Phelps G, Brown M, Chen J, Dunn M, Lloyd E, Stefanick M L, Davidson J M, Perkash I
Arch Phys Med Rehabil. 1983 Feb;64(2):47-52.
Fifty men with spinal cord injuries (SCI) were asked to complete a questionnaire concerning their sexuality before and after injury. Medical examination confirmed the location and completeness of the injury and extracted information about genitourologic status. The respondents rated sexuality highly as a concern in living, and a wide variety of sexual techniques were reported. A marked decrease in sexual activity, satisfaction, and feelings of sexual adequacy was reported after injury, as compared to retrospective "before injury" responses, lack of opportunity being reported as causative by 66% of the subjects and insufficient personal satisfaction by 59%. Seventy-five percent of the subjects experienced sexual arousal from genital stimulation, and several methods of eliciting erection were cited. Orgasm was described by a variety of terms. Significant differences were found between quadriplegic and paraplegic patients in answers to several items, though there was generally no difference between cervical and thoracic groups, which were more specifically broken down with respect to motor or sensory/complete or incomplete lesions. Plasma testosterone levels were found to fall well within the normal adult male range, as were levels of free testosterone and serum sex binding protein. The resulting information demonstrated more sexual concern among men with SCI than the literature previously indicated.
五十名脊髓损伤（SCI）男性被要求填写一份关于其受伤前后性行为的调查问卷。医学检查确定了损伤的位置和完整性，并获取了有关泌尿生殖系统状况的信息。受访者将性视为生活中的一个重要关注点，并报告了各种各样的性技巧。与回顾性的“受伤前”回答相比，受伤后性活动、满意度和性满足感显著下降，66%的受试者报告缺乏机会是原因，59%的受试者报告个人满意度不足。75%的受试者通过生殖器刺激产生性唤起，并列举了几种诱发勃起的方法。性高潮有多种描述方式。在几个问题的回答上，四肢瘫痪和截瘫患者之间存在显著差异，不过颈椎和胸椎组之间通常没有差异，这两组根据运动或感觉/完全或不完全损伤进行了更具体的划分。血浆睾酮水平以及游离睾酮和血清性结合蛋白水平均处于正常成年男性范围内。所得信息表明，脊髓损伤男性对性的关注比以前文献所指出的更多。
