Benevento Barbara T, Sipski Marca L
Spinal Cord Injury Services, Kessler Institute for Rehabilitation, and Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School, 1199 Pleasant Valley Way, West Orange, NJ 07052, USA.
Phys Ther. 2002 Jun;82(6):601-12.
The purpose of this article is to review the literature related to the effects of spinal cord injuries on genitourinary, gastrointestinal, and sexual function. These important areas of function are profoundly affected by spinal cord injuries, with the effects of injury being dependent on the specific level and degree of neurologic dysfunction. Our ability to manage neurogenic bladder dysfunctions and neurogenic bowel dysfunctions has improved over the past few years; however, in general the techniques used have not significantly changed. In contrast, a significant amount of new information has been made available regarding the effects of specific neurologic injuries on sexual response, particularly female sexual response. Moreover, techniques to remediate erectile dysfunction and infertility in the male have vastly improved the fertility potential of men with spinal cord injuries. Further research is warranted in all of these areas.
本文的目的是回顾与脊髓损伤对泌尿生殖、胃肠和性功能的影响相关的文献。这些重要的功能领域受到脊髓损伤的深刻影响，损伤的影响取决于神经功能障碍的具体水平和程度。在过去几年中，我们管理神经源性膀胱功能障碍和神经源性肠道功能障碍的能力有所提高；然而，总体而言，所使用的技术并没有显著改变。相比之下，关于特定神经损伤对性反应，尤其是女性性反应的影响，已经有了大量的新信息。此外，治疗男性勃起功能障碍和不育症的技术极大地提高了脊髓损伤男性的生育潜力。所有这些领域都需要进一步的研究。
