Sexual Dysfunction in Men With Paraparesis in Lumbar Burst Fractures

Kim, Hak-Sun; Kim, Namhyun; Lee, Hwan Mo; Park, Hui-Wan; Ha, Jung-Won; Park, Jin-Oh

doi:10.1097/00007632-200009010-00008

Cited by 13 publications

(8 citation statements)

References 16 publications

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“…A previous study reported that ∼25% of SCI patients experience ED (12). As is customary for traditional cultures, discussion of sexuality is considered a taboo.…”

Section: Resultsmentioning

confidence: 99%

A clinical trial report of autologous bone marrow-derived mesenchymal stem cell transplantation in patients with spinal cord injury

Jiang

Xiong

Wang

et al. 2013

Experimental and Therapeutic Medicine

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Spinal cord injury (SCI) is a severe neurological disease. An effective strategy for the treatment of SCI is urgently required. Stem cell transplantation has emerged as a viable therapeutic option with great potential for restoring neurological function lost following SCI. From 2009 to 2010, a total of 20 SCI patients were enrolled in a clinical trial by Wuhan Hongqiao Brain Hospital; all patients completed and signed informed consent prior to autologous bone marrow-derived mesenchymal stem cell transplantation. Analysis of subsequent treatment results indicated significant improvements in sensory, motor and autonomic nerve function as assessed by the American Spinal Injury Association’s impairment scale. Thirty days after transplantation, a total of 15 patients (75%) demonstrated improvement, including four of the eight patients (50%) with grade A SCI, three of the four patients (75%) with grade B injury and all eight patients (100%) with grade C injury. The most common adverse events, fever and headache, disappeared within 24–48 h without treatment.

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“…A previous study reported that ∼25% of SCI patients experience ED (12). As is customary for traditional cultures, discussion of sexuality is considered a taboo.…”

Section: Resultsmentioning

confidence: 99%

A clinical trial report of autologous bone marrow-derived mesenchymal stem cell transplantation in patients with spinal cord injury

Jiang

Xiong

Wang

et al. 2013

Experimental and Therapeutic Medicine

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“…More than 60% of male patients injured by major pelvic trauma reported limitations in sexual function [16]. Regardless of neurological recovery after lumbar injuries, most patients reported some disability, usually caused by pain and occasionally SD [17]. ED is common in patients with extensive perineal trauma including distal urethral, testicular, and corporal injuries [18].…”

Section: Discussionmentioning

confidence: 99%

“…When a patient experienced pain in more than one site of his body, he was encouraged to provide a single, global estimate of pain intensity. (26)(27)(28)(29)(30), mild (17)(18)(19)(20)(21)(22)(23)(24)(25), moderate (11)(12)(13)(14)(15)(16), or severe (0-10) ED. The UKU is a wellvalidated questionnaire to assess side effects of psychotropic drugs in clinical studies and clinical practice.…”

Section: Methodsmentioning

confidence: 99%

Improvement of Chronic Pain by Treatment of Erectile Dysfunction

Arabkheradmand¹,

Foroutan

Ranjbar³

et al. 2008

The Journal of Sexual Medicine

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Introduction Pain specialists, who do not routinely examine patients regarding their sexual medicine problems, need to be aware that sexual problems can and do aggravate the patient's pain. Patients may refuse to admit suffering from erectile dysfunction (ED) but complain about continuous or progressive severe pain. These patients may be best managed by the combined team effort of a sexual medicine specialist and pain specialist. Aim This report documents the management of three cases with long-term intractable pain after severe trauma. Treatment of occult ED led to significant improvement of their pain. Main Outcome Measures The association of the treatment of uncovered ED and improvement of chronic severe pain. Methods Three case reports of patients with severe pain who attended a pain clinic in an academic medical center. Results Three men suffering from chronic pain due to severe trauma were observed for several years by different physicians as well as pain specialists. In spite of different treatments, including administration of several analgesics, psychotherapy, and physical therapy, pain was not alleviated. After finding ED problems, patients were referred to the family health clinic. Using different therapies such as psychosexual therapy, correction of sexual misconceptions, relaxation training, treatment of interpersonal difficulties, and pharmacological intervention ED was cured. Treatment of ED was accompanied by a significant reduction of chronic pain in all three patients. Conclusion The present report indicates that uncovered ED in patients suffering from chronic pain may trigger their somatic pain or reduce its threshold. Significant improvement in sexual functioning may improve the pain and reduce its complications.

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“…Although the American Spinal Injury Association (ASIA) impairment scale helps to classify the extent of neurological injury, it does not provide any information regarding sexual function. 13 …”

Section: Effects Of Spinal Trauma On Sexual and Reproductive Functionmentioning

confidence: 99%

Sexual and reproductive function in spinal cord injury and spinal surgery patients

2015

Orthop Rev

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Sexual and reproductive health is important quality of life outcomes, which can have a major impact on patient satisfaction. Spinal pathology arising from trauma, deformity, and degenerative disease processes may be detrimental to sexual and reproductive function. Furthermore, spine surgery may impact sexual and reproductive function due to post-surgical mechanical, neurologic, and psychological factors. The aim of this paper is to provide a concise evidence-based review on the impact that spine surgery and pathology can have on sexual and reproductive function. A review of published literature regarding sexual and reproductive function in spinal injury and spinal surgery patients was performed. We have found that sexual and reproductive dysfunction can occur due to numerous etiological factors associated with spinal pathology. Numerous treatment options are available for those patients, depending on the degree of dysfunction. Spine surgeons and non-operative healthcare providers should be aware of the issues surrounding sexual and reproductive function as related to spine pathology and spine surgery. It is important for spine surgeons to educate their patients on the operative risks that spine surgery encompasses with regard to sexual dysfunction, although current data examining these topics largely consists of level IV data.

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Sexual Dysfunction in Men With Paraparesis in Lumbar Burst Fractures

Cited by 13 publications

References 16 publications

A clinical trial report of autologous bone marrow-derived mesenchymal stem cell transplantation in patients with spinal cord injury

A clinical trial report of autologous bone marrow-derived mesenchymal stem cell transplantation in patients with spinal cord injury

Improvement of Chronic Pain by Treatment of Erectile Dysfunction

Sexual and reproductive function in spinal cord injury and spinal surgery patients

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