Mr Berlusconi rang a live phone-in show after opposition politician Rosy Bindi attacked his record.
The 58-year-old Democrat looked on as she heard Mr Berlusconi describe her as 'more beautiful than intelligent'.
In an interview with CNN today, the 73-year-old prime minister said his many reported gaffes were inventions of the media.
Mr Berlusconi, who has twice described US president Barack Obama as 'tanned' and kept German chancellor Angela Merkel waiting while he finished a call on his mobile phone, also blamed the Italian press for his second wife divorcing him.
Veronica Lario, the mother of three of Mr Berlusconi's children, left him after media reports of him attending the 18th birthday party of Naples model Noemi Letizia.
Mr Berlusconi is Italy's longest-serving prime minister, with the media mogul winning a third term in 2008. The country's next election is not due until 2013.
But the PM also told CNN he was only in politics for the good of the country.
'I'm doing what I do with a sense of sacrifice,' he said. 'I don't really like it. Not at all.
'Very often there is a lot of dirty dealing, there is really the gutter press, worse than that, the shameless and sickly. It's a difficult life to be responsible for leading the government in a country like Italy.'
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