Sexuality and Spinal Cord Injury

Ricciardi, Richard; Szabo, Christina M.; Poullos, Amy Yribarren

doi:10.1016/j.cnur.2007.08.005

Cited by 27 publications

(23 citation statements)

References 35 publications

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“…Spinal kord yaralanmalı hastalarda seksüel aktivitede anlamlı azalma olur (13). En önemli faktörler, erektil disfonksiyon ve bozulmuş ejakülasyon olarak rapor edilmiştir (14). Yaralanma sonrası ilişkiye girme oranları %57-76 aralığında bildirilmiştir (4,9,15).…”

Section: Discussionunclassified

“…Refleks ereksiyonun S2-4 spinal segmentlerde refleks fonksiyonun varlığı, psikojenik ereksiyonun ise beyinde limbik sistem ile birlikte sempatik merkezin (T11-L2) stimülasyonu ile gerçek-leştiği kabul edilmektedir (3,14,18). Bu nedenle seksüel fonksiyonları düzenleyen merkezleri esas alarak hastalarımızı gruplandırdık.…”

Section: Discussionunclassified

“…Taş ve ark. (20) ise RE'nin T10 ve üzeri lezyonlu tüm hastalarda, PE'nin ise konus/kauda lezyonlu tüm hastalarda (1,9,14,15,20). Çalışmamızda hastaların %37,3'ünde ejakülasyon mevcuttu.…”

Section: Discussionunclassified

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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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Section: Discussionunclassified

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Sexual Functions in Male Patients with Traumatic Spinal Cord Injury

Güzelküçük¹,

Yılmaz²,

Yavuz³

et al. 2014

Turk J Phys Med Rehab

View full text Add to dashboard Cite

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“…The complication gets more complicated when the patients suffer from problems related to selfrespect, body image, libido, sensuality, erection, lubrication, coitus position, orgasm, and fertility in their sexual life after SCI (Ricciardi et al, 2007). The foremost consequence of SCI is erectile dysfunction (ED).…”

Section: Introductionmentioning

confidence: 99%

Efficacies of papaverine and sildenafil in the treatment of erectile dysfunction in early-stage paraplegic men

Yıldız

Gökkaya²,

Köseoğlu³

et al. 2011

International Journal of Rehabilitation Research

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The aim of the study was to determine which vasoactive agent was more efficacious for erectile dysfunction (ED), intracavernosal papaverine or oral sildenafil, in paraplegic men within the first year after injury by using a penile color Doppler ultrasound as a quantitative imaging method and to determine the association between responses to these two vasoactive agents and factors such as neurological lesion level and lesion severity. A total of 31 male in-patients with spinal cord injury, aged over 18 years, and with neurological lesions below the T6 level within the first year after injury with ED were included. Visual and auditory sexual stimulus (VASS) on day 1 (group 1), VASS with 25 mg intracavernosal papaverine (group 2) and after a wash-out period of papaverine on day 2, and VASS with 50 mg oral sildenafil on day 5 (group 3) were administered to each patient. Measurements of the peak systolic velocity and end diastolic velocity, which were used as vascular parameters during each procedure type, were taken using penile color Doppler ultrasound. Considering the severity of the lesion and the levels of the neurological lesion, there was a statistically significant difference between the PSV values of the group 1 and the other two groups (P<0.05). There was no statistically significant difference between the peak systolic velocity and end diastolic velocity values of groups 2 and 3 (P>0.05) in terms of both the severity and the levels of the lesion. Efficacies of intracavernosal papaverine hydrochloride or oral sildenafil citrate for ED were similar at all neurological lesion levels and lesion severity in paraplegic men within the first year after spinal cord injury.

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“…2 Individuals with SCI experience more physical and psychological problems, which has inevitable effects on their sexual life. 3 The extent of sexual response changes depend partly on the location and degree of the SCI. 4 Erectile dysfunction is one of the most common sexual complications in men with SCI.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Sexual Adjustment Questionnaire (SAQ) in the Iranian population with spinal cord injury

et al. 2015

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Study design This is a cross-sectional study Objectives The objective of this study was to examine the psychometric properties of the Sexual Adjustment Questionnaire (SAQ) for Iranian people with spinal cord injury Setting This study was conducted in the brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran Methods We assessed the psychometric properties of the SAQ, with 200 participants (men = 146, women = 54) completing the scale. An evaluation of its test–retest reliability was performed over a 2-weeks period, on a subsample of 30 patients recruited from the overall group. Cronbach’s α-coefficient was computed for assessment of internal consistency reliability. In addition, content and face validity were examined by an expert committee. Construct validity was assessed by examining convergent and discriminant validity. Finally, exploratory factor analysis was used to extract the factor structure of the questionnaire. Results The Cronbach’s α and intraclass correlation coefficient were 0.77 and 0.72 retrospectively. With regard to construct validity, there was a significant (P = 0.009) negative correlation (r = − 0.28) between the SAQ score and age. Those with lower levels of educations scored significantly lower on the SAQ (P = 0.04). The exploratory factor analysis indicated a four-factor structure for the questionnaire, accounting for 68.9% of the observed variance. The expert committee approved the face and content validity of the developed measure. Conclusion The SAQ is a valid measure for assessing sexual adjustment in people with spinal cord injury. The evaluation of sexual well-being may be useful in clinical trials and practical settings.

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Sexuality and Spinal Cord Injury

Cited by 27 publications

References 35 publications

Sexual Functions in Male Patients with Traumatic Spinal Cord Injury

Sexual Functions in Male Patients with Traumatic Spinal Cord Injury

Efficacies of papaverine and sildenafil in the treatment of erectile dysfunction in early-stage paraplegic men

Psychometric properties of the Sexual Adjustment Questionnaire (SAQ) in the Iranian population with spinal cord injury

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