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Sexual dysfunction in patients with peripheral nervous system lesions
Simon Podnar1, David B Vodušek2
1Institute of Clinical Neurophysiology, Division of Neurology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Handbook of Clinical Neurology
|May 25, 2015
Summary
Peripheral nervous system (PNS) disorders can lead to sexual dysfunction (SD) in men and women. Early diagnosis and management of PNS disorders are crucial for improving patients' quality of life.
Area of Science:
- Neurology
- Urology
- Sexual Medicine
Background:
- Peripheral nervous system (PNS) disorders frequently manifest as sexual dysfunction (SD) in both genders.
- These disorders encompass polyneuropathies affecting the autonomic nervous system (ANS) and localized lesions impacting genital organ innervation.
Purpose of the Study:
- To elucidate the link between PNS disorders and various forms of SD.
- To highlight the diagnostic utility of clinical neurophysiologic testing in suspected cases.
- To emphasize the importance of addressing SD in the comprehensive management of PNS disorders.
Main Methods:
- Review of existing literature on PNS disorders and their impact on sexual function.
- Discussion of clinical presentations including loss of genital sensitivity, erectile dysfunction, and orgasmic disorders.
- Emphasis on neurophysiologic testing for diagnosing nerve involvement.
Main Results:
- PNS disorders impair neural control, leading to diverse sexual malfunctions.
- Erectile dysfunction in men without apparent health issues may indicate underlying polyneuropathy.
- Clinical neurophysiologic testing can confirm PNS involvement in SD related to denervation.
Conclusions:
- SD is a significant consequence of PNS disorders, impacting quality of life.
- Consideration of underlying PNS pathology is vital in patients with unexplained SD.
- Integrated patient management including counseling and targeted treatments is essential.
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