Erectile Function Predicts Sexual Satisfaction in Men With Spinal Cord Injury

Sex Med, 2017 · DOI: http://dx.doi.org/10.1016/j.esxm.2017.06.002 · Published: January 1, 2017

Simple Explanation

Spinal cord injury often leads to a decline in sexual function and satisfaction. This study aimed to identify factors that predict sexual activity and satisfaction in men with SCI. The research found that erectile function is the primary factor determining sexual satisfaction in men with SCI, more so than other factors like age or relationship status. The study suggests that focusing on improving erectile function could significantly enhance the sexual quality of life for men with spinal cord injuries.

Study Duration

6 Months

Participants

295 men with spinal cord injury

Evidence Level

Not specified

Key Findings

1
Most men with SCI were sexually inactive or dissatisfied with their sex life.
2
Erectile function was identified as the only predictor of satisfaction with sexual life.
3
Men with a SHIM score of at least 17 had a greater likelihood of being sexually active.

Research Summary

This study evaluated the sexual function of men with SCI, focusing on predictors of sexual activity and satisfaction. The study identified erectile function as the key predictor of sexual satisfaction, while other factors like age and relationship status predicted sexual activity. The findings suggest that interventions targeting erectile function could significantly improve sexual satisfaction in men with SCI.

Practical Implications

Clinical Focus

Clinicians should prioritize addressing erectile dysfunction when treating men with SCI to improve their sexual satisfaction.

Treatment Strategies

Consider incorporating PDE-5 inhibitors and other ED treatments as part of the rehabilitation process for men with SCI.

Patient Education

Educate men with SCI about the importance of erectile function in sexual satisfaction and the available treatment options.

Study Limitations

1
Cross-sectional design may introduce recall bias.
2
Information was obtained exclusively from validated questionnaires and structured interviews.
3
The study did not evaluate foreplay activity, which could contribute to sexual satisfaction.

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