| Management of sexual disorders in spinal cord injured patients. | |
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MedLine Citation:
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PMID: 22837080 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Spinal cord injured (SCI) patients have sexual disorders including erectile dysfunction (ED), impotence, priapism, ejaculatory dysfunction and infertility. Treatments for erectile dysfunction include four steps. Step 1 involves smoking cessation, weight loss, and increasing physical activity. Step 2 is phosphodiesterase type 5 inhibitors (PDE5I) such as Sildenafil (Viagra), intracavernous injections of Papaverine or prostaglandins, and vacuum constriction devices. Step 3 is a penile prosthesis, and Step 4 is sacral neuromodulation (SNM). Priapism can be resolved spontaneously if there is no ischemia found on blood gas measurement or by Phenylephrine. For anejaculatory dysfunction, massage, vibrator, electrical stimulation and direct surgical biopsy can be used to obtain sperm which can then be used for intra-uterine or in-vitro fertilization. Infertility treatment in male SCI patients involves a combination of the above treatments for erectile and anejaculatory dysfunctions. The basic approach to and management of sexual dysfunction in female SCI patients are similar as for men but do not require treatment for erectile or ejaculatory problems. |
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Authors:
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Vafa Rahimi-Movaghar; Alexander R Vaccaro |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta medica Iranica Volume: 50 ISSN: 1735-9694 ISO Abbreviation: Acta Med Iran Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-07-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 14540050R Medline TA: Acta Med Iran Country: Iran |
Other Details:
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Languages: eng Pagination: 295-9 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Research Deputy, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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