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sexuality AND spinal cord injury

Clément Chéhensse, Patricia Facchinetti, Stéphane Bahrami, Philippe Andrey, Jean-Marc Soler, Fabrice Chrétien, Jacques Bernabé, Pierre Clément, Pierre Denys, François Giuliano
OBJECTIVE: A spinal ejaculation generator (SEG) has been identified in the rat with lumbar galaninergic interneurons playing a pivotal role (Science 2002;297:1566-1569). The aim was to evidence a SEG in humans. METHODS: Spatial distribution of galaninergic neurons was studied in postmortem spinal cord segments of 6 men and compared with that of 6 women for evidencing sexual dimorphism. Based on the identified segmental distribution of galaninergic neurons, the ability for penile vibratory stimulation (PVS) to elicit ejaculation when the concerned spinal segments were injured was studied in 384 patients with clinically complete spinal cord injury (SCI) and consequent anejaculation...
December 5, 2016: Annals of Neurology
Lucie Chochina, Florian Naudet, Clément Chéhensse, Andrea Manunta, Mireille Damphousse, Isabelle Bonan, François Giuliano
INTRODUCTION: Despite improvements in the care of patients after spinal cord injury (SCI), permanent impairment of locomotion, sensation, and autonomic function remains a major hurdle. After the acute stage of injury, recovering sexual function is a high priority. AIM: To review the efficacy of intracavernous injections (ICIs) in men with SCI and to identify prognostic factors affecting the efficacy of ICIs in this population. METHODS: Systematic review of the literature was conducted using the PubMed-Medline, Embase, EBSCO, Web of Science, and Cochrane Library databases...
July 2016: Sexual Medicine Reviews
Marca Alexander, Frederique Courtois
This is a letter to the editor regarding the article: Davidson R, Elliott S, Krassioukov A. Cardiovascular Responses to Sexual Activity in Able-Bodied Individuals and Those Living with Spinal Cord Injury. May 31 epub ahead of print. The authors are commended for the detail they put in their tables; however, there are a number of areas where the authors have omitted significant published data regarding the cardiovascular responses in sexual activity in persons with spinal cord injuries. The authors have also not taken into account the N of subject in published papers that are referenced...
October 31, 2016: Journal of Neurotrauma
Ryan D Fortune, Raymond J Grill, Christine Beeton, Mark Tanner, Redwan Huq, David S Loose
Spinal cord injury (SCI) results in devastating changes to almost all aspects of a patient's life. In addition to a permanent loss of sensory and motor function, males also will frequently exhibit a profound loss of fertility through poorly understood mechanisms. We demonstrate that SCI causes measureable pathology in the testis both acutely (24 h) and chronically up to 1.5 years post-injury, leading to loss in sperm motility and viability. SCI has been shown in humans and rats to induce leukocytospermia, with the presence of inflammatory cytokines, anti-sperm antibodies, and reactive oxygen species found within the ejaculate...
December 2, 2016: Journal of Neurotrauma
Cristel Bourge
OBJECTIVE: Define and develop the acquired SCI patient's BI care within the internal unit of physical and neurological rehabilitation center of the University Hospital of Liège: - explore the patients' and professionals' representations and needs of BI care; - estimate the concordances and the dissonances of the visions; - identify if a patient's BI care exists within the unit and what form it takes. MATERIALS/PATIENTS AND METHODS: Qualitative, retrospective, exploratory and inductive study...
September 2016: Annals of Physical and Rehabilitation Medicine
Caroline Voiry, Kathleen Charvier, Frédérique Courtois, Pascal Giraux, Corinne Berthelot-Del Aguila, Gille Rode
OBJECTIVE: Most French people think that disabled people do not have any sexual life in terms of pleasure and reproduction. Or sex contributes to a great part of each individual's well-being and health. In our study, we determined the reproductive sexuality of men with an exclusively traumatic spinal cord injury (SCI) treated at the Henry-Gabrielle Hospital in Saint-Genis-Laval from January 2000 to December 2010, who benefited, or not, from a sexological assessment. MATERIAL/PATIENTS AND METHODS: This is an observational and retrospective study on the number of births in a cohort of 320 men with SCI, aged from 18 to 45 years at the time of their accident and who have an exclusively traumatic SCI without any evolution...
September 2016: Annals of Physical and Rehabilitation Medicine
So Eyun Park, Stacy Elliott, Vanessa K Noonan, Nancy P Thorogood, Nader Fallah, Allan Aludino, Marcel F Dvorak
OBJECTIVE: The disruption of autonomic function following a spinal cord injury (SCI) is common and can negatively affect quality of life. The objective of this study was to describe the prevalence of bladder/bowel incontinence and sexual dysfunction in community-dwelling individuals with a thoracolumbar SCI and examine the impact on general physical and mental health status. METHODS: Participants who sustained a traumatic SCI to the thoracolumbar region of the spinal cord and classified as American Spinal Injury Association Impairment Scale (AIS) A to D were recruited...
August 31, 2016: Journal of Spinal Cord Medicine
E Vasilchenko, R Escorpizo, E Filatov, A Kislova, Y Surodeyeva, V Lyachovetskaya, G Zoloyev
STUDY DESIGN: This is a cross-sectional study. OBJECTIVES: (1) To use the International Classification of Functioning, Disability and Health (ICF) profile to assess the functioning of patients with spinal cord injury (SCI) admitted to a rehabilitation center; (2) To determine the role of the ICF in the operation of a rehabilitation center in Russia. SETTING: This study was conducted in the Federal center for disability rehabilitation in Novokuznetsk, Russia...
August 16, 2016: Spinal Cord
P van der Meer, M W M Post, C M C van Leeuwen, H J M van Kuppevelt, C A J Smit, F W A van Asbeck
STUDY DESIGN: This is a multicenter prospective cohort study. OBJECTIVES: The objective of this study was to describe and compare the impact of health problems secondary to spinal cord injury (SCI) on functioning at home and on social activities at 1 and 5 years after discharge from first inpatient rehabilitation. SETTING: The study was conducted in a Dutch community. METHODS: Participants with SCI who use a wheelchair for everyday mobility (N=110) completed a self-report questionnaire as part of a larger cohort study including four items on extra time needed (body care, bladder and bowel regulation, 'organization' and transportation) and impact of 10 health problems on functioning at home and on social activities...
July 19, 2016: Spinal Cord
Ermin Čehić, Miro Kasum, Velimir Šimunić, Slavko Orešković, Goran Vujić, Franjo Grgić
Young men comprise the overwhelming majority of men with spinal cord injury (SCI), the incidence of which has been growing over the years. Due to advances in physical medicine and rehabilitation, remarkable improvements in survival rates have been reported, leading to life expectancies similar to those of the general population. However, many sexual and reproductive functions may be impaired due to erectile or ejaculatory dysfunction and semen abnormalities, characterised by low-sperm motility or viability in SCI males who have not become parents yet...
July 16, 2016: Gynecological Endocrinology
E Merghati-Khoei, S H Emami-Razavi, M Bakhtiyari, M Lamyian, S Hajmirzaei, S Ton-Tab Haghighi, J E Korte, R Maasoumi
: Study design :This is a case-control study. OBJECTIVE: The objective of this study was to estimate the magnitude of association between spinal cord injury (SCI) and women's quality of sexual life and sexual function. SETTING: This study was conducted in the Brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran. METHODS: From the referral university-based clinics, we used simple random sampling to recruit 62 women: 31 women with SCI and 31 women without SCI...
July 12, 2016: Spinal Cord
J-M Soler, J G Previnaire, R Mieusset
OBJECTIVES: To describe the presence of sperm in the prostatic urethra as a stand-alone ejaculation entity and to assess its characteristics. METHODS: Thirty-three patients with anejaculation during sexual stimulation were enroled. Penile vibratory stimulations were carried out following bladder catherization and instillation of a pink buffering medium (Ferticult). Two-step catheterisation was then performed: a catheter was inserted through the urethral sphincter into the prostatic urethra to aspirate its content, and then bladder catheterisation was performed to collect the Ferticult...
June 21, 2016: Spinal Cord
Ross Davidson, Stacy Elliott, Andrei Krassioukov
Sexuality is an integral part of the human experience and persists in health and disability. The cardiovascular system is crucial to sexual function and can be affected profoundly by spinal cord injury (SCI). The effects of sexual activity on the cardiovascular system in SCI have not been summarized and compared with sexual activity in able-bodied individuals. A keyword search of Embase, PubMed, and Medline was conducted. From 471 retrieved studies for able-bodied individuals, 11 were included that met the strict criteria of medically uncomplicated participants...
December 15, 2016: Journal of Neurotrauma
Vandana Punj, Catherine Curtin
There are approximately 300,000 persons with spinal cord injury living in the United States, and nearly 60% of these persons have suffered tetraplegia with resultant alterations in body function, activity, and therefore participation. Restoring hand function can improve independence, and various studies have shown that persons with tetraplegia rate restoration of arm and hand function higher than bowel and bladder control, walking, or sexuality. There are conservative options to improve upper limb function in this population (eg, orthoses, neuroprostheses)...
June 2016: Archives of Physical Medicine and Rehabilitation
P W New, M Seddon, C Redpath, K E Currie, N Warren
STUDY DESIGN: Mixed-methods study using comprehensive survey and semi-structured interviews. OBJECTIVES: Compare the experiences of sexual education during rehabilitation for people with non-traumatic spinal cord dysfunction (SCDys) and traumatic spinal cord injury (SCI), determine preferences for the delivery of this information and provide recommendations for spinal rehabilitation professionals. SETTING: Community, Australia. METHODS: Adults completed survey (traumatic SCI n=115; SCDys=39) or were interviewed (SCDys: n=21)...
May 10, 2016: Spinal Cord
Charles Lo, Yvonne Tran, Kim Anderson, Ashley Craig, James Middleton
Major goals of rehabilitation and health interventions in people with spinal cord injury (SCI) are to improve functional independence, increase social participation, and enhance quality of life (QOL). Determining functional areas perceived by consumers as most important can assist in research prioritization, planning for delivery of health services, and policy development. Five high priority areas of functioning for the SCI population (arm/hand use, walking, bladder/bowel control, sexual function, and relief of pain) were chosen to determine the preferences for these five attributes...
May 9, 2016: Journal of Neurotrauma
Jason R Kovac, Larry I Lipshultz
No abstract text is available yet for this article.
May 2016: Asian Journal of Andrology
Emad Ibrahim, Nancy L Brackett, Charles M Lynne
Couples with a spinal cord injured male partner require assisted ejaculation techniques to collect semen that can then be further used in various assisted reproductive technology methods to achieve a pregnancy. The majority of men sustaining a spinal cord injury regardless of the cause or the level of injury cannot ejaculate during sexual intercourse. Only a small minority can ejaculate by masturbation. Penile vibratory stimulation and electroejaculation are the two most common methods used to retrieve sperm...
May 2016: Asian Journal of Andrology
Martin W G Brinkhof, Abdul Al-Khodairy, Inge Eriks-Hoogland, Christine Fekete, Timo Hinrichs, Margret Hund-Georgiadis, Sonja Meier, Anke Scheel-Sailer, Martin Schubert, Jan D Reinhardt
BACKGROUND: Health conditions in people with spinal cord injury are major determinants for disability, reduced well-being, and mortality. However, population-based evidence on the prevalence and treatment of health conditions in people with spinal cord injury is scarce. OBJECTIVE: To investigate health conditions in Swiss residents with spinal cord injury, specifically to analyse their prevalence, severity, co-occurrence, and treatment. METHODS: Cross-sectional data (n = 1,549) from the community survey of the Swiss Spinal Cord Injury (SwiSCI) cohort study, including Swiss residents with spinal cord injury aged over 16 years, were analysed...
February 2016: Journal of Rehabilitation Medicine
Vera Trofimenko, James M Hotaling
Infertility in individuals with neurologic disorders is complex in etiology and manifestation. Its management therefore often requires a multimodal approach. This review addresses the implications of spinal cord injury (SCI) and other neurologic disease on fertility, including the high prevalence of sexual dysfunction, ejaculation disorders and compromised semen parameters. Available treatment approaches discussed include assisted ejaculation techniques and assisted reproductive technology including surgical sperm retrieval and intracytoplasmic sperm injection (ICSI)...
February 2016: Translational Andrology and Urology
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