Papadakis Jaclyn Lennon, Zebracki Kathy, Chlan Kathleen M, Vogel Lawrence C
Loyola University Chicago, Chicago, Illinois.
Shriners Hospitals for Children, Chicago, Illinois.
Top Spinal Cord Inj Rehabil. 2017 Winter;23(1):42-48. doi: 10.1310/sci2301-42.
Sexual development and sexuality in youth with pediatric spinal cord injury (SCI) are critical areas clinicians must be aware of and discuss when working with youth and their families. In addition to the general sexuality issues and challenges of adolescence and adult development, youth with SCI face unique physical and psychosocial issues. The goal of this article is to provide a developmentally based discussion of sexuality in individuals with SCI from infancy through emerging adulthood. An overview of psychosocial issues related to sexual development and sexuality are presented for each stage of sexual development along with recommendations for clinical practice, including patient and caregiver education and counseling. In order to establish expectations for youth with SCI, long-term outcomes related to sexuality and fertility of adults with pediatric-onset SCI are presented.
小儿脊髓损伤（SCI）青年的性发育和性行为是临床医生在与青年及其家庭合作时必须了解并讨论的关键领域。除了青春期及成年期发育中常见的性问题和挑战外，脊髓损伤青年还面临独特的身体和心理社会问题。本文旨在基于发育阶段对脊髓损伤患者从婴儿期到成年早期的性行为进行讨论。文中针对性发育的每个阶段概述了与性发育和性行为相关的心理社会问题，并给出了临床实践建议，包括对患者和照顾者的教育及咨询。为了让脊髓损伤青年建立预期，还介绍了小儿期发病的脊髓损伤成年患者在性和生育方面的长期预后情况。
