Sexual dysfunction in male individuals with spinal cord iniury: What do we know so far?

Latella, Dèsiréè; Maggio, Maria Grazia; Manuli, Alfredo; Militi, David; Calabrò, Rocco Salvatore

doi:10.1016/j.jocn.2019.07.038

Cited by 6 publications

(25 citation statements)

References 75 publications

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“…AEs deriving from the application of VED consist mainly of the risk of ischemic injury and subcutaneous hemorrhage due to over‐vigorous VED suction, 36 petechiae, skin edema 28,35,37 . Furthermore, this device requires high level of manual dexterity, which can be challenging especially in tetraplegic patients 5 …”

Section: Performance and Safety Of Treatments Available For Sci Patientsmentioning

confidence: 99%

“…Inflatable penile prostheses (IPP) consist of two cylinders, a reservoir balloon and a pump, which is placed within the scrotum and allows fluid transfer from the balloon to the cylinder chambers when an erection is desired. This device has the advantage of providing rigidity when desired, but offers better flaccidity when deflated 5 . The overall patient satisfaction rate reported after penile prostheses implant is excellent (92%‐100%).…”

Section: Performance and Safety Of Treatments Available For Sci Patientsmentioning

confidence: 99%

“…The overall patient satisfaction rate reported after penile prostheses implant is excellent (92%‐100%). However, significant complications have been reported to be associated with IPP, thus including infection and technical problems (eg, defects of the connecting tubes or distal cylinder erosion, self‐inflation, pump migration, and balloon displacement) 5 …”

Section: Performance and Safety Of Treatments Available For Sci Patientsmentioning

confidence: 99%

“…11,12 The extent of SCI and the type of ED depend on the level of involvement of the aforementioned neural pathways. 5,6 Moreover, it was demonstrated that some form of sexual function is preserved in a number of SCI patients because of this dual innervation. 6 Lesions above the TLP lead to potential impairments in psychogenic erections, but not in reflex erections from direct stimulation of the genitals; thus, the majority of these patients maintain some erectile function.…”

Section: Anatomic Al Pathways Governing Erec Tile Fun C Ti On and Tmentioning

confidence: 99%

“…4 Apart from movement disability, SCI may lead to sensory abnormalities and complex urologic conditions. 5,6 Thus, SCI patients are referred to urologists for neurogenic lower urinary tract dysfunction and neurogenic sexual dysfunction. 6 Given that a proportion of SCI patients are young individuals, sexuality and reproduction are important priorities.…”

Section: Introductionmentioning

confidence: 99%

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Performance and safety of treatment options for erectile dysfunction in patients with spinal cord injury: A review of the literature

et al. 2020

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Background For a large proportion of patients with spinal cord injury, sexuality and reproduction are important issues. However, sparse data exist regarding available treatment options for this patient population. Objectives We sought to review performance and safety rates of all currently available treatment options for erectile dysfunction in spinal cord injury men. Materials and methods A systematic literature review without time restrictions was performed using PubMed/EMBASE database for English‐, Italian‐, German‐, and Spanish‐language articles. Articles' selection was performed according to the PRISMA guidelines. Relevant papers on erectile dysfunction in spinal cord injury patients were included in the final analyses. Results and Discussion Overall, 47 studies were eligible for inclusion in this review. Of these, most evidence dealt with phosphodiesterase 5‐inhibitors and intracavernous drug injection. Both treatment options are associated with high levels of performance and with patients/partners' satisfaction; side effects are acceptable. Overall, penile prostheses and vacuum erection devices are in general less approved by spinal cord injury patients and are correlated with increased rates of complications in comparison with phosphodiesterase 5‐inhibitors and intracavernous drug injection. Sacral neuromodulation, transcutaneous electrical nerve stimulation, and intraurethral suppositories have been poorly studied, but preliminary studies did not show convincing results. Conclusion The best treatment options for erectile dysfunction in spinal cord injury patients emerged to be phosphodiesterase 5‐inhibitors and intracavernous drug injection. The choice of erectile dysfunction treatment should be based on several aspects, including residual erectile function, spinal cord injury location, and patients' comorbidities. Future studies assessing the applicability of less well‐studied treatments, as well as evaluating innovative options, are needed in this specific population.

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Section: Performance and Safety Of Treatments Available For Sci Patientsmentioning

confidence: 99%

Section: Performance and Safety Of Treatments Available For Sci Patientsmentioning

confidence: 99%

Section: Performance and Safety Of Treatments Available For Sci Patientsmentioning

confidence: 99%

Section: Anatomic Al Pathways Governing Erec Tile Fun C Ti On and Tmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Performance and safety of treatment options for erectile dysfunction in patients with spinal cord injury: A review of the literature

et al. 2020

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Telerehabilitation in response to constrained physical distance: an opportunity to rethink neurorehabilitative routines

et al. 2021

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Ensuring proper dosage of treatment and repetition over time is a major challenge in neurorehabilitation. However, a requirement of physical distancing to date compromises their achievement. While mostly associated to COVID-19, physical distancing is not only required in a pandemic scenario, but also advised for several clinical conditions (e.g. immunocompromised individuals) or forced for specific social contexts (e.g. people living in remote areas worldwide). All these contexts advocate for the implementation of alternative healthcare models. The objective of this perspective is to highlight the benefits of remote administration of rehabilitative treatment, namely telerehabilitation, in counteracting physical distancing barriers in neurorehabilitation. Sustaining boosters of treatment outcome, such as compliance, sustainability, as well as motivation, telerehabilitation may adapt to multiple neurological conditions, with the further advantage of a high potential for individualization to patient's or pathology's specificities. The effectiveness of telerehabilitation can be potentiated by several technologies available to date: virtual reality can recreate realistic environments in which patients may bodily operate, wearable sensors allow to quantitatively monitor the patient's performance, and signal processing may contribute to the prediction of long-term dynamics of patient recovery. Telerehabilitation might spark its advantages far beyond the mere limitation of physical distancing effects, mitigating criticalities of daily neurorehabilitative practice, and thus paving the way to the envision of mixed models of care, where hospital-based procedures are complementarily integrated with telerehabilitative ones.

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Sexual Dysfunction After Spinal Cord Injury

Ali

Ibrahim

2020

Curr Sex Health Rep

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Sexual dysfunction in male individuals with spinal cord iniury: What do we know so far?

Cited by 6 publications

References 75 publications

Performance and safety of treatment options for erectile dysfunction in patients with spinal cord injury: A review of the literature

Performance and safety of treatment options for erectile dysfunction in patients with spinal cord injury: A review of the literature

Telerehabilitation in response to constrained physical distance: an opportunity to rethink neurorehabilitative routines

Sexual Dysfunction After Spinal Cord Injury

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