勃起功能可预测脊髓损伤男性的性满意度。
Erectile Function Predicts Sexual Satisfaction in Men With Spinal Cord Injury.
作者信息
Gomes Cristiano M, Miranda Eduardo P, de Bessa José, Bellucci Carlos Henrique Suzuki, Battistella Linamara Rizzo, Abdo Carmita Helena Najjar, Bruschini Homero, Srougi Miguel, Mulhall John P
机构信息
Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, SP, Brazil.
Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, SP, Brazil; Sexual and Reproductive Medicine Program, Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
出版信息
Sex Med. 2017 Sep;5(3):e148-e155. doi: 10.1016/j.esxm.2017.06.002.
INTRODUCTION
Spinal cord injury (SCI) is usually a sudden traumatic event and has a negative effect on sexual function.
AIM
To evaluate the characteristics of sexual activity in men with SCI and identify predictors of being sexually active and having a satisfactory sex life.
METHODS
We assessed sexual activity profiles of men with SCI from a Brazilian tertiary rehabilitation center from February to August 2012. All patients older than 18 years with SCI for longer than 1 year were invited to participate. We analyzed age, time since SCI, patient age at SCI, employment status, partner status, completeness of lesion, functional independence, urinary continence, and Sexual Health Inventory for Men (SHIM) score.
MAIN OUTCOME MEASURES
The SHIM was used to assess erectile function (EF). Satisfaction with sex life was analyzed as a dichotomous variable. Predictors of an active and satisfactory sex life were identified using univariable and multivariable analyses.
RESULTS
We evaluated 295 men with mean age of 40.7 ± 14.5 years. Most patients had a complete SCI (65.1%) and 159 (53.9%) were incontinent. The median SHIM score was 5 (interquartile range = 0-16) and only 71 men (24.1%) had a SHIM score of at least 17. Of these men, 159 (53.9%) were sexually active. Only 63 men (39.6%) were satisfied with their sex life after SCI. In univariable analysis, all variables were associated with an active sex life. Those with a SHIM score of at least 17 had a greater likelihood of being sexually active (odds ratio = 116, 95% confidence interval = 14-432). EF was the only parameter associated with a satisfactory sex life (odds ratio = 1.3, 95% confidence interval = 1.2-1.4).
CONCLUSIONS
Most men with SCI were sexually inactive and/or dissatisfied with their sex life. Age, duration of SCI, completeness of SCI, continence, having a partner, and good EF were identified as predictors of an active sex life. However, only EF was a predictor of a satisfactory sex life. Gomes CM, Miranda EP, de Bessa J, et al. Erectile Function Predicts Sexual Satisfaction in Men With Spinal Cord Injury. Sex Med 2017;5:e148-e155.
引言
脊髓损伤（SCI）通常是一种突发性创伤事件，对性功能有负面影响。
目的
评估脊髓损伤男性的性活动特征，并确定性活跃和拥有满意性生活的预测因素。
方法
我们评估了2012年2月至8月来自巴西一家三级康复中心的脊髓损伤男性的性活动情况。邀请了所有年龄超过18岁、脊髓损伤超过1年的患者参与。我们分析了年龄、脊髓损伤后的时间、脊髓损伤时的患者年龄、就业状况、伴侣状况、损伤的完整性、功能独立性、尿失禁情况以及男性性健康量表（SHIM）评分。
主要观察指标
使用SHIM评估勃起功能（EF）。将对性生活的满意度作为二分变量进行分析。通过单变量和多变量分析确定性活跃和满意性生活的预测因素。
结果
我们评估了295名男性，平均年龄为40.7±14.5岁。大多数患者为完全性脊髓损伤（65.1%），159名（53.9%）患者存在尿失禁。SHIM评分中位数为5（四分位间距=0 - 16），只有71名男性（24.1%）的SHIM评分至少为17。在这些男性中，159名（53.9%）有性活动。脊髓损伤后只有63名男性（39.6%）对性生活满意。在单变量分析中，所有变量均与性活跃相关。SHIM评分至少为17的男性性活跃的可能性更大（比值比=116，95%置信区间=14 - 432）。勃起功能是与满意性生活相关的唯一参数（比值比=1.3，95%置信区间=1.2 - 1.4）。
结论
大多数脊髓损伤男性性活动不活跃和/或对性生活不满意。年龄、脊髓损伤持续时间、脊髓损伤的完整性、尿失禁情况、有伴侣以及良好的勃起功能被确定为性活跃的预测因素。然而，只有勃起功能是满意性生活的预测因素。戈麦斯CM、米兰达EP、德贝萨J等。勃起功能预测脊髓损伤男性的性满意度。性医学2017；5：e148 - e155。
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