Reitz A, Burgdörfer H, Schurch B
Neuro-Urologie, Schweizer Paraplegikerzentrum, Universitätsklinik Balgrist, Zürich.
Urologe A. 2004 Jan;43(1):52-63. doi: 10.1007/s00120-003-0475-4.
Spinal cord injury is known to have a major impact on human sexual function. The disturbances depend on the level and completeness of the lesion. The majority of people affected by spinal cord injury are young and in their reproductive years. In these cases sexuality reflects an important aspect of personality, and therefore special attention needs to be given to this issue during rehabilitation. Sexual rehabilitation encompasses both comprehensive information and consultation as well as diagnosis and treatment of disturbed sexual functions. Successful rehabilitation and integration depend also on restoration of sexual function or adequate therapy of sexual dysfunction. This review will consider the present knowledge about the impact of spinal cord injury on female and male sexual function, the currently available treatment options as well as the aspects of fertility and reproduction in this patient population.
众所周知，脊髓损伤对人类性功能有重大影响。性功能障碍取决于损伤的水平和完整性。大多数脊髓损伤患者为年轻人且处于生育年龄。在这些情况下，性反映了人格的一个重要方面，因此在康复过程中需要特别关注这个问题。性康复包括全面的信息和咨询以及对性功能障碍的诊断和治疗。成功的康复和融入还取决于性功能的恢复或对性功能障碍的适当治疗。本综述将探讨目前关于脊髓损伤对男性和女性性功能影响的知识、现有的治疗选择以及该患者群体的生育和生殖方面的问题。
