Evaluation of sexual and fertility dysfunction in spinal cord-injured men in Jamaica

Spinal Cord Series and Cases, 2017 · DOI: 10.1038/scsandc.2017.26 · Published: May 25, 2017

Spinal Cord Injury Urology Women's Health

Simple Explanation

This study examines sexual dysfunction and infertility among men with spinal cord injuries (SCI) in Jamaica. It investigates the prevalence of erectile and ejaculatory dysfunction, as well as the desire for fertility and the availability of treatment options. The research found high rates of erectile and ejaculatory dysfunction among the participants, with a significant number expressing a desire to have children. However, few men received treatment for their sexual dysfunction, and none were referred for assisted reproductive techniques. The findings highlight the need for improved sexual health education and adherence to existing guidelines for managing sexual dysfunction and fertility in men with SCI in Jamaica and the Caribbean.

Study Duration

1 Year

Participants

45 males with traumatic SCI

Evidence Level

Case Report, Cross-sectional study

Key Findings

1
90.7% of men with traumatic SCI experienced erectile dysfunction, with 62.8% classified as severe.
2
73.3% of the men surveyed were unable to ejaculate.
3
71.1% of the participants expressed a desire to have children in the future, yet none had been referred for assisted reproductive techniques.

Research Summary

The study assessed the prevalence of sexual and fertility dysfunction in men with traumatic SCI in Jamaica. The results revealed a high prevalence of erectile and ejaculatory dysfunction, coupled with a strong desire for future fertility among the participants. Despite the desire for fertility, very few men received treatment for sexual dysfunction, and none were referred for assisted reproductive techniques, indicating a gap in care.

Practical Implications

Improved Sexual Education

There is a need for increased sexual education and counseling for men with SCI, addressing both erectile and ejaculatory dysfunction.

Adherence to Guidelines

Healthcare providers should adhere to existing clinical practice guidelines for managing sexuality and reproductive health in SCI patients.

Increased Access to Treatment

Efforts should be made to improve access to treatment options for erectile dysfunction and to provide referrals for assisted reproductive techniques for men who desire fertility.

Study Limitations

1
Small sample size
2
Modest patient recruitment rate
3
The use of the IIEF in the SCI population where reﬂexogenic and psychogenic erections are not distinguished

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