Yarkony G M
Department of Rehabilitation Medicine, Northwestern University Medical School, Chicago, Illinois.
Am J Phys Med Rehabil. 1990 Apr;69(2):81-7. doi: 10.1097/00002060-199004000-00007.
Trauma to the spinal cord in males may result in both erectile dysfunction and infertility. Reflex erections may be preserved in upper motor neuron lesions and psychogenic erections in lower motor neuron or incomplete lesions. There are numerous reports of abnormalities of testicular biopsies that may relate to increased scrotal temperature and other factors. Techniques to restore erections include intracavernous injections of vasoactive substances, vacuum tumescence constriction therapy and penile prostheses. All have potential adverse affects. When reflex function in the sacral cord is present, fertility can be improved by vibratory ejaculation. Subcutaneous physostigmine or electroejaculation may benefit individuals with intact fibers from the sympathetic outflow. This paper reviews sexual dysfunction in spinal cord-injured males with a focus on management techniques.
男性脊髓损伤可能导致勃起功能障碍和不育。上运动神经元损伤时反射性勃起可能得以保留，而下运动神经元损伤或不完全损伤时则可能保留精神性勃起。有许多关于睾丸活检异常的报道，这些异常可能与阴囊温度升高及其他因素有关。恢复勃起的技术包括海绵体内注射血管活性物质、真空勃起收缩疗法和阴茎假体植入。所有这些都有潜在的不良影响。当骶髓存在反射功能时，通过振动射精可改善生育能力。皮下注射毒扁豆碱或电射精可能使交感神经传出纤维完整的个体受益。本文综述了脊髓损伤男性的性功能障碍，重点关注治疗技术。
