Calabrò Rocco Salvatore
Dr. Calabrò is with IRCCS Centro Neurolesi "Bonino-Pulejo" in Messina, Italy.
Innov Clin Neurosci. 2022 Jul-Sep;19(7-9):12-16.
Stroke is a leading cause of death and disability throughout the world. Although physical and cognitive impairments after stroke have been well studied, little is known about sexual functioning and satisfaction in these patients, despite being crucial aspects of quality of life. Post-stroke sexual dysfunctions seem to be common; in men affected by stroke, a decline in libido and poor or curtailed erection and ejaculation are frequently observed. Sexual disorders after stroke are thought to be due to multiple etiologies, including both organic (e.g., lesion localization, premorbid medical conditions, medications) and psychosocial (e.g., fear of recurrences, loss of self-esteem, role changes, anxiety and depression) etiologies. Thus, the exploration of sexual dysfunction and sexual counseling by trained professionals should be part of stroke rehabilitation.
中风是全球主要的死亡和致残原因。尽管中风后的身体和认知障碍已得到充分研究，但对于这些患者的性功能和性满意度却知之甚少，尽管它们是生活质量的关键方面。中风后的性功能障碍似乎很常见；在中风男性患者中，经常观察到性欲下降、勃起功能差或射精减少。中风后的性功能障碍被认为是由多种病因引起的，包括器质性病因（如病变部位、病前医疗状况、药物）和心理社会病因（如对复发的恐惧、自尊丧失、角色改变、焦虑和抑郁）。因此，由训练有素的专业人员对性功能障碍进行探索和提供性咨询应成为中风康复的一部分。
