WASHINGTON -- After decades of study and treatment refinement, urologists and sex therapists, along with their patients, remain flummoxed by the origins of premature ejaculation.

Presented with the discussion topic, "Do We Actually Help Patients With Premature Ejaculation?" the answer seemed obvious to Daniel Watter, EdD, of the Morris Psychological Group in Parsippany, New Jersey.

"Of course we do. We've all seen it," Watter said during the Society of Sexual Medicine of North America [SMSNA] session at the American Urological Association meeting.

But after some reflection, he decided, "Well, sometimes we do well."

As Watter continued to delve into the literature and evidence, the answer evolved.