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Sexual dysfunction after spinal cord or cauda equina lesions.

E Larsen, N Hejgaard

    Paraplegia
    |April 1, 1984
    PubMed
    Summary

    Sexual dysfunction is common after spinal cord or cauda equina lesions, affecting both men and women. Bladder issues significantly impact sexual function, highlighting the need for comprehensive rehabilitation in all age groups.

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    Area of Science:

    • Neurology
    • Urology
    • Sexual Medicine

    Background:

    • Spinal cord and cauda equina lesions can lead to diverse neurological deficits.
    • Sexual function is a crucial aspect of quality of life, often impacted by these injuries.
    • Previous research has explored various sequelae, but the specific relationship between bladder dysfunction and sexual dysfunction requires further elucidation.

    Purpose of the Study:

    • To investigate sexual function in patients with a history of spinal cord or cauda equina lesions.
    • To identify factors correlating with sexual dysfunction in this patient population.
    • To assess the need for sexual rehabilitation across different age groups and recovery stages.

    Main Methods:

    • Neurological follow-up examinations and interviews were conducted with 68 patients.
    • Patients' pre- and postmorbid sexual function was assessed.
    • Data on motor function, bladder dysfunction, and sexual activity were collected and analyzed.

    Main Results:

    • No significant gender-based difference in sexual dysfunction was observed.
    • A strong correlation was found between bladder dysfunction and sexual dysfunction.
    • Motor function showed minimal relationship with current sexual activity.
    • Sexual activity was reduced in elderly patients, even with complete neurological recovery.

    Conclusions:

    • Sexual dysfunction is a prevalent issue following spinal cord or cauda equina lesions.
    • Bladder dysfunction is a key predictor of sexual dysfunction in these patients.
    • Both young and elderly patients require targeted sexual rehabilitation programs.
    • Comprehensive care should address sexual health needs post-lesion treatment.

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