Sexual activity and satisfaction in men with traumatic spinal cord lesion

Dahlberg, Angela; Alaranta, Hannu; Kautiainen, Hannu; Kotila, Mervi

doi:10.2340/16501977-0029

Cited by 58 publications

(55 citation statements)

References 18 publications

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“…14 The sexual satisfaction of SA Korean men in this study was relatively lower than that of other reports in Western countries. The research of Dahlberg et al 11 reported that 36% (n = 33) of their study subjects were very or somewhat satisfied with their sexual life. Berkman et al 15 assessed the sex lives of 104 male SCI veterans and found that 41%, 36% and 23% had satisfactory, somewhat satisfactory and Table 3 Comparison of sexually active groups for sexual satisfaction unsatisfactory sex lives, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Sexual activity and sexual satisfaction in Korean men with spinal cord injury

2015

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Study design: A cross-sectional survey. Objectives: The aim of this study was to identify and assess the sexual activity and perceived sexual satisfaction of Korean males with spinal cord injury (SCI) and to identify factors influencing sexuality and satisfaction. Setting: Community residents with SCI. Methods: A total of 139 male participants with SCI in Korea were eligible for inclusion in this study. All participants completed a faceto-face interview regarding sexuality and satisfaction, as well as structured questionnaires including items on socioeconomic factors, medical conditions and rehabilitation services. Results: A total of 90 participants (65%) were engaged in sexual activity. A period of 21-25 years since SCI (compared with the initial 5 years since SCI) and an experience of direct sexual rehabilitation education were positively associated with sexual activity. Among 90 sexually active males with SCI, 8 (8.9%) and 56 (62.2%) were sexually satisfied and unsatisfied, respectively. Lower levels of education were strongly correlated with sexual dissatisfaction. Conclusion: Korean males with SCI showed low levels of satisfaction regarding sexual activities. Results showed that socioeconomic factors (e.g., state of employment and direct person-to-person sexual counseling services) had a greater impact on sexual activity than the degree of physical impairment. Notably, the educational background was the most influential factor on sexual satisfaction.

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Section: Discussionmentioning

confidence: 99%

“…Sösteen et al 9 and Reitz et al 10 reported 64% (60 males) and 60% (47 males) with SCI had had intercourse, respectively. Additionally, Dahlberg et al 11 reported that 68% of 92 males with traumatic SCI had engaged in sexual activity.…”

Section: Discussionmentioning

confidence: 99%

Sexual activity and sexual satisfaction in Korean men with spinal cord injury

2015

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“…En önemli faktörler, erektil disfonksiyon ve bozulmuş ejakülasyon olarak rapor edilmiştir (14). Yaralanma sonrası ilişkiye girme oranları %57-76 aralığında bildirilmiştir (4,9,15). Yaralanma öncesi hastalarımızın %84'ü seksüel ilişkiye girmişken, bu oran yaralanma sonrası %45 idi.…”

Section: Discussionunclassified

“…Spinal kord yaralanmalı erkeklerde seksüel fonksiyonlar somatik ve otonomik sinirlerdeki hasar nedeni ile sıklıkla bozulmuştur (1,2). Ereksiyon, ejakülasyon, orgazm, fertilite ve çok çeşitli problemleri içeren seksüel fonksiyon bozukluğu lezyonun derecesine ve lokalizasyonuna göre değişir (3,4).…”

Section: Introductionunclassified

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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“…Another study showed that 76% of the males reported having sexual relations since the SCI and that a total of 68% had been sexually active during the last 12 months. 22 Although most participants had an active sex life, studies show that the sexual frequency diminishes after the SCI. 13,[26][27][28][29] Another study shows two motives in particular that reduce sexual frequency: physical limitations and reduction in sexual ability.…”

Section: Discussionmentioning

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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Sexual activity and satisfaction in men with traumatic spinal cord lesion

Cited by 58 publications

References 18 publications

Sexual activity and sexual satisfaction in Korean men with spinal cord injury

Sexual activity and sexual satisfaction in Korean men with spinal cord injury

Sexual Functions in Male Patients with Traumatic Spinal Cord Injury

Sexual profile and adaptations of men after spinal cord injury

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