#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

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 place of work: Urologické oddělení FN u sv. Anny v Brně
Published in the journal: Urol List 2015; 13(2): 41-44

Summary

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


Zdroje

1. Cripps RA, Lee BB, Wing P et al. A global map for traumatic spinal cord injury epidemiology: towards a living data repository for injury prevention. Spinal Cord 2011; 49(4): 493–501. doi: 10.1038/sc.2010.146.

2. Zachoval R, Krhut J. Traumatické dysfunkce dolních močových cest: Etiologie, prevalence a klasifikace. Urol Praxi 2007; 3: 109–112.

3. Devivo MJ. Epidemiology of traumatic spinal cord injury: trends and future implications. Spinal Cord 2012; 50(5): 365–372. doi: 10.1038/sc.2011.178.

4. Česká společnost pro míšní léze. Statistiky. [online]. Dostupný z: http://www.spinalcord.cz/cz/statistiky.

5. Anderson KD. Targeting recovery: priorities of the spinal cord-injured population. J Neurotrauma 2004; 21(10): 1371–1383.

6. Giuliano F, Clement P. Neuroanatomy and phy­siology of ejaculation. Annu Rev Sex Res 2005; 16: ­190–216.

7. Truitt WA, Coolen LM. Identification of a potential ejaculation generator in the spinal cord. Science 2002; 297(5586): 1566–1569.

8. Xu C, Yaici ED, Conrath M et al. Galanin and neurokinin-1 receptor immunoreactive (corrected) spinal neurons controlling the prostate and the bulbospongiosus muscle identified by transsynaptic labeling in the rat. Neuroscience 2005; 134(4): 1325–1341.

9. Sun XQ, Xu C, Leclerc P et al. Spinal neurons involved in the control of the seminal vesicles: a transsynaptic labeling study using pseudorabies virus in rats. Neuroscience 2009; 158: 786–797. doi: 10.1016/j.neuroscience.2008.10.008.

10. Chéhensse C, Bahrami S, Denys P et al. The spinal control of ejaculation revisited: a systematic review and meta-analysis of anejaculation in spinal cord injured patients. Hum Reprod Update; 19(5): 507–526. doi: 10.1093/humupd/dmt029.

11. Coolen LM, Peters HJ, Veening JG. Anatomical interrelationships of the medial preoptic area and other brain regions activated following male se­xual behavior: a combined fos and tract-tracing study. J Comp Neurol 1998; 397(3): 421–435.

12. Hamson DK, Watson NV. Regional brainstem expression of Fos associated with sexual behavior in male rats. Brain Res 2004; 1006(2): 233–240.

13. Onufrowicz B. Notes on the arrangement and function of the cell groups in the sacral region of the spinal cord. J Nerv Ment Dis 1899; 26: 498–504.

14. Whitelaw GP, Smithwick RH. Some secondary effects of sympathectomy; with particular reference to disturbance of sexual function. N Engl J Med 1951; 245(4): 121–130.

15. Rose SS. An investigation into sterility after lumbar ganglionectomy. Br Med J 1953; 1(4804): ­247–250.

16. La séméiologie des Affections du Syste`me Nerveux, Masson et Cie, Editeurs, Libraires De l’academie de medecine, 120 Boulevaed Saint-Germain, Paris, 2014.

17. Schro/der HD. Anatomical and pathoanatomical studies on the spinal efferent systems innervating pelvic structures. 1. Organization of spinal nuclei in animals. 2. The nucleus X-pelvic motor system in man. J Auton Nerv Syst 1985; 14(1): 23–48.

18. Cour F, Droupy S, Faix A et al. Spinal cord injured women‘s views of sexuality: a Norwegian survey. Rehabil Nurs 2003; 28: 276–284.

19. Middendorp JJ, Hosman AJ, Donders AR et al. A clinical prediction rule for ambulation outcomes after traumatic spinal cord injury: a longitudinal cohort study. Lancet 2011; 377(9770): 1004–1010. doi: 10.1016/S0140-6736(10)62276-3.

20. Soler JM, Previnaire JG. Ejaculatory dysfunction in spinal cord injury men is suggestive of dyssynergic ejaculation. Eur J Phys Rahabil Med 2011; 47(4): 677–681.

21. Fode M, Krogh-Jespersen S, Brackett NL et al. Male sexual dysfunction and infertility associated with neurological disorders. Asian J Androl 2012; 14(1): 61–68. doi: 10.1038/aja.2011.70.

22. Šrámková T. Poruchy sexuality u somaticky nemocných a jejich léčba. Praha: Grada 2013.

23. Shipski M, Alexander CJ, Gómez-Marín O. Effects of level and degree of spinal cord injury on male orgasm. Spinal Cord 2006; 44(12): 798–804.

24. Javier SJ, Perrin PB, Snipes DJ et al. The influence of health related quality of life on sexual desire in individuals with spinal cord injury from Colombia, South America. Sexuality and Disability 2013; 31(4): ­325–335.

25. Lysberg K, Severinsson E. Spinal cord injured women‘s views of sexuality: a Norwegian survey. Rehabil Nurs 2003; 28(1): 23–26.

26. Cardoso FL, Savall AC, Mendes AK. Self-awareness of the male sexual response after spinal cord injury. Int J Rehabil Res 2009; 32(4): 294–300. doi: 10.1097/MRR.0b013e3283106ab7.

27. Barbonetti A, Vassallo MR, Pacca F et al. Correlates of low testosterone in men with chronic spinal cord injury. Andrology 2014; 2(5): 721–728. doi: 10.1111/j.2047-2927.2014.00235.x.

28. Overgoor ML, de Jong TP, Cohen-Kettenis PT et al. Increased sexual health after restored genital sensation in male patients with spinal bifida or a spinal cord injury: the TOMAX procedure. J Urol 2013; 189(2): 626–632. doi: 10.1016/j.juro.2012.10.020.

Štítky
Paediatric urologist Urology
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#