Context: Post stroke sexual dysfunction in adult survivors frequently goes under-considered in medical practice. Sexual dysfunction following stroke is thought to result from multiple factors like organic and/or psychosocial and physical. Aim: To study the sexual functioning, sexual concerns and sexual satisfaction in males stroke survivors. Methods: It was a cross sectional questionnaire based study in the Neurological Rehabilitation department of a tertiary care Institute in 33 adult male stroke survivors in the age more than 21 years with at least 3 months of community dwelling post discharge. The sexual functions recorded were (1) libido/desire, (2) coital frequency, (3) sexual arousal (4) erectile function using IIEF score (5) ejaculation using PEDT score and (6) sexual satisfaction Results: Thirty three eligiblemale stroke survivors in the age range from 25-54 years (mean 42.5 years) with post-stroke duration of 3-45 months (mean 16.6 months) were included in the study. Of them, 14 had experienced stroke within 12 months and 19 had experienced stroke > 12 months ago. Thirteen participants were sexually inactive and reported no coitus because of a loss of erection. The sexually active stroke survivors reported a moderate recovery of libido (60%), coital frequency (60%), erectile function (63%), orgasm (32%) and sexual satisfaction (25%) while others had poor recovery. Erectile dysfunction was present in 16 cases, an-ejaculation in 18 cases and premature ejaculation in 9 cases. Hypertension and depression with a history of smoking posed a higher risk of erectile dysfunctions. Conclusion: Exploration of sexual dysfunctions and sexual counselling by clinicians should be part of the comprehensive stroke rehabilitation program in sub-acute care.
A 61 year-old male was referred from neurology to PMR department RML hospital, New Delhi, with difficulty in writing for 2 years prior to consultation. Initially difficulty in writing which is accompanied with pain after prolonged writing. Also he noticed tremor and stiffness while writing. Disability progressed and he was unable to write even a few words legibly and cannot hold object (spoon) which leads to anxiety and dependency. When the patient was examined at PMR OPD, EMG/NCV study was advised, which showed normal sensory and motor nerve functions. The present treatment involved the use of a multidisciplinary therapeutic approach with Physical Medicine and Rehabilitation Specialist, Clinical psychologist and Occupational Therapist which gave us satisfactory results within 6- 8 months. The findings in this case is very encouraging and studies with large sample sizes can be considered for further conclusive evidence on the treatment of writer's cramp.
Objective: The aim of this study was to study the sexual functioning, sexual concerns, and sexual satisfaction in males stroke survivors. The aim of this study was to determine the male sexual functions (1) libido/desire, (2) coital frequency, (3) sexual arousal, (4) erectile function using international index of erectile function (IIEF) score, (5) ejaculation using premature ejaculation diagnostic tool (PEDT) score, and (6) sexual satisfaction in male stroke survivors. Methods: It was a cross-sectional questionnaire study in the Neurological Rehabilitation department of a tertiary care Institute in 33 adult male stroke survivors in the age more than 21 years with at least 3 months of community dwelling post-discharge. The sexual functions recorded were (1) libido/ desire, (2) coital frequency, (3) sexual arousal, (4) erectile function using IIEF score, (5) ejaculation using PEDT score, and (6) sexual satisfaction. Results: Thirty-three eligible male stroke survivors in the age range from 25–54 years (mean 42.5 years) with post-stroke duration of 3–45 months (mean = 16.6 months) were included in the study. Of them, 14 had experienced stroke within 12 months and 19 had experienced stroke >12 months ago. Thirteen participants were sexually inactive and reported no coitus due to a loss of erection. The sexually active stroke survivors reported a moderate recovery of libido (60%), coital frequency (60%), erectile function (63%), orgasm (32%), and sexual satisfaction (25%), while others had poor recovery. Erectile dysfunction was present in 16 cases, an-ejaculation in 18 cases, and premature ejaculation in nine cases. Hypertension and depression with a history of smoking posed a higher risk of erectile dysfunctions. Conclusion: Exploration of sexual dysfunctions and sexual counseling by clinicians should be part of the comprehensive stroke rehabilitation program in sub-acute care.
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