Maher MG, Raz S, Rodríguez LV (2008) The effects of bilateral caudal epidural S2-4 neuromodulation on female sexual function. Int Urogynecol J Pelvic Floor Dysfunct 19:697–700

    PubMed  Google Scholar 

  43. van Balken MR, Vergunst H, Bemelmans BL (2006) Sexual functioning in patients with lower urinary tract dysfunction improves after percutaneous tibial nerve stimulation. Int J Impot Res 18:470–475

    PubMed  Google Scholar 

  44. Dennerstein L, Hayes RD (2005) Confronting the challenges: epidemiological study of female sexual dysfunction and the menopause. J Sex Med 2(Suppl 3):118–132

    PubMed  Google Scholar 

  45. Ramsey LB, Wright J, Fischer JR (2009) Sacral neuromodulation in the treatment of vulvar vestibulitis syndrome. Obstet Gynecol 114:487–489

    Google Scholar 

  46. Marcelissen T, Van Kerrebroeck P, de Wachter S (2010) Sacral neuromodulation as a treatment for neuropathic clitoral pain after abdominal hysterectomy. Int Urogynecol J 21:1305–1307

    PubMed  PubMed Central  Google Scholar 

  47. Govaert B, Melenhorst J, Link G, Hoogland H, van Gemert W, Baeten C (2010) The effect of sacral nerve stimulation on uterine activity: a pilot study. Colorectal Dis 12:448–451

    PubMed  CAS  Google Scholar 

  48. Meloy S (2007) Neurally augmented sexual function. Acta Neurochir Suppl 97(pt 1):359–363

    PubMed  CAS  Google Scholar 

  49. Meloy TS, Southern JP (2006) Neurally augmented sexual function in human females: a preliminary investigation. Neuromodulation 9:34–40

    PubMed  Google Scholar 

  50. Lue TF, Schmidt RA, Tanagho EA (1985) Electrostimulation and penile erection. Urol Int 40:60–64

    PubMed  CAS  Google Scholar 

  51. Lin SN, Wang JM, Ma CP, Chen HI (1985) Hemodynamic study of penile erection in dogs. Eur Urol 11:401–405

    PubMed  CAS  Google Scholar 

  52. Quinlan DM, Nelson RJ, Partin AW, Mostwin JL, Walsh PC (1989) The rat as a model for the study of penile erection. J Urol 141:656–661

    PubMed  CAS  Google Scholar 

  53. Shafik A (1996) Extrapelvic cavernous nerve stimulation in erectile dysfunction. Andrologia 28:151–156

    PubMed  CAS  Google Scholar 

  54. Burnett AL, Lue TF (2006) Neuromodulatory therapy to improve erectile function recovery outcomes after pelvic surgery. J Urol 176:882–887

    PubMed  Google Scholar 

  55. Lue TF, Gleason CA, Brock GB, Carroll PR, Tanagho EA (1995) Intraoperative electrostimulation of the cavernous nerve: technique, results and limitations. J Urol 154:1426–1428

    PubMed  CAS  Google Scholar 

  56. Burnett AL, Teloken PE, Briganti A, Whitehurst T, Montorsi F (2008) Intraoperative assessment of an implantable electrode array for cavernous nerve stimulation. J Sex Med 5:1949–1954

    PubMed  Google Scholar 

  57. Klotz L, Herschorn S (1998) Early experience with intraoperative cavernous nerve stimulation with penile tumescence monitoring to improve nerve sparing during radical prostatectomy. Urology 52:537–542

    PubMed  CAS  Google Scholar 

  58. Klotz L, Heaton J, Jewett M, Chin J, Fleshner N, Goldenberg L, Gleave M (2000) A randomized phase 3 study of intraoperative cavernous nerve stimulation with penile tumescence monitoring to improve nerve sparing during radical prostatectomy. J Urol 164:1573–1578

    PubMed  CAS  Google Scholar 

  59. Holzbeierlein J, Peterson M, Smith JAJR (2001) Variability of results of cavernous nerve stimulation during radical prostatectomy. J Urol 165:108–110

    PubMed  CAS  Google Scholar 

  60. Lombardi G, Mondaini N, Giubilei G, Macchiarella A, Lecconi F, Del Popolo G (2008) Sacral neuromodulation for lower urinary tract dysfunction and impact on erectile function. J Sex Med 5:2135–2140

    PubMed  Google Scholar 

  61. Rosenbaum TY (2007) Pelvic floor involvement in male and female sexual dysfunction and the role of pelvic floor rehabilitation in treatment: a literature review. J Sex Med 4:4–13

    PubMed  Google Scholar 

  62. Rivalta M, Sighinolfi MC, Micali S, De Stefani S, Bianchi G (2010) Sexual function and quality of life in women with urinary incontinence treated by a complete pelvic floor rehabilitation program (biofeedback, functional electrical stimulation, pelvic floor muscles exercises, and vaginal cones). J Sex Med 7:1200–1208

    PubMed  Google Scholar 

  63. Rivalta M, Sighinolfi MC, De Stefani S, Micali S, Mofferdin A, Grande M, Bianchi G (2009) Biofeedback, electrical stimulation, pelvic floor muscle exercises, and vaginal cones: a combined rehabilitative approach for sexual dysfunction associated with urinary incontinence. J Sex Med 6:1674–1677

    PubMed  Google Scholar 

  64. Paradiso Galatioto G, Pace G, Vicentini C (2007) Sexual function in women with urinary incontinence treated by pelvic floor transvaginal electrical stimulation. J Sex Med 4:702–707

    Google Scholar 

  65. Rosenbaum TY, Owens A (2008) The role of pelvic floor physical therapy in the treatment of pelvic and genital pain related sexual dysfunction. J Sex Med 5:513–523

    PubMed  Google Scholar 

  66. McKay E, Kaufman RH, Doctor U, Berkova Z, Blazer H (2001) Treating vulvar vestibulitis with EMG BFB of pelvic floor musculature. J Reprod Med 46:337–342

    PubMed  CAS  Google Scholar 

  67. Rosenbaum TY (2005) Physiotherapy treatment of sexual pain disorders. J Sex Marital Ther 31:329–340

    PubMed  Google Scholar 

  68. Glazer HI, Rodke G, Swencionis C, Hertz R, Young AW (1995) Treatment of vulvar vestibulitis syndrome with electromyographic biofeedback of pelvic floor musculature. J Reprod Med 40:283–290

    PubMed  CAS  Google Scholar 

  69. Sønksen J, Biering-Sørensen F (1992) Fertility in men with spinal cord or cauda equina lesions. Semin Neurol 12:106–114

    PubMed  Google Scholar 

  70. Anderson KD (2004) Targeting recovery: priorities of the spinal cord-injured population. J Neurotrauma 21:1371–1383

    PubMed  Google Scholar 

  71. Elliott S (2003) Sexual dysfunction and infertility in men with spinal cord disorders. In: Lin V (ed) Spinal cord medicine: principles and practice. Demos Medical Publishing, New York, pp 349–365

    Google Scholar 

  72. Learmonth JR (1931) A contribution to the neurophysiology of the urinary bladder in man. Brain 54:147–176

    Google Scholar 

  73. Horne HW, Paull DP, Munro D (1948) Fertility studies in the human male with traumatic injuries of the spinal cord and cauda equina. N Engl J Med 239:959–961

    PubMed  CAS  Google Scholar 

  74. Halstead LS, VerVoort S, Seager SW (1987) Rectal probe electrostimulation in the treatment of anejaculatory spinal cord injured men. Paraplegia 25:120–129

    PubMed  CAS  Google Scholar 

  75. Bennett CJ, Seager SW, Vasher EA, McGuire EJ (1988) Sexual dysfunction and electroejaculation in men with spinal cord injury: review. J Urol 139:453–457

    PubMed  CAS  Google Scholar 

  76. Martin DE, Warner H, Crenshaw TL, Crenshaw RT, Shapiro CE, Perkash I (1983) Initiation of erection and semen release by rectal probe electrostimulation (RPE). J Urol 129:637–642

    PubMed  CAS  Google Scholar 

  77. Buch JP, Zorn BH (1993) Evaluation and treatment of infertility in spinal cord injured men through rectal probe electroejaculation. J Urol 149:1350–1354

    PubMed  CAS  Google Scholar 

  78. Sønksen J, Ohl DA (2002) Penile vibratory stimulation and electroejaculation in the treatment of ejaculatory dysfunction. Int J Androl 25:324–332

    PubMed  Google Scholar 

  79. Nehra A, Werner M, Bastuba M, Title C, Oates R (1996) Vibratory stimulation and rectal probe electroejaculation as therapy for patients with spinal cord injury: semen parameters and pregnancy rates. J Urol 155:554–559

    PubMed  CAS  Google Scholar 

  80. Ohl DA, Sonksen J, Menge AC, McCabe M, Keller LM (1997) Electroejaculation versus vibratory stimulation in spinal cord injured men: sperm quality and patient preference. J Urol 157:2147–2149

    PubMed  CAS  Google Scholar 

  81. Kafetsoulis A, Brackett NL, Ibrahim E, Attia GR, Lynne CM (2006) Current trends in the treatment of infertility in men with spinal cord injury. Fertil Steril 86:781–789

    PubMed  Google Scholar 

  82. Chung PH, Yeko TR, Mayer JC, Sanford EJ, Maroulis GB (1995) Assisted fertility using electroejaculation in men with spinal cord injury— a review of the literature. Fertil Steril 64:1–9

    PubMed  CAS  Google Scholar 

  83. Hovav Y, Shotland Y, Yaffe H, Almagor M (1996) Electroejaculation and assisted fertility in men with psychogenic anejaculation. Fertil Steril 66:620–623

    PubMed  CAS  Google Scholar 

  84. Brackett NL, Davi RC, Padron OF, Lynne CM (1996) Seminal plasma of spinal cord injured men inhibits sperm motility of normal men. J Urol 155:1632–1635

    PubMed  CAS  Google Scholar 

  85. Hovav Y, Almagor M, Yaffe H (2002) Comparison of semen quality obtained by electroejaculation and spontaneous ejaculation in men suffering from ejaculation disorder. Hum Reprod 17:3170–3172

    PubMed  Google Scholar 

  86. Ohl DA, Wolf LJ, Menge AC, Christman GM, Hurd WW, Ansbacher R, Smith YR, Randolph JF Jr (2001) Electroejaculation and assisted reproductive technologies in the treatment of anejaculatory infertility. Fertil Steril 76:1249–1255

    PubMed  CAS  Google Scholar 

  87. Chung PH, Verkauf BS, Eichberg RD, Casady L, Sanford EJ, Maroulis GB (1996) Electroejaculation and assisted reproductive techniques for anejaculatory infertility. Obstet Gynecol 87:22–26

    PubMed  CAS  Google Scholar 

  88. Gat I, Maman E, Yerushalmi G, Baum M, Dor J, Raviv G, Madjar I, Hourvitz A (2012) Electroejaculation combined with intracytoplasmic sperm injection in patients with psychogenic anejaculation yields comparable results to patients with spinal cord injuries. Fertil Steril 97:1056–1060

    PubMed  Google Scholar 

  89. Spira A (1986) Epidemiology of human reproduction. Mini review. Hum Reprod 1:111–115

    PubMed  CAS  Google Scholar 

  90. Manni L, Albanesi M, Guaragna M, Paparo SB, Aloe L (2010) Neurotrophins and acupuncture. Auton Neurosci 157:9–17

    PubMed  CAS  Google Scholar 

  91. Kaptchuk TJ (2002) Acupuncture: theory, efficacy, and practice. Ann Intern Med 136:374–383

    PubMed  Google Scholar 

  92. Thomas M, Lundberg T (1994) Importance of modes of acupuncture in the treatment of chronic nociceptive low back pain. Acta Anaesthesiol Scand 38:63–69

    PubMed  CAS  Google Scholar 

  93. Wu MT, Sheen JM, Chuang KH, Yang P, Chin SL, Tsai CY, Chen CJ, Liao JR, Lai PH, Chu KA, Pan HB, Yang CF (2002) Neuronal specificity of acupuncture response: a fMRI study with electroacupuncture. Neuroimage 16:1028–1037

    PubMed  Google Scholar 

  94. Hu M, Zhang Y, Ma H, Ng EH, Wu XK (2013) Eastern medicine approaches to male infertility. Semin Reprod Med 31:301–310

    PubMed  Google Scholar 

  95. Khamba B, Aucoin M, Lytle M, Vermani M, Maldonado A, Iorio C, Cameron C, Tsirgielis D, D’Ambrosio C, Anand L, Katzman MA (2013) Efficacy of acupuncture treatment of sexual dysfunction secondary to antidepressants. J Altern Complement Med 19:862–869

    PubMed  Google Scholar 

  96. Aydin S, Ercan M, Caşkurlu T, Taşçi AI, Karaman I, Odabaş O, Yilmaz Y, Ağargün MY, Kara H, Sevin G (1997) Acupuncture and hypnotic suggestions in the treatment of non-organic male sexual dysfunction. Scand J Urol Nephrol 31:271–274

    PubMed  CAS  Google Scholar 

  97. Kho HG, Sweep CG, Chen X, Rabsztyn PR, Meuleman EJ (1999) The use of acupuncture in the treatment of erectile dysfunction. Int J Impot Res 11:41–46

    PubMed  CAS  Google Scholar 

  98. Yaman LS, Kilic S, Sarica K, Bayar M, Saygin B (1994) The place of acupuncture in the management of psychogenic impotence. Eur Urol 26:52–55

    PubMed  CAS  Google Scholar 

  99. Lee MS, Shin BC, Ernst E (2009) Acupuncture for treating erectile dysfunction: a systematic review. BJU Int 104:366–370

    PubMed  Google Scholar 

  100. Engelhardt PF, Daha LK, Zils T, Simak R, König K, Pflüger H (2003) Acupuncture in the treatment of psychogenic erectile dysfunction: first results of a prospective randomized placebo-controlled study. Int J Impot Res 15:343–346

    PubMed  CAS  Google Scholar 

  101. Chen ZX (2009) Control study on acupuncture and medication for treatment of primary simple premature ejaculation. Zhongguo Zhen Jiu 29:13–15

    PubMed  Google Scholar 

  102. Sunay D, Sunay M, Aydogmus Y, Bagbanci S, Arslan H, Karabulut A, Emir L (2011) Acupuncture versus paroxetine for the treatment of premature ejaculation: a randomized, placebo-controlled clinical trial. Eur Urol 59:765–771

    PubMed  CAS  Google Scholar 

  103. Jannini EA, Lenzi A (2011) Sexual dysfunction: is acupuncture a therapeutic option for premature ejaculation? Nat Rev Urol 8:235–236

    PubMed  Google Scholar 

  104. Abdel-Hamid IA, Jannini EA, Andersson KE (2009) Premature ejaculation: focus on therapeutic targets. Expert Opin Ther Targets 13:175–193

    PubMed  CAS  Google Scholar 

  105. Xiao Y (2002) Treatment of functional retrograde ejaculation with acupuncture and TCM herbal drugs. J Tradit Chin Med 22:286–287

    PubMed  Google Scholar 

  106. Chen Y (1993) Acupuncture treatment of functional non-ejaculation: a report of 70 cases. J Tradit Chin Med 13:10–12

    PubMed  CAS  Google Scholar 

  107. Curran S, Brotto LA, Fisher H, Knudson G, Cohen T (2010) The ACTIV study: acupuncture treatment in provoked vestibulodynia. J Sex Med 7:981–995

    PubMed  Google Scholar 

  108. Powell J, Wojnarowska F (1999) Acupuncture for vulvodynia. J R Soc Med 92:579–581

    PubMed  CAS  PubMed Central  Google Scholar 

  109. Nunns D, Mandal D, Byrne M, McLelland J, Rani R, Cullimore J, Bansal D, Brackenbury F, Kirtschig G, Wier M, British Society for the Study of Vulval Disease (BSSVD) Guideline Group (2010) Guidelines for the management of vulvodynia. Br J Dermatol 162:1180–1185

    PubMed  CAS  Google Scholar 

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Martellucci, J. (2015). Electrical Stimulation in Sexual Dysfunction. In: Martellucci, J. (eds) Electrical Stimulation for Pelvic Floor Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-06947-0_17

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