Sexual Dysfunction After Traumatic Injury Corrected by Transcranial Magnetic Stimulation: A Case Report

Abstract

Background: Neurogenic sexual dysfunction (NSD) is a common problem in patients after spinal and pelvic trauma. New treatment is needed beyond medicine or psychological therapies. This study probes the potential for using repetitive transcranial magnetic stimulation (rTMS) for NSD rehabilitation, the insights of which can inform further research.Methods: In a 24-year-old man who fell from six floor building, with multiple spinal and pelvic injuries, we used rTMS to treat his subsequent NSD. The therapy lasted for 3 months. Motor and sensory conductivities, as well as sexual function, were evaluated before and after the treatment.Results: The rTMS regimen produced satisfactory improvement on patient’s nerve conductivities and sexual activity. Improvements in sexual function were confirmed at 1-year follow-up. Conclusions: rTMS delivered a positive treatment to this patient with NSD. Potential mechanisms by which rTMS regulate sexual function need to be further investigated.