Transcutaneous Posterior Tibial Nerve Stimulation for Premature Ejaculation

Inclusion Criteria:

• Primary premature ejaculation as defined by the International Society for SexualMedicine (ISSM-International Society for Sexual Medicine) (30): a) ejaculationoccurs always or almost always within the first minute after penetration, b)disability to delay ejaculation in all or almost all penetrations, c) negativepersonal consequences are generated, such as stress, discomfort, frustration and /or avoidance of sexual intimacy.

• Age equal to or greater than 18 years.

• PEDT score greater than 11.

• Stable heterosexual relationship of at least 6 months with the interest ofmaintaining it for at least the duration of the study.

• Sexual activity at least once a week.

• Minimum chronicity of PE of 6 months.

• Voluntary participation in the study.

• Signature of informed consent prior to participation in the study.

Exclusion Criteria:

• IIEF-EF score greater than 25.

• Clinically significant comorbidity: cardiovascular, hepatic, thromboembolic,neurological, locomotive, endocrine, oncological, renal or rheumatologic.

• History of retroperitoneal surgery, radiotherapy or multiple sclerosis.

• History of mental illness: depression, anxiety, suicidal behavior, bipolar disorder,agoraphobia, dysthymia, social phobia, obsessive compulsive disorder, post-traumaticstress, psychiatric disorder, referred by the patient or by the use of a medicationfor one of these terms.

• Consumption of medications that affect ejaculatory control such as psychiatricmedications, opioid analgesics, alpha blockers.

• Treatment for PD in the last 3 months.

• Treatment for epileptic syndromes or Parkinson's disease.

• Use of pacemaker or cardiac defibrillator.

• Skin lesions in the electrode placement area.

• Abuse or dependence on piscoactive substances: alcohol, hallucinogenic drugs.

• Couple in a state of pregnancy.