Evaluation of Sexual Dysfunction in Men With Spinal Cord Injury Using the Male Sexual Quotient

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Citações na Scopus
16
Tipo de produção
article
Data de publicação
2016
Título da Revista
ISSN da Revista
Título do Volume
Editora
W B SAUNDERS CO-ELSEVIER INC
Citação
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, v.97, n.6, p.947-952, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: To assess different aspects of sexual function in men with spinal cord injury (SCI) using the Male Sexual Quotient (MSQ), a newly developed tool to assess sexual function and satisfaction. Design: Cross-sectional study. Setting: Tertiary rehabilitation center. Participants: Patients (N=295) older than 18 years (mean age +/- SD, 40.7 +/- 14.5y) with SCI for more than 1 year (median time since SCI, 3.6y; range, 1.6-7.0y) were assessed from February to August 2012. Patients completed the MSQ questionnaire and the Sexual Health Inventory for Men (SHIM). Interventions: Not applicable. Main Outcome Measures: Performance in various domains of sexual function was evaluated using the MSQ and SHIM questionnaires. Results: Erectile function, ejaculation, and orgasm were the most severely affected domains. The median MSQ score was 40 (range, 8-66), and the median SHIM score was 5 (range, 0-16). The diagnostic properties of the 2 instruments were similar in the discrimination of sexually active subjects. The area under the receiver operating characteristic curve was .950 (95% confidence interval [CI], .923.979) for the MSQ and .942 (95% CI, .915.968) for the SHIM. There was a strong correlation between the 2 instruments (r=.826; 95% CI, .802.878). Conclusions: Different domains of sexual function are severely impaired in men with SCI, although their sexual interest remains high. The MSQ and SHIM scores strongly correlate, but the MSQ provides a more comprehensive assessment of sexual dysfunction in male patients with SCI. (C) 2016 by the American Congress of Rehabilitation Medicine
Palavras-chave
Ejaculation, Physiology, Rehabilitation, Sensitivity and specificity, Sexual behavior, Sexual dysfunction, physiological, Spinal cord injuries, Surveys and questionnaires
Referências
  1. Post MWM, 1998, SCAND J REHABIL MED, V30, P23
  2. Akman RY, 2015, TURK J MED SCI, V45, P758, DOI 10.3906/sag-1406-61
  3. Benevento BT, 2002, PHYS THER, V82, P601
  4. Cappelleri JC, 2005, INT J IMPOT RES, V17, P307, DOI 10.1038/sj.ijir.3901327
  5. Valtonen K, 2006, DISABIL REHABIL, V28, P965, DOI 10.1080/09638280500404362
  6. Moreira ED, 2001, UROLOGY, V58, P583, DOI 10.1016/S0090-4295(01)01274-2
  7. Cuenca AIC, 2015, J SEX MED, V12, P436, DOI 10.1111/jsm.12741
  8. Arrington R, 2004, QUAL LIFE RES, V13, P1643, DOI 10.1007/s11136-004-7625-z
  9. Ragnarsson KT, 2012, AM J PHYS MED REHAB, V91, P231, DOI 10.1097/PHM.0b013e3182489f5e
  10. Castle SM, 2014, SPINAL CORD, V52, pS27, DOI 10.1038/sc.2014.110
  11. Brackett NL, 2010, NAT REV UROL, V7, P162, DOI 10.1038/nrurol.2010.7
  12. Previnaire J. G., 2014, Annals of Physical and Rehabilitation Medicine, V57, P329, DOI 10.1016/j.rehab.2014.05.002
  13. Rosen RC, 1999, INT J IMPOT RES, V11, P319
  14. Ku JH, 2006, INT J UROL, V13, P42, DOI 10.1111/j.1442-2042.2006.01226.x
  15. Sipski M, 2006, SPINAL CORD, V44, P798, DOI 10.1038/sj.sc.3101954
  16. HANLEY JA, 1982, RADIOLOGY, V143, P29
  17. Reitz A, 2004, INT J IMPOT RES, V16, P167, DOI 10.1038/sj.ijir.3901193
  18. Jackson AB, 2004, ARCH PHYS MED REHAB, V85, P1740, DOI 10.1016/j.apmr.2004.04.035
  19. Barbonetti A, 2012, J SEX MED, V9, P830, DOI 10.1111/j.1743-6109.2011.02599.x
  20. Raina R, 2007, BJU INT, V100, P1317, DOI 10.1111/j.1464-410X.2007.07124.x
  21. Anderson KD, 2004, J NEUROTRAUM, V21, P1371, DOI 10.1089/neu.2004.21.1371
  22. Wood-Dauphinee S, 2002, RESTOR NEUROL NEUROS, V20, P135
  23. Bocchio M, 2009, INT J ANDROL, V32, P74, DOI 10.1111/j.1365-2605.2007.00820.x
  24. Rosen RC, 2002, INT J IMPOT RES, V14, P226, DOI 10.1038/sj.ijir.3900857
  25. Fisher TL, 2002, ARCH PHYS MED REHAB, V83, P1043, DOI 10.1053/apmr.2002.33654
  26. Gan M, 2007, BJU INT, V99, P1443, DOI 10.1111/j.1464-410X.2007.06803.x
  27. Biering-Sorensen I, 2012, J REHABIL MED, V44, P926, DOI 10.2340/16501977-1057
  28. Alexander M, 2008, J SEX MARITAL THER, V34, P308, DOI 10.1080/00926230802096341
  29. Dahlberg A, 2007, J REHABIL MED, V39, P152, DOI 10.2340/16501977-0029
  30. Anderson KD, 2007, SPINAL CORD, V45, P328, DOI 10.1038/sj.sc.3101977
  31. Abdo CHN, 2007, J SEX MED, V4, P382, DOI 10.1111/j.1743-6109.2006.00414.x
  32. Calabrò Rocco S, 2011, Recent Pat CNS Drug Discov, V6, P205
  33. Choi H, 2015, INT J IMPOT RES, V27, P33, DOI 10.1038/ijir.2014.19