We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Male Sexual Dysfunction and Infertility in Spinal Cord Injury Patients: State-of-the-Art and Future Perspectives.
- Authors
Di Bello, Francesco; Creta, Massimiliano; Napolitano, Luigi; Califano, Gianluigi; Passaro, Francesco; Morra, Simone; Giovanni, Angelo di; Fusco, Giovanni Maria; Cirillo, Luigi; Abate, Marco; Morgera, Vincenzo; Cacace, Gianluigi; De Luca, Luigi; Spena, Gianluca; Collà Ruvolo, Claudia; Calace, Francesco Paolo; Manfredi, Celeste; La Rocca, Roberto; Celentano, Giuseppe; Turco, Carmine
- Abstract
Spinal cord injury (SCI) is a relevant medical and social problem. According to the World Health Organization, the commonly estimated worldwide annual incidence of SCI is 40 to 80 cases per million population. After the SCI experience, most men present with sexual dysfunction (erectile dysfunction (ED) and ejaculatory dysfunction), fertility problems (such as impaired spermatogenesis, abnormalities in sperm viability, motility, and morphology), and systemic disorders such as genitourinary infection and endocrine imbalances. The best options available for managing the ejaculatory disorders in patients suffering from SCI are penile vibratory stimulation (PVS) and electroejaculation (EEJ). Furthermore, the treatment of ED in SCI patients consists of medical therapies including phosphodiesterase 5 inhibitors (PDE5i), intracavernosal injections (ICI), vacuum erection devices (VEDs), and surgical as penile prosthesis (PP). This review provides a snapshot of the current evidence for the mechanisms of sexual dysfunction and infertility in SCI patients, discusses the best management strategies for these conditions, and offers our perspective on the direction of future research.
- Subjects
WORLD Health Organization; PREMATURE ejaculation; SPINAL cord injuries; SEXUAL dysfunction; INFERTILITY; PHOSPHODIESTERASE inhibitors; IMPOTENCE
- Publication
Journal of Personalized Medicine, 2022, Vol 12, Issue 6, p873
- ISSN
2075-4426
- Publication type
Article
- DOI
10.3390/jpm12060873