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Sexual functioning in the spinal cord injured

M L Sipski1

  • 1Kessler Rehabilitation Corporation, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, West Orange 07052, USA.

International Journal of Impotence Research
|July 2, 1998
PubMed
Summary

Spinal cord injury (SCI) affects sexual function, with erectile function, lubrication, and ejaculation depending on injury severity. Orgasm achievement in SCI individuals is independent of injury type or degree.

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Area of Science:

  • Neuroscience
  • Sexual Medicine
  • Rehabilitation

Background:

  • Spinal cord injury (SCI) significantly impacts physiological functions, including sexual responses in both males and females.
  • Understanding the neurophysiological basis of sexual function after SCI is crucial for patient care and rehabilitation.

Purpose of the Study:

  • To review current knowledge on the effects of SCI on male and female sexual responses.
  • To correlate sexual function outcomes with the degree and type of neurological injury.
  • To discuss the implications for understanding human sexual neurophysiology.

Main Methods:

  • Literature review of studies examining sexual function after SCI.
  • Analysis of data correlating neurological injury characteristics (degree, type, sacral segment involvement) with sexual response parameters.

Main Results:

  • Erectile function, lubrication, and ejaculation capabilities in SCI individuals are associated with the degree and type of neurologic injury, particularly affecting sacral spinal segments.
  • The ability to achieve orgasm following SCI does not appear to be dependent on the type or degree of neurological injury.

Conclusions:

  • Sexual function post-SCI, specifically erection, lubrication, and ejaculation, is mechanistically linked to the extent and location of the neurological damage.
  • Orgasm remains achievable irrespective of injury severity, suggesting alternative or preserved neurophysiological pathways.
  • These findings enhance our understanding of the neurophysiology of human sexual response in the context of neurological impairment.

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