Evaluation of sexual and fertility dysfunction in spinal cord-injured men in Jamaica

Morrison, Belinda; White-Gittens, Ian; Smith, Simon; John, Shari St; Bent, Romar; Dixon, R. T.

doi:10.1038/scsandc.2017.26

Cited by 13 publications

(11 citation statements)

References 30 publications

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“…Approximately 40 million people worldwide annually are affected by spinal cord injury [1]. The prevalence of spinal cord injury internationally is estimated to be 23 cases per million [4]; 10.4-83 cases per million for traumatic spinal cord injury [5]). Typically, spinal cord injury affects mostly men (80% in comparison to women, 20%) [6], with young men aged between 15 and 30 [4] or 20-35 [1] most affected.…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of spinal cord injury internationally is estimated to be 23 cases per million [4]; 10.4-83 cases per million for traumatic spinal cord injury [5]). Typically, spinal cord injury affects mostly men (80% in comparison to women, 20%) [6], with young men aged between 15 and 30 [4] or 20-35 [1] most affected. However, research evidence suggests that the average age at injury is increasing [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Most research has focused on physiological functioning and quantitative measurement, particularly ejaculatory dysfunction and other physiological issues [3]. Research evidence suggests that sexual dysfunction and infertility are common outcomes of spinal cord injury in men [4] whereas evidence suggests that women's ability to get pregnant and carry a child is often unaffected by spinal cord injury [8]. The assumption is that women's sexuality is unaffected by the injury [8].…”

Section: Introductionmentioning

confidence: 99%

“…Education about sexuality and sex following spinal cord injury is rare in rehabilitation [4] and often stigmatized [12]. Research has suggested that physicians and other practitioners are uncomfortable with raising the topic [13] or lack knowledge to effectively provide information about sex and spinal cord injury [14].…”

Section: Introductionmentioning

confidence: 99%

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Views and Experiences of Sex, Sexuality and Relationships Following Spinal Cord Injury: A Systematic Review and Narrative Synthesis of the Qualitative Literature

et al. 2020

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Research examining the effects of spinal cord injury on sexuality has largely focused on physiological functioning and quantification of dysfunction following injury. This paper reports a systematic review of qualitative research that focused on the views and experiences of people with spinal cord injury on sex and relationships. The review addressed the following research question: What are the views and experiences of people with spinal cord injury of sex, sexuality and relationships following injury? Five databases were relevant and employed in the review: CINAHL (1989–2016 only), PsychInfo, PubMed, Scopus and Web of Science, for research published between 1 January 1980 and 30 November 2019. After removing duplicates, 257 records remained and were screened using a two-stage approach to inclusion and quality appraisal. Following screening, 27 met the criteria for inclusion and are reported in the paper. The review includes studies from fifteen countries across five continents. Two main approaches to data analysis summary and thematic synthesis were undertaken to analyze the qualitative data reported in the papers. The analysis revealed four main themes: sexual identity; significant and generalized others, sexual embodiment; and; sexual rehabilitation and education.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Views and Experiences of Sex, Sexuality and Relationships Following Spinal Cord Injury: A Systematic Review and Narrative Synthesis of the Qualitative Literature

et al. 2020

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“…Assessment of sexual function and satisfaction in men with SCL by using the Male Sexual Quotient has revealed that erectile function, ejaculation, and orgasm are most severely disturbed despite increased sexual interests ( 4 ). Furthermore, such patients have preserved interest in maintaining later reproductive capability, although their rates of sexual and fecundity dysfunctions remain high ( 5 ). Unfortunately, it is well known that following SCL, most of these patients are infertile due to disruption of sacral autonomic nerves, with consequent erectile dysfunction, ejaculatory dysfunction and semen abnormalities.…”

Section: Introductionmentioning

confidence: 99%

Improvement of Sexual and Reproductive Function in Men with Spinal Cord Lesion

Kasum

Orešković

Kordić

et al. 2018

ACC

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SUMMARY – The aim of the review is to establish sexual and reproductive functions in men with spinal cord lesion (SCL). Many sexual and reproductive dysfunctions may be found in these patients including individual’s low self-esteem, delay of orgasm, erectile or ejaculatory disorder and abnormalities of semen, which are characterized by lower sperm motility or viability. Owing to improvements in physical medicine and rehabilitation, the focus has been shifted from keeping patients alive towards ensuring the quality of life and improvements of sexual dysfunctions and later reproduction. Erectile dysfunction can be treated by using phosphodiesterase-5 inhibitors, intracavernosal injections, vacuum devices and penile prostheses. Semen can be retrieved from anejaculatory patients by medically assisted methods utilizing penile vibratory stimulation, electroejaculation, prostate massage, or surgically. Although there is low chance for pregnancy in natural way in most of SCL patients, fatherhood is possible through the introduction of assisted medical management. By use of various medical, technical and surgical procedures for sperm retrieval combined with assisted reproductive methods, high pregnancy rates have been reported comparable to those in able-bodied subfertile patients. Nevertheless, future studies are needed to improve semen quality and methods of assisted ejaculation in patients with SCL.

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The Practices, Orientation, Satisfaction, and Sexual Response in Men with Spinal Cord Injury

et al. 2020

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Evaluation of sexual and fertility dysfunction in spinal cord-injured men in Jamaica

Cited by 13 publications

References 30 publications

Views and Experiences of Sex, Sexuality and Relationships Following Spinal Cord Injury: A Systematic Review and Narrative Synthesis of the Qualitative Literature

Views and Experiences of Sex, Sexuality and Relationships Following Spinal Cord Injury: A Systematic Review and Narrative Synthesis of the Qualitative Literature

Improvement of Sexual and Reproductive Function in Men with Spinal Cord Lesion

The Practices, Orientation, Satisfaction, and Sexual Response in Men with Spinal Cord Injury

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