Assessment of sexual functions after spinal cord injury in Indian patients

Sharma, S. C.; Singh, Roop; Dogra, Rajeev; Gupta, Shyam S.

doi:10.1097/01.mrr.00001855947.56810.fc

Cited by 29 publications

(41 citation statements)

References 24 publications

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“…26 In the current study, half of the married couples reported continuing sexual relations, similar to 61% in an Indian study. 26 The Indian study reported most desired more sexual education during rehabilitation and half expressed dissatisfaction with their sex life. 26 Cordial partner relations were found to be correlated with improved QOL after SCI in another Indian study.…”

Section: Sexualitysupporting

confidence: 84%

“…26 The Indian study reported most desired more sexual education during rehabilitation and half expressed dissatisfaction with their sex life. 26 Cordial partner relations were found to be correlated with improved QOL after SCI in another Indian study. 11 The current study supports the importance of education around sexuality after SCI for married and unmarried patients, despite cultural taboos.…”

Section: Sexualitymentioning

confidence: 96%

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Follow-up study of spinal cord injured patients after discharge from inpatient rehabilitation in Nepal in 2007

et al. 2011

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Study design: Observational cohort study. Objectives: To evaluate ongoing health and community reintegration of patients with spinal cord injury (SCI) after discharge from inpatient rehabilitation in Nepal. Setting: Nepal. Methods: This study follows a cohort of 37 patients with SCI in Nepal, 1-2 years after discharge from inpatient rehabilitation in 2007. Participants were visited at home and data were obtained through semi-structured interviews that evaluated health, independence in daily living (Modified Barthel Index), community participation (Participation Scale) and barriers due to socioeconomic issues, housing, accessibility, and availability and use of mobility aids. Results: One-quarter of the cohort had died (35% of wheelchair users). Secondary health concerns, such as pressure ulcers and urinary tract infections, were common in the 24 patients interviewed, and eight had been rehospitalized to treat them. Inappropriate wheelchairs, inadequate housing and rugged terrain restricted accessibility. 80% of wheelchair users could not enter their homes independently and 74% of those who were using mobility aids could not access the community independently because of the physical terrain. Of all those who were interviewed, half had no accessible toilet, access to a water source or road access to their home. Community participation was a challenge for most using mobility devices, and less than half earned any income. Conclusion: This study identifies important areas of focus for rehabilitation centres in less-resourced contexts like Nepal to help with reintegration after discharge: vocational training during or after rehabilitation; accessible housing; wheelchairs appropriate to the terrain and the need for strong community-based rehabilitation.

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Section: Sexualitysupporting

confidence: 84%

Section: Sexualitymentioning

confidence: 96%

Follow-up study of spinal cord injured patients after discharge from inpatient rehabilitation in Nepal in 2007

et al. 2011

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“…Seksüel yaşamdan memnuniyet farklı çalışmalarda %31-58 aralığında rapor edilmiştir (9,10). Evli SKY'li hastalarda bu oran daha düşük olarak bulunmuştur (10).…”

Section: Discussionunclassified

“…En önemli faktörler, erektil disfonksiyon ve bozulmuş ejakülasyon olarak rapor edilmiştir (14). Yaralanma sonrası ilişkiye girme oranları %57-76 aralığında bildirilmiştir (4,9,15). Yaralanma öncesi hastalarımızın %84'ü seksüel ilişkiye girmişken, bu oran yaralanma sonrası %45 idi.…”

Section: Discussionunclassified

Sexual Functions in Male Patients with Traumatic Spinal Cord Injury

Güzelküçük¹,

Yılmaz²,

Yavuz³

et al. 2014

Turk J Phys Med Rehab

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Objective: To explore sexual dysfunctions and expectations about sexuality in male patients with spinal cord injury (SCI) aged between 20-40. Material and Methods: A total of 75 traumatic SCI male patients were included in this study. The demographic and clinical characteristics were obtained by retrospective chart review. The differences between preinjury and post-injury sexuality status of the participants were assessed. The relationship between neurological level and erection/ejaculation was investigated. Results: The mean age of the participants was 26.16±4.35 years. The mean time since injury was 34.26±30.68 months. The number of the patients who had sexual interactions before injury was 63 (84%). Also, 34 patients (45%) had sex after injury, but 66 (88%) of the patients mentioned that their sexuality was affected after injury; 31 (41.3%) of the patients were not informed about sexuality in the post-injury period. Further, erection duration of 37 (60.6%) of the participants was shorter than 5 minutes, and 20 (32.8%) of the patients reported that they were satisfied with their erection. Moreover, 31 (41.3%) of the patients had reflex erection (RE), 14 (18.7%) of them had a psychogenic erection (PE), 16 (21.3%) of them got a mixed type of erection (RE+PE), and 14 (18.7%) of the patients did not have an erection. Ejaculation was present in 28 (37.3%) of the patients. The first three responses to questions about circumstances causing problems in post-injury sexual life and expectations for sexual life were erection, ejaculation, and orgasm, respectively. Conclusion: This study showed that sexual functions, like erection, ejaculation, and orgasm, in male patients were affected severely after SCI. The majority of the patients did not have enough sexual consulting, and the patients had great expectations for getting informed about sexuality in the post-injury period. Key Words: Spinal cord injury, sexuality, sexual dysfunction, rehabilitation Özet Amaç: Spinal kord yaralanması (SKY) olan 20-40 yaş arası erkek hastalarda seksüel fonksiyon bozukluklarının ve hastaların seksüalite konusunda beklentilerinin ortaya konulması. Gereç ve Yöntemler: Çalışmaya 75 travmatik SKY'li erkek hasta dahil edildi. Hastaların tıbbi kayıtlarından seksüel rehabilitasyon takip dosyası elde edildi. Bu takip dosyası ile hastaların demografik ve klinik verileri ile yaralanma öncesi ve sonrası seksüel yaşamı tespit edildi. Nörolojik seviyelerin ereksiyon ve ejakülasyon ile olan ilişkileri araştırıldı. Bulgular: Hastalarımızın yaş ortalaması 26,16±4,35, yaralanma sonrası geçen süre 34,26±30,68 ay idi. Yaralanma öncesi seksüel ilişkiye giren hasta sayısı 63 (%84), yaralanma sonrası 34 (%45) idi. Altmış altı (%88) hasta yaralanma sonrası seksüel yaşamının etkilendiğini ifade etti. Otuz bir (%41,3) hasta seksüalite konusunda herhangi bir bilgi almamıştı. Ereksiyon süresi 37 (%60,6) hastada 5 dakika ve altındaydı. Yirmi (%32,8) hasta ereksiyonun yeterli olduğunu ifade etmiştir. Otuz bir (%41,3) hastada refleks ereksiyon (RE), 14 (%18,7) ...

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“…1,2 Although demand is growing for education and training of health-care professionals in the field of sexual rehabilitation, unfortunately it is still a discipline that does not exist in many rehabilitation centers and countries. 15 Several studies have shown that divorce rates of women with SCI differ from the general population, although others have not confirmed this finding. Divorce rates have been reported to be anywhere from 8 to 48%.…”

Section: Level Of Educationmentioning

confidence: 99%

Sexual problems of women with spinal cord injury in Turkey

et al. 2014

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Objectives: Spinal cord injury (SCI) is a traumatic event that affects many facets of the injured people's lives. One aspect is sexual functioning. The purpose of this study is to identify the sexual problems of women with SCI and determine their level of knowledge about sexuality. Methods: Twenty-six women with SCI for longer than 6 months were evaluated. Demographic information, sexual experiences were surveyed. Patients were also asked if and how they received sexual health consultation after SCI. Female Sexual Function Index (FSFI) and Beck Depression Inventory were evaluated. Results: In this study, average age of the women with SCI was 32.96±8.23 years (22-50 years). Eight patients had regular sexual intercourse while one married woman did not have any sexual relationship after SCI. Twenty-four of the patients in the study received no information about pregnancy or sexual health after SCI. All women were willing to receive information about sexuality after SCI. These patients expected the doctors to start the conversation about sexuality rather than asking about it. FSFI survey revealed that all the patients had sexual dysfunction. A long-term disability can have a profound impact on a woman's innate sense of sexuality, sexual function and, occasionally, fertility. Various myths about sexuality and disability in society, such as 'disabled women are asexual, only independently functioning women can handle a sexual relationship, disabled women cannot be mothers, disabled women who are single are celibate' , results in the sexual well-being of disabled women being neglected. [3][4][5] Comparatively little research on sexuality in the population with SCI focuses specifically on the sexual concerns of women. 2,3,5,6 However, in recent years there has been growing acknowledgement of the sexual concerns of women with SCI. Despite this, the conveyance of this knowledge to the women with SCI appears to be insufficient. 6 Previous research has shown that the majority of women with SCI are dissatisfied with the amount and the quality of information about sexual functioning and sex life provided at rehabilitation centers. 1 The purpose of this study is to identify the sexual problems of women with SCI and determine their level of knowledge about sexuality and their condition in our country.

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Assessment of sexual functions after spinal cord injury in Indian patients

Cited by 29 publications

References 24 publications

Follow-up study of spinal cord injured patients after discharge from inpatient rehabilitation in Nepal in 2007

Follow-up study of spinal cord injured patients after discharge from inpatient rehabilitation in Nepal in 2007

Sexual Functions in Male Patients with Traumatic Spinal Cord Injury

Sexual problems of women with spinal cord injury in Turkey

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