Lived Experiences of Sexuality and Sexual Functioning in Males with SCI: A Mixed-Methods Study

Top Spinal Cord Inj Rehabil, 2024 · DOI: 10.46292/sci23-00082 · Published: July 1, 2024

Spinal Cord Injury Urology Rehabilitation

Simple Explanation

This study explores the sexual experiences of men with spinal cord injuries (SCI) using questionnaires and interviews. The research combines physical and psychological aspects to understand how SCI affects sexuality and satisfaction. The findings aim to improve sexual rehabilitation by identifying key factors influencing sexual function in this population.

Study Duration

November 2019 and September 2022

Participants

20 male participants with SCI, aged 25 to 59 years

Evidence Level

Cross-sectional, mixed-methods study

Key Findings

1
Adaptability from both the individual with SCI and their partner is crucial for improving sexual satisfaction.
2
Sexual drive and attraction remained relatively stable post-injury, with an increased desire for intimacy.
3
Social norms and comparisons to able-bodied individuals pose challenges for sexual activity and partnerships.

Research Summary

This study explored the unique barriers and facilitators to sexuality and sexual function from the viewpoint of male individuals with chronic SCI through a mixed-methods approach. From the qualitative standpoint, adaptability from the individual with SCI and their partner(s) was an important factor for success in improving sexuality and sexual function. The qualitative data showcased the importance of adaptability from individuals with SCI and their partner(s), stability of sexual drive, sexual attraction and sexual attentiveness to partners, and desire for emotional and physical intimacy over time.

Practical Implications

Enhanced Sexual Rehabilitation

The study's findings can inform the development of targeted sexual rehabilitation programs that focus on adaptability, intimacy, and addressing social norms.

Improved Partner Support

Highlighting the importance of partner adaptability can lead to better support and education for partners of individuals with SCI.

Holistic Approach to Care

Encouraging a biopsychosocial approach in clinical settings can improve the overall well-being and sexual satisfaction of men with SCI.

Study Limitations

1
The sample consisted of primarily White males, limiting generalizability to other races, cultures, and religions.
2
Sexual orientation of participants was not accessed, potentially missing important distinctions in lived experiences.
3
Participants had access to a tertiary SCI-sexual health care program, which may not be representative of the wider SCI population.

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