Measurement of Sexual Functioning After Spinal Cord Injury: Preferred Instruments

Alexander, Marcalee; Brackett, Nancy L.; Bodner, Donald R.; Elliott, Stacy; Jackson, Amie B.; Sønksen, Jens

doi:10.1080/10790268.2009.11760777

Cited by 34 publications

(39 citation statements)

References 82 publications

(102 reference statements)

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“…Bu form spinal kord hasarlı hastaların takip ve tedavisinde sıkça kullanılmaktadır. [17][18][19] İİEF skorlaması açısından ister komplet ister inkomplet olsun spinal kord hasarlı hastalarda kontrol grubuna göre istatistiksel olarak anlamlı fark saptadık (p<0,001). Bu ciddi farkın hem nörohormonal hem de psikososyal etkenlerin rol oynadığı kompleks bir mekanizmaya bağlı olduğunu düşünmekteyiz.…”

Section: Discussionunclassified

Fertility relevant hormones in men with spinal cord injury: case control study

Gökkaya¹,

Güzel²,

Gökkaya³

et al. 2012

Sakarya Med J

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Objective: Individual and social effects of spinal cord injury is an important cause of morbidity. After the spinal cord injury substantial hormonal changes are seen. The aim of the study was to evaluate the fertility-related hormonal profiles and the clinic implications in men with traumatic spinal cord injury. Materials and Methods: Total of 59 patients with spinal cord injury (complete (Group 1, n = 41) and incomplete (Group 2, n = 18)) and 54 healthy volunteers (Group 3) participated in this study. Blood samples were collected for determination of folliculasr stimulating hormone (FSH), luteining hormone (LH), prolactin (PRL), total testesterone (t-testosteron), free testesterone (f-testosteron), dihydroepiandrostedion) DHEA-S, estradiol levels of all patients and volunteers included in the study. In addition, all patients and volunteers completed IIEF(International Index of Erectile Function) questionnaire. Patients (Group 1 and Group 2) and healthy volunteers (Group 3) were compared with each other. Results: PRL levels of both SCI groups (Group 1 and Group 2), were significantly higher (p <0.05) than the control group (Group 3). Additionally, t -testosterone and f-testosteron levels were lower in the patients with complete injuries than the control group (p <0.05). IIEF scores were significantly lower (p <0.01) in the patient groups (Group 1 and Group 2) than the control group (Group 3). Conclusion: Spinal cord-injured patients, in terms of hormonal changes and sexual dysfunction, should be followed with fertility-related hormone profiles and IIEF scores.

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Section: Discussionunclassified

Fertility relevant hormones in men with spinal cord injury: case control study

Gökkaya¹,

Güzel²,

Gökkaya³

et al. 2012

Sakarya Med J

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“…35 Disagreeing with the present studies and with the other studies mentioned, one study affirms that for most patients with SCI, the functions of erection and ejaculation are preserved. 36 The ejaculation -exit of the seminal liquid through the urethra to the external environment -has its command located in the S2-S3-S4 segments, and depends not only on the integrity of the 17,18,19 and the prevalence of paraplegia and complete injuries. 8,20,21 Conversely, Dahlberg et al 22 showed quadriplegia (51%) and incomplete injuries (52%) as being the majority, after interviewing 92 patients.…”

Section: 33mentioning

confidence: 99%

Sexual profile and adaptations of men after spinal cord injury

et al. 2014

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Spinal cord injury (SCI) refers to any type of injury to the neural elements of the spinal canal, resulting in countless damages, one of them being the change in patterns of sexual response, conditioned by physical, psychological, and social aspects. Due to these changes, patients need to make adjustments to maintain sexual activity. Objective: To verify the sexual profile and adaptations of men after SCI and to associate the neurofunctional diagnosis with sexual frequency, erection, use and type of adaptation, and the use of adaptation with sexual frequency and sexual satisfaction. Method: Cross-sectional study with 36 men with spinal cord injuries. They were interviewed with the (QSH-LM) questionnaire. Results: The mean age was 36.64 years old with the majority of injuries stemming from traffic accidents, resulting in paraplegia or complete injury. After the SCI, 52.8% of the subjects remained married, 75.5% maintained sexual activity, whereas 44.4% have less than one intercourse/week, 80.6% are sexually satisfied, 50% have erection, 38.9% ejaculation, and 44.4% orgasm. Regarding the use of adaptations to achieve and maintain an erection, 61.1% of the subjects use them, 25.5% because they fail to maintain an erection and 22% have opted for the penis ring. There was a significant association between paraplegics who use adjustments more frequently and prefer the penis ring and patients who use sexual adaptations having greater sexual frequency and being sexually satisfied (p = 0.02). Conclusion: Through this work it is possible to know the sexual profile of patients after SCI and the most used sexual adaptations. These results support the information that might assist healthcare professionals to monitor and guide their patients properly.

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“…In the same period, instruments on how to measure infertility in SCI patients were proposed [28]. Discussing fertility is now adapted as one of the essential elements of primary spinal care [29].…”

Section: Introductionmentioning

confidence: 99%

Discussing reproductive health in spinal care, part II: fertility issues

et al. 2016

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Purpose Due to advancing insights, discussing fertility in spinal care is an emerging topic. Studies among neurosurgeons to evaluate clinical practice about discussing fertility are non-existent. The aim of this study is to review knowledge, attitude and practice patterns regarding discussing fertility in spinal care. Methods Dutch neurosurgeons and residents were sent a mail-based questionnaire addressing attitude, knowledge and practice patterns regarding discussing fertility. Results Response rate was 62 % (compared to mean of 28 % in similar surveys) with 89 questionnaires suitable for analysis. Mean age was 42 years with 83 % of respondents being male. A quarter of respondents stated neurosurgeons are responsible to discuss fertility, with 12 % indicating to actually do this. Fertility is discussed more often with patients with cauda equina syndrome (70 %) and with men (p = 0.006). Merely 8 % of respondents stated to have adequate knowledge on fertility preservation (FP); this percentage was higher for doctors with spinal surgery as specialty (p = 0.015). In case of cauda equina syndrome, doctors with more knowledge discussed fertility more often (p = 0.002). Fifty-three percent of neurosurgeons wished to enhance their knowledge, in order to feel more comfortable to discuss fertility with their patients.Five percent indicated to have ever referred a patient to a fertility specialist. Conclusion With the exception of cauda equina syndrome, fertility is not routinely discussed in spinal care. Fertility is discussed more often with men. Recent guidelines state that discussing fertility is an essential part of good practice in spinal care. Education on fertility and FP needs to be integrated in the neurosurgical training program to create more awareness, and to enable clinicians to provide adequate information and care to the patient.

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Measurement of Sexual Functioning After Spinal Cord Injury: Preferred Instruments

Cited by 34 publications

References 82 publications

Fertility relevant hormones in men with spinal cord injury: case control study

Fertility relevant hormones in men with spinal cord injury: case control study

Sexual profile and adaptations of men after spinal cord injury

Discussing reproductive health in spinal care, part II: fertility issues

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