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Expulsion refers to the forcible antegrade propulsion of semen through the urethral meatuswhich is caused by contractions of the periurethral and pelvic floor muscles and concurrent relaxation of the external urethral sphincter and urogenital diaphragmThe sympathetic nervous system controls both emission and bladder neck closureand acts through alpha adrenergic receptorsThe neural signals that lead to ejaculation originate from afferent-sensory stimuli in the glans penis and genitaliaThese stimuli are transmitted by means of the pudendal nerve to higher centers in the brainWitt and Grantmyre 1993
1 Department of UrologySisli Etfal Training and Research HospitalIstanbulTurkey.
Patient is in a stablemonogamous sexual relationship with the same woman for at least 6 months and plans to maintain this relationship for the duration of the study history of premature ejaculation in the 6 months before study initiation not due to distressinterpersonal difficulty or medication withdrawal history of intravaginal ejaculatory latency timeIELTof.
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