Department of Physical Therapy, Health Sciences Center, Federal University of Pernambuco, Recife, Pernambuco, Brazil.
Department of Statistics, Federal University of Pernambuco, Recife, Pernambuco, Brazil.
Spine (Phila Pa 1976). 2019 Sep 1;44(17):1228-1237. doi: 10.1097/BRS.0000000000003049.
Observational study (Ethics Committee Number 973.648).
Evaluating the social and clinical factors associated with sexual dysfunction in men with traumatic spinal cord injury, as well as predictive factors for sexual dysfunction.
Besides the motor and sensory loss, sexual function changes after spinal cord injury, ranging from decreased sexual desire to erectile disorders, orgasm, and ejaculation.
Performed with 45 men, with traumatic spinal cord injury and sexually active. Sexual function was assessed by the International Index of Erectile Function and the level and degree of injury were determined following guidelines of International Standards for Neurological and Functional Examination Classification of Spinal Cord Injury. Bi and multivariate analysis was applied, with a 0.05 significance level.
Forty-five subjects with mean injury time of 7.5 years (CI 5.2-9.9) were evaluated. Having a fixed partner is a protective factor (OR: 0.25; 95% CI: 0.07-0.92) of erectile dysfunction. Sexual desire is associated with the fixed partner (OR: 0.12; 95% CI: 0.02-0.66), masturbation (OR: 0.13; 95% CI: 0.02-0.62), and sexual intercourse in the last month (OR: 0.13; 95% IC: 0.01-0.92). Ejaculation (OR: 0.01; 95% CI: 0.00-0.15) and erectile dysfunction (OR: 15.7; 95% CI: 1.38-178.58) are associated with orgasm. Psychogenic erection (OR: 0.07; 95% CI: 0.01-0.69), monthly frequency of sexual intercourse (OR: 11.3; 95% CI: 2.0-62.8), and orgasmic dysfunction (OR: 7.1; 95% CI: 1.1-44.8) are associated with satisfaction.
Fixed partner, ejaculation, masturbation are protective factors for sexual dysfunction. Erectile dysfunction, orgasmic, and infrequent sex dysfunction are predictors of sexual dysfunction.
观察性研究（伦理委员会编号 973.648）。
评估外伤性脊髓损伤男性性功能障碍相关的社会和临床因素，以及性功能障碍的预测因素。
除了运动和感觉丧失外，脊髓损伤后性功能也会发生变化，从性欲下降到勃起功能障碍、射精、性高潮。
对 45 名有性活动的外伤性脊髓损伤男性进行研究。性功能通过国际勃起功能指数进行评估，损伤程度和水平根据国际脊髓损伤神经功能分类标准进行确定。采用双变量和多变量分析，显著性水平为 0.05。
45 名受试者的平均损伤时间为 7.5 年（CI 5.2-9.9）。有固定伴侣是勃起功能障碍的保护因素（OR：0.25；95% CI：0.07-0.92）。性欲与固定伴侣（OR：0.12；95% CI：0.02-0.66）、自慰（OR：0.13；95% CI：0.02-0.62）和最近一个月的性交（OR：0.13；95% CI：0.01-0.92）有关。射精（OR：0.01；95% CI：0.00-0.15）和勃起功能障碍（OR：15.7；95% CI：1.38-178.58）与性高潮有关。心因性勃起（OR：0.07；95% CI：0.01-0.69）、每月性交频率（OR：11.3；95% CI：2.0-62.8）和性高潮障碍（OR：7.1；95% CI：1.1-44.8）与满意度有关。
固定伴侣、射精、自慰是性功能障碍的保护因素。勃起功能障碍、性高潮和性交不频繁是性功能障碍的预测因素。
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