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sexuality AND spinal cord injury

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https://www.readbyqxmd.com/read/28208601/surgical-neurostimulation-for-spinal-cord-injury
#1
REVIEW
Aswin Chari, Ian D Hentall, Marios C Papadopoulos, Erlick A C Pereira
Traumatic spinal cord injury (SCI) is a devastating neurological condition characterized by a constellation of symptoms including paralysis, paraesthesia, pain, cardiovascular, bladder, bowel and sexual dysfunction. Current treatment for SCI involves acute resuscitation, aggressive rehabilitation and symptomatic treatment for complications. Despite the progress in scientific understanding, regenerative therapies are lacking. In this review, we outline the current state and future potential of invasive and non-invasive neuromodulation strategies including deep brain stimulation (DBS), spinal cord stimulation (SCS), motor cortex stimulation (MCS), transcutaneous direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS) in the context of SCI...
February 10, 2017: Brain Sciences
https://www.readbyqxmd.com/read/28161081/validation-of-a-self-report-questionnaire-assessing-the-bodily-and-physiological-sensations-of-orgasm
#2
Samantha Dubray, Marina Gérard, Dominic Beaulieu-Prévost, Frédérique Courtois
INTRODUCTION: Despite a plethora of research on sexual functioning during the past decades, the field is still lacking standardized measurements specifically characterizing orgasm. Although several validated tools are available to assess sexual function in healthy and clinical populations, items on orgasm are limited to frequency or dichotomous responses. A neurophysiologic model of orgasm developed from previous research in able-bodied and spinally injured populations offers a promising framework for the construction of a new questionnaire...
February 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28113186/epidural-spinal-stimulation-to-improve-bladder-bowel-and-sexual-function-in-individuals-with-spinal-cord-injuries-a-framework-for-clinical-research
#3
Roderic I Pettigrew, William J Heetderks, Christine A Kelley, Grace C Y Peng, Steven H Krosnick, Lyn B Jakeman, Katharine D Egan, Michael Marge
While some recent studies that apply epidural spinal cord stimulation (SCS) have demonstrated a breakthrough in improvement of the health and quality of the life of persons with spinal cord injury (SCI), the numbers of people who have received SCS are small. This is in sharp contrast to the thousands of persons worldwide living with SCI who have no practical recourse or hope of recovery of lost functions. Thus, the vision is to understand the full potential of this new intervention and to determine if it is safe and effective in a larger cohort, and if it is scalable so that it can be made available to all those who might benefit...
February 2017: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/28089079/repeated-subarachnoid-administrations-of-autologous-mesenchymal-stromal-cells-supported-in-autologous-plasma-improve-quality-of-life-in-patients-suffering-incomplete-spinal-cord-injury
#4
Jesús Vaquero, Mercedes Zurita, Miguel A Rico, Celia Bonilla, Concepción Aguayo, Cecilia Fernández, Noemí Tapiador, Marta Sevilla, Carlos Morejón, Jesús Montilla, Francisco Martínez, Esperanza Marín, Salvador Bustamante, David Vázquez, Joaquín Carballido, Alicia Rodríguez, Paula Martínez, Coral García, Mercedes Ovejero, Marta V Fernández
BACKGROUND AIMS: Cell therapy with mesenchymal stromal cells (MSCs) offers new hope for patients suffering from spinal cord injury (SCI). METHODS: Ten patients with established incomplete SCI received four subarachnoid administrations of 30 × 10(6) autologous bone marrow MSCs, supported in autologous plasma, at months 1, 4, 7 and 10 of the study, and were followed until the month 12. Urodynamic, neurophysiological and neuroimaging studies were performed at months 6 and 12, and compared with basal studies...
January 6, 2017: Cytotherapy
https://www.readbyqxmd.com/read/28043106/factors-affecting-quality-of-life-among-spinal-cord-injury-patients-in-korea
#5
Jong Soo Lee, Sang Woon Kim, Sang Hyun Jee, Joon Chul Kim, Jong Bo Choi, Sung Yong Cho, Jang Hwan Kim
PURPOSE: Complaints from spinal cord injury (SCI) patients are typically related to physical disability affecting activities of daily life. However, difficulties with voiding and defecation and/or sexual function can also be major concerns. The general population and even physicians are generally unaware of these complaints; therefore, this study focuses on surveying SCI patients regarding challenges that are faced in daily life. METHODS: A questionnaire was administered randomly and anonymously to SCI patients who visited the Korea Spinal Cord Injury Association and several rehabilitation hospitals in the Republic of Korea in 2013...
December 2016: International Neurourology Journal
https://www.readbyqxmd.com/read/28024664/long-term-use-of-opioids-in-210-officially-registered-patients-with-chronic-noncancer-pain-in-taiwan-a-cross-sectional-study
#6
Tso-Chou Lin, Luo-Ping Ger, Joseph V Pergolizzi, Robert B Raffa, Ju-O Wang, Shung-Tai Ho
BACKGROUND/PURPOSE: Prescribing opioids for chronic noncancer pain has been strictly regulated for two decades in Taiwan. The aim of this study was to survey the patients' perspectives and potential drawbacks following long-term use of opioids. METHODS: An observational cross-sectional survey using the Taiwanese version of Brief Pain Inventory was conducted among outpatients with chronic noncancer pain registered by the Taiwan Food and Drug Administration. Patients were also asked about their sexual behavior, depression, opioid misuse behaviors, and use of complementary and alternative medicine...
December 23, 2016: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/27998238/response-to-letter-by-drs-alexander-and-courtois-in-j-neurotrauma-october-31-2016
#7
Ross Alexander Davidson, Stacy L Elliott, Andrei V Krassioukov
My co-authors and I would like to respond to a letter by Drs. Alexander and Courtois recently published in the October 31, 2016 issue of J Neurotrauma commenting on our May 2016 review entitled: Cardiovascular Responses to Sexual Activity in Able-Bodied Individuals and Those Living with Spinal Cord Injury (Davidson R, Elliott S, Krassioukov A.).
December 21, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27917533/human-spinal-ejaculation-generator
#8
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...
January 2017: Annals of Neurology
https://www.readbyqxmd.com/read/27871959/intracavernous-injections-in-spinal-cord-injured-men-with-erectile-dysfunction-a-systematic-review-and-meta-analysis
#9
REVIEW
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
https://www.readbyqxmd.com/read/27796188/blood-pressure-during-sexual-activity-after-sci-inaccurately-portrayed
#10
Marcalee Alexander, Frédérique Courtois
No abstract text is available yet for this article.
January 11, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27750479/changes-in-gene-expression-and-metabolism-in-the-testes-of-the-rat-following-spinal-cord-injury
#11
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
https://www.readbyqxmd.com/read/27676767/body-image-bi-of-acquired-spinal-cord-injury-sci-persons-which-patient-care-in-an-internal-unit-of-physical-and-neurological-rehabilitation-experience-of-the-patient-care-in-an-internal-and-neurological-unit-of-pmr-of-the-university-hospital-of-li%C3%A3-ge
#12
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
https://www.readbyqxmd.com/read/27676720/can-men-with-spinal-cord-injury-have-children
#13
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
https://www.readbyqxmd.com/read/27576584/impact-of-bladder-bowel-and-sexual-dysfunction-on-health-status-of-people-with-thoracolumbar-spinal-cord-injuries-living-in-the-community
#14
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
https://www.readbyqxmd.com/read/27527236/a-descriptive-study-on-the-functioning-profile-of-patients-with-spinal-cord-injury-in-a-rehabilitation-center-in-russia
#15
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
https://www.readbyqxmd.com/read/27431661/impact-of-health-problems-secondary-to-sci-one-and-five-years-after-first-inpatient-rehabilitation
#16
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...
January 2017: Spinal Cord
https://www.readbyqxmd.com/read/27426425/fertility-in-men-with-spinal-cord-injury
#17
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...
December 2016: Gynecological Endocrinology
https://www.readbyqxmd.com/read/27401126/spinal-cord-injury-and-women-s-sexual-life-case-control-study
#18
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
https://www.readbyqxmd.com/read/27324318/evidence-of-a-new-pattern-of-ejaculation-in-men-with-spinal-cord-injury-ejaculation-dyssynergia-and-implications-for-fertility
#19
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...
December 2016: Spinal Cord
https://www.readbyqxmd.com/read/27243099/cardiovascular-responses-to-sexual-activity-in-able-bodied-individuals-and-those-living-with-spinal-cord-injury
#20
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
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