Erectile Function Predicts Sexual Satisfaction in Men With Spinal Cord Injury

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorGOMES, Cristiano M.
dc.contributor.authorMIRANDA, Eduardo P.
dc.contributor.authorBESSA JR., Jose de
dc.contributor.authorBELLUCCI, Carlos Henrique Suzuki
dc.contributor.authorBATTISTELLA, Linamara Rizzo
dc.contributor.authorABDO, Carmita Helena Najjar
dc.contributor.authorBRUSCHINI, Homero
dc.contributor.authorSROUGI, Miguel
dc.contributor.authorMULHALL, John P.
dc.date.accessioned2017-10-24T13:21:36Z
dc.date.available2017-10-24T13:21:36Z
dc.date.issued2017
dc.description.abstractIntroduction: Spinal cord injury (SCI) is usually a sudden traumatic event and has a negative effect on sexual function. Aim: To evaluate the characteristics of sexual activity in men with SCI and identify predictors of being sexually active and having a satisfactory sex life. Methods: We assessed sexual activity profiles of men with SCI from a Brazilian tertiary rehabilitation center from February to August 2012. All patients older than 18 years with SCI for longer than 1 year were invited to participate. We analyzed age, time since SCI, patient age at SCI, employment status, partner status, completeness of lesion, functional independence, urinary continence, and Sexual Health Inventory for Men (SHIM) score. Main Outcome Measures: The SHIM was used to assess erectile function (EF). Satisfaction with sex life was analyzed as a dichotomous variable. Predictors of an active and satisfactory sex life were identified using univariable and multivariable analyses. Results: We evaluated 295 men with mean age of 40.7 +/- 14.5 years. Most patients had a complete SCI (65.1%) and 159 (53.9%) were incontinent. The median SHIM score was 5 (interquartile range = 0-16) and only 71 men (24.1%) had a SHIM score of at least 17. Of these men, 159 (53.9%) were sexually active. Only 63 men (39.6%) were satisfied with their sex life after SCI. In univariable analysis, all variables were associated with an active sex life. Those with a SHIM score of at least 17 had a greater likelihood of being sexually active (odds ratio = 116, 95% confidence interval = 14-432). EF was the only parameter associated with a satisfactory sex life (odds ratio = 1.3, 95% confidence interval = 1.2-1.4). Conclusions: Most men with SCI were sexually inactive and/or dissatisfied with their sex life. Age, duration of SCI, completeness of SCI, continence, having a partner, and good EF were identified as predictors of an active sex life. However, only EF was a predictor of a satisfactory sex life.
dc.description.indexPubMed
dc.description.sponsorshipSao Paulo Research Foundation (FAPESP) [2010/10919-3]
dc.description.sponsorshipMemorial Sloan Kettering Cancer Center [P30 CA008748]
dc.identifier.citationSEXUAL MEDICINE, v.5, n.3, p.E148-E155, 2017
dc.identifier.doi10.1016/j.esxm.2017.06.002
dc.identifier.issn2050-1161
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/22006
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofSexual Medicine
dc.rightsopenAccess
dc.rights.holderCopyright WILEY
dc.subjectSpinal Cord Injury
dc.subjectErectile Dysfunction
dc.subjectSexual Behavior
dc.subjectQuality of Life
dc.subjectEpidemiology
dc.subjectUrinary Bladder Neurogenic
dc.subject.otherquality-of-life
dc.subject.otherphosphodiesterase inhibitors
dc.subject.otherneurogenic bladder
dc.subject.otherdysfunction
dc.subject.otherhealth
dc.subject.otherpopulation
dc.subject.otherimpact
dc.subject.otherrecommendations
dc.subject.otherclassification
dc.subject.otherprevalence
dc.subject.wosMedicine, General & Internal
dc.titleErectile Function Predicts Sexual Satisfaction in Men With Spinal Cord Injury
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalMULHALL, John P.:Mem Sloan Kettering Canc Ctr, Dept Surg, Urol Serv, Sexual & Reprod Med Program, New York, NY 10021 USA
hcfmusp.citation.scopus22
hcfmusp.contributor.author-fmusphcCRISTIANO MENDES GOMES
hcfmusp.contributor.author-fmusphcEDUARDO DE PAULA MIRANDA
hcfmusp.contributor.author-fmusphcJOSE DE BESSA JUNIOR
hcfmusp.contributor.author-fmusphcCARLOS HENRIQUE SUZUKI BELLUCCI
hcfmusp.contributor.author-fmusphcLINAMARA RIZZO BATTISTELLA
hcfmusp.contributor.author-fmusphcCARMITA HELENA NAJJAR ABDO
hcfmusp.contributor.author-fmusphcHOMERO BRUSCHINI
hcfmusp.contributor.author-fmusphcMIGUEL SROUGI
hcfmusp.description.beginpageE148
hcfmusp.description.endpageE155
hcfmusp.description.issue3
hcfmusp.description.volume5
hcfmusp.origemWOS
hcfmusp.origem.pubmed28823312
hcfmusp.origem.scopus2-s2.0-85027452867
hcfmusp.origem.wosWOS:000410676800003
hcfmusp.publisher.cityHOBOKEN
hcfmusp.publisher.countryUSA
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