Abstract:
Background and Objective: Decreased sexual function is a major concern of men with spinal cord injury (SCI). Erectile dysfunction (ED) and infertility can occur and affect men of any age with subsequent serious impacts on the quality of life. This paper was aimed to conduct a comprehensive review on the latest evidence-based works on prevention and treatment of ED and male infertility.
Methods: The MedLine/PubMed was used as the data source to search and collect studies published during January 1, 1995 to August 1, 2012. Cross referencing of discovered articles was also performed. All of the evidences related to male sexual dysfunction in SCI patients were extracted. We designed search strategies using following keywords in both text word and subject heading forms: sexual dysfunction, erectile dysfunction, male infertility, spinal cord injury, veteran, evidence, prevention and treatment. According to the inclusion criteria, 83 studies were selected for further analyses.
Results: There are three common methods proposed in the literature for ED treatment of including medication, surgical procedures, and vacuum constriction devices. Male infertility could be caused by ED, ejaculatory dysfunction and poor sperm quality. Assisted ejaculation and surgical sperm retrieval might be useful.
Discussion: Treatment of sexual dysfunction would decrease concern in spinal cord injured patients. Several medications and surgical treatments are now available to manage this problem in SCI population. In conclusion, regarding the importance of sexual satisfaction in SCI patients, considering different methods of sexual dysfunction management would lead to higher quality of life and better adherence to rehabilitation programs.
Funding: This study was supported by Sina Trauma and Surgery Research Center.
Keywords:
Sexual Dysfunction, Erectile Dysfunction, Male Infertility, Spinal Cord Injury, Treatment
Radin Maheronnaghsh a, Ali Yousefian a, Vafa Rahimi-Movaghar a,b,*
a Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
b Research Centre for Neural Repair, University of Tehran, Tehran, Iran.
* Corresponding Author:
Vafa Rahimi-Movaghara: Associate professor of Neurosurgery, Research Deputy, Sina Trauma and Surgery Research Center, Sina Hospital, Hassan-Abad Square, Imam Khomeini Ave, Tehran University of Medical Sciences, Tehran, Iran. Phone: (+98) 915 342 2682, (+98) 216 6757010, Fax: (+98) 216 675 7009, Email: [email protected] , [email protected]
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Copyright Kermanshah University of Medical Sciences 2012
Abstract
Decreased sexual function is a major concern of men with spinal cord injury (SCI). Erectile dysfunction (ED) and infertility can occur and affect men of any age with subsequent serious impacts on the quality of life. This paper was aimed to conduct a comprehensive review on the latest evidence-based works on prevention and treatment of ED and male infertility. The MedLine/PubMed was used as the data source to search and collect studies published during January 1, 1995 to August 1, 2012. Cross referencing of discovered articles was also performed. All of the evidences related to male sexual dysfunction in SCI patients were extracted. We designed search strategies using following keywords in both text word and subject heading forms: sexual dysfunction, erectile dysfunction, male infertility, spinal cord injury, veteran, evidence, prevention and treatment. According to the inclusion criteria, 83 studies were selected for further analyses. There are three common methods proposed in the literature for ED treatment of including medication, surgical procedures, and vacuum constriction devices. Male infertility could be caused by ED, ejaculatory dysfunction and poor sperm quality. Assisted ejaculation and surgical sperm retrieval might be useful. Treatment of sexual dysfunction would decrease concern in spinal cord injured patients. Several medications and surgical treatments are now available to manage this problem in SCI population. In conclusion, regarding the importance of sexual satisfaction in SCI patients, considering different methods of sexual dysfunction management would lead to higher quality of life and better adherence to rehabilitation programs. This study was supported by Sina Trauma and Surgery Research Center.
You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer
Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer