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Dysfunction of Ejaculation, Sexual Desire and Orgasm in Men after Spinal Cord Injury Depending on the Extent of Spinal Lesions


Authors: I. Dolan;  T. Šrámková;  P. Filipenský
Authors‘ workplace: Urologické oddělení FN u sv. Anny v Brně
Published in: Urol List 2015; 13(2): 41-44

Overview

Spinal trauma is a strong negative insult affecting all organ systems which has a complex impact. Sexual dysfunction is a significant element reducing the quality of life. The importance of sexual dysfunction in the entire spectrum of permanent consequences after spinal cord injury highlights in particular the age at which the spinal lesion occurs most often. It represents a limiting factor for family planning and parenting. A lot of men are not able to have a biological child without medical assistance. This study monitors the entire range of sexual dysfunctions (with the exception of erectile dysfunction) in men after spinal cord injury, such as changes in libido, ejaculation, orgasm, genital sensitivity - bothgenerally and specifically depending on the extent of spinal cord lesions. The sample group consisted of 93 patients after spinal trauma monitored at the Urological Clinic of the St. Anna University Hospital in Brno. We used an anonymous questionnaire method using non-standardized questionnaire of our own design. By evaluating the data it has been concluded that spinal cord trauma affects the entire spectrum of sexual functions. Reduced genital sensitivity, anejaculation, anorgasmia and decreased libido are the common symptoms. A statistically significant correlation between the extent of spinal cord injury and the degree of sexual dysfunction in the areas of ejaculation, orgasm and genital sensitivity has been shown. Significant correlation between the reduction of sexual desire and the extent of the spinal ­lesion was not expressed in our group.

Key word:
transversal and non-transversal, spinal cord injury, sexual dysfunction


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