Urolog. pro Praxi, 2008; 9(6): 282-286

Traumatogenic sexual dysfunction at patients with transversal spinal lesion

MUDr. Ta»ána ©rámková CSc1,2
1 Ústav lékařské psychologie LF MU Brno
2 Klinika traumatologie Úrazová nemocnice a LF MU, Brno

Sexual dysfunction is a frequent problem after spinal cord injury. Erectile dysfunction and anejaculation are a common consequence spinal cord injury. In the treatment of erectile dysfunction is the oral treatment of PDE-5 inhibitors or intracavernous injections of PGE1. The possibilities to obtain semen are electroejaculation or TESE (Testicular Sperm Extraction). By assisted reproductive technique by intracytoplasmic sperm injection we obtain biological paternity of paraplegic men. A sexologist-andrologist is a member of the therapeutic team of the Spinal Unit of the Traumatological Hospital Brno. In the first stage a sexologist informs the spinal cord patients about possible sexual dysfunction. In the second stage we solve particular problems of the erectile dysfunction, infertility and female sexual dysfunction.

Keywords: erectile dysfunction, infertility, PDE-5 inhibitors, intracavernous injection, electroejaculation, TESE (Testicular Sperm Extraction), ICSI (Intracytoplasmic Sperm Injection), female sexual dysfunction

Published: January 1, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
©rámková T. Traumatogenic sexual dysfunction at patients with transversal spinal lesion. Urol. praxi. 2008;9(6):282-286.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Bodner DR, Haas CA, Krueger B, Seftel AD. Intraurethral alprostadil for treatment of erectile dysfunction in patients with spinal cord injury. Urology 1999; 53: 199-202. Go to original source... Go to PubMed...
    2. Breza J. Erektilné poruchy. 1. vyd. Martin: Osveta, 1994.
    3. Brown DJ, Hill ST, Baker HW. Male fertility and sexual function after spinal cord injury. Prog Brain Re. 2006; 152: 427-439. Go to original source... Go to PubMed...
    4. Dahlberg A, Alaranta HT, Kautiainem H, Kotila M. Sexual activity and satisfaction in men with traumatic spinal cord lesion. J Rehabil Med. 2007; 39(2): 152-155. Go to original source... Go to PubMed...
    5. Deforge D, Blackmer J, Garrity C, Yazdi F, Cronin V, et al. Male erectile dysfunction following spinal cord injury: a systematic review. Spinal Cord 2006; 44(8): 465-473. Go to original source... Go to PubMed...
    6. Del Popolo G, Li Marzi V, Mondaini N, Lombardi G. Time/duration effectiveness of sildenafil versustadalafil in the treatment of erectile dysfunction in male spinal cord-injured patients. Spinal Cord 2004; 42: 643-648. Go to original source... Go to PubMed...
    7. Derry F, Hultling C, Seftel AD, Sipski ML. Efficacy and safety of sildenafil citrate in men with erectile dysfunction and spinal cord injury: a review. Urology 2004; 60(Suppl. 2): 49-57. Go to original source... Go to PubMed...
    8. Engin-Uml Stun Y, Korkmaz C, Duru NK, Baser I. Comparison of three retrieval techniques in spinal cord injured men: pregnancy outcome. Gynecol Endokrinol. 2006; 22(5): 252-255. Go to original source... Go to PubMed...
    9. Gans WH, Zaslau S, Wheeler S, Galea G, Vpenk JM. Efficacy and safety of oral sildenafil in men with erectile dysfunction and spinal cord injury. J Spinal Cord 2001; 24: 35-40. Go to original source... Go to PubMed...
    10. Gerig NE, Meacham RB, Ohl DA. Use of electroejaculation in the treatment of ejaculatory failure secondary to diabetes mellitus. Urology 1997; 49(2): 239-242. Go to original source... Go to PubMed...
    11. Giuliano F, Hultling C, El Masry WS. Randomized trial of sildenafil for the treatment of erectile dysfunction in spinal cord injury. Am Neuro 1999; 49: 15-21. Go to original source...
    12. Gresser U, Gleiter CH. Erectile dysfunction comparison of efficiency and side effects of the PDE-5 inhibitors sildenafil, vardenafil, tadalafil. Eur Med Res 2002; 7: 435-446.
    13. Hamid R, Patki P, Bywater H, Shah PJ, Craggs MD. Effects of repeated ejaculatiosn on semen characteristics following spinal cord injury. Spinal Cord 2006; 44(6): 369-373. Go to original source... Go to PubMed...
    14. Hutling C, Giuliano F, Quirk F, Pena B, Misghra A, et al. Quality of life in patients with spinal cord injury receiving sildelnafil citrate fo the treatment of erectile dysfunction. Spinal Cord 2000; 38: 363-370. Go to original source... Go to PubMed...
    15. Chen SU, Shieh JY, Wang YH, Lu T, Ho HN, Yang YS. Successful pregnancy achieved by intracytoplasmic sperm injection using cryopreserved electroejaculate sperm in a couple both with spinal cord injury: a case report. Arch Phys Med Rehabil. 2005; 86(9): 1884-1886. Go to original source... Go to PubMed...
    16. Komiya A, Sato K, Ishidoh T, Tanaka K, Tomoda T. Clinical reults of infertility treatment to male patients with spinal cord injury. Hinyokika Kiyo 2004; 50(1): 21-23. Go to PubMed...
    17. Linet IO, Neff LL. Intracavernous prostaglandin E 1 in erectile dysfunction. Clin Investig. 1994; 72: 139-149. Go to original source... Go to PubMed...
    18. McMahon CH. Efficacy and safety of daily tadalafil in men with erectile dysfunction previously unresponsive to on-demand tadalafil. J Sex Med. 2004; 1: 292-300. Go to original source... Go to PubMed...
    19. McMaytom MC, Derry FA, Dinsmore WW, Glass CA, Smith MD, et al. A two part pilot study of sildenafil in men with erectile dysfunction caused by spinal cord injury. Spinal Cord 1999; 37: 110-116. Go to original source... Go to PubMed...
    20. Momen MN, Fahmy I, Amer M, Arafa M, Zohdy W, et al. Semen parameters in men with spinal cord injury. Asian J Androl. 2007; 9(5): 684-689. Go to original source... Go to PubMed...
    21. Porst H. The rationale for Prostaglandin E 1 in erectile failure: a survey of worldwide experience. J Urol 1996; 155(3): 802-815. Go to original source... Go to PubMed...
    22. Sanchez RA, Vidal J, Jáuregui ML, Barrera M, et al. Efficacy, safety and predictive factors of therapeutic success with sildenafil for erectile dysfunction in patients with different spinal cord injuries. Spinal Cord 2001; 39: 637-643. Go to original source... Go to PubMed...
    23. Seager SWJ, Halstead L. Fertility options and success after spinal cord injury. Spinal cord injury 1993; 20(3): 543-548. Go to original source...
    24. Seager SWJ, Halstead L. The use of electroejaculation for the treatment of anejaculation in the neurologically impaired man. BJU, 1992; 80(Suppl. 2): 92.
    25. Sipski ML, Arenas A. Female sexual function after spinal cord injury. Prog Brain Res. 2006; 152: 441-447. Go to original source... Go to PubMed...
    26. ©rámková T, Dragomirecká E, Wendsche P. Kvalita ľivota muľů s posttraumatickou transverzální míąní lézí. Prakt. Lékáren. 1999; 79(5): 265-268.
    27. ©rámková T. Sexuologicko-andrologické aspekty traumatických míąních lézí a kvalita ľivota. Kandidátská dizertační práce. Brno, 1998.
    28. Zámečník L. Erektilní dysfunkce. Postgraduální medicína 2008; 10(4) 383-390.

    Return to the content


    Urology for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.