Erectile Function Predicts Sexual Satisfaction in Men With Spinal Cord Injury

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP GOMES, Cristiano M. FMUSP-HC
BELLUCCI, Carlos Henrique Suzuki FMUSP-HC
ABDO, Carmita Helena Najjar FMUSP-HC
MULHALL, John P. 2017
dc.identifier.citation SEXUAL MEDICINE, v.5, n.3, p.E148-E155, 2017
dc.identifier.issn 2050-1161
dc.description.abstract Introduction: 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.sponsorship · Sao Paulo Research Foundation (FAPESP) [2010/10919-3]
· Memorial Sloan Kettering Cancer Center [P30 CA008748]
dc.language.iso eng
dc.publisher WILEY
dc.relation.ispartof Sexual Medicine
dc.rights openAccess
dc.subject Spinal Cord Injury; Erectile Dysfunction; Sexual Behavior; Quality of Life; Epidemiology; Urinary Bladder Neurogenic
dc.subject.other quality-of-life; phosphodiesterase inhibitors; neurogenic bladder; dysfunction; health; population; impact; recommendations; classification; prevalence
dc.title Erectile Function Predicts Sexual Satisfaction in Men With Spinal Cord Injury
dc.type article
dc.rights.holder Copyright WILEY LIM/55 LIM/40
dc.identifier.doi 10.1016/j.esxm.2017.06.002
dc.identifier.pmid 28823312
dc.type.category original article
dc.type.version publishedVersion GOMES, Cristiano M.:HC:IOT MIRANDA, Eduardo P.:HC:ICHC BESSA JR., Jose de:FM: BELLUCCI, Carlos Henrique Suzuki:HC:LIM/55 ABDO, Carmita Helena Najjar:FM:MPS BATTISTELLA, Linamara Rizzo:FM:MLS BRUSCHINI, Homero:FM:MCG SROUGI, Miguel:FM:MCG · MULHALL, John P.:Mem Sloan Kettering Canc Ctr, Dept Surg, Urol Serv, Sexual & Reprod Med Program, New York, NY 10021 USA 2-s2.0-85027452867 WOS:000410676800003 HOBOKEN USA
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dc.description.index PubMed
hcfmusp.citation.scopus 6
hcfmusp.citation.wos 5 Brasil Estados Unidos

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