Jilin University Second Hospital, No. 218, Ziqiang Street, Changchun, 130041, Jilin Province, China.
Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Arch Sex Behav. 2022 Nov;51(8):4195-4199. doi: 10.1007/s10508-022-02387-4. Epub 2022 Aug 22.
Neurogenic sexual dysfunction (NSD) is a common problem in patients after spinal and pelvic trauma. New treatment is needed beyond medicine or psychological therapies. A 24-year-old man who fell from a six-floor building suffered from subsequent NSD. Repetitive transcranial magnetic stimulation (rTMS) was the only method used to treat his NSD caused by multiple spinal and pelvic injuries. The therapy lasted for 3 courses. Motor and sensory conduction, as well as sexual function, were evaluated before and after the rTMS intervention. Improvements on patient's nerve conduction and sexual activity were confirmed at a 1-year follow-up. Our findings indicate that rTMS delivered a novel, positive and low-cost modality treatment to the patient with NSD. Clinical efficacy and potential mechanisms by which rTMS regulate NSD need to be investigated by further clinical trials.
神经源性性功能障碍（NSD）是脊柱和骨盆创伤后患者常见的问题。除了药物或心理治疗外，还需要新的治疗方法。一位 24 岁的男子从六楼坠落，随后出现 NSD。重复经颅磁刺激（rTMS）是治疗他因多发性脊柱和骨盆损伤引起的 NSD 的唯一方法。该治疗持续 3 个疗程。在 rTMS 干预前后评估了运动和感觉传导以及性功能。在 1 年的随访中证实了患者神经传导和性行为的改善。我们的研究结果表明，rTMS 为 NSD 患者提供了一种新颖、积极且低成本的治疗方式。需要进一步的临床试验来研究 rTMS 调节 NSD 的临床疗效和潜在机制。
