Sexual Dysfunction in Male Spinal Cord Injury Patients

DeRoo, Eric M.; Mellon, Matthew J.

doi:10.1007/s11884-014-0256-5

Cited by 3 publications

(27 citation statements)

References 29 publications

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“…The assessment of ED in SCI patients relies on physical examination, clinical testing, and the results of specific questionnaires 6 …”

Section: Evaluation Of the Erectile Dysfunction In 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%

“…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. Patients with lesions between the TLP and the Sacral Pathway maintain both reflex and psychogenic erectile functions.…”

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

confidence: 99%

“…The assessment of ED in SCI patients relies on physical examination, clinical testing, and the results of specific questionnaires. 6 treatments, as well as evaluating innovative options, are needed in this specific population.…”

Section: E Valuati On Of the Erec Tile Dys Fun C Ti On In Sci Patientsmentioning

confidence: 99%

“…8 Moreover, besides erectile dysfunction (ED), SCI can also lead to ejaculatory dysfunction, impaired spermatogenesis, poor semen quality, and infertility. 6,9 Although these issues are of utmost importance for many SCI patients, they are addressed by a limited number of studies, and only few urologists comprehensively discuss therapeutic options with their SCI patients. 6 Awareness of the pathophysiology, subjective, and objective measures of clinical evaluation, as well as increasing the number of available treatment options will likely improve ED treatment and, consequently, quality of life (QoL) in this patient population.…”

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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“…The assessment of ED in SCI patients relies on physical examination, clinical testing, and the results of specific questionnaires 6 …”

Section: Evaluation Of the Erectile Dysfunction In Sci Patientsmentioning

confidence: 99%

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

confidence: 99%

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

confidence: 99%

Section: E Valuati On Of the Erec Tile Dys Fun C Ti On In Sci Patientsmentioning

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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Physiology of Erection and Pathophysiology of Erectile Dysfunction

MacDonald

Burnett²

2021

Urologic Clinics of North America

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Epidural spinal cord stimulation can facilitate ejaculatory response in spinal cord injury individuals: a report of two cases

Rybka,

Sediva,

Spackova

et al. 2023

International Journal of Neuroscience

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Sexual Dysfunction in Male Spinal Cord Injury Patients

Cited by 3 publications

References 29 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

Physiology of Erection and Pathophysiology of Erectile Dysfunction

Epidural spinal cord stimulation can facilitate ejaculatory response in spinal cord injury individuals: a report of two cases

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