Sexual Rehabilitation of Patients with Spinal Cord Injury
نویسنده
چکیده
Sexual and reproductive health is important for quality of life and has a significant influence on patient satisfaction. Spinal cord pathology occurs from trauma, deformity, and degenerative disease processes may be leads to damage sexual function and reproductive system. There are two control systems situated in the spinal cord associated with erection; parasympathetic and sympathetic nervous systems. The parasympathetic center is in sacral segments S2–S4 and is responsible for reflexogenic erection and the sympathetic center is placed in T11–L2 segments of the spinal cord, which is responsible for psychogenic erection. Approximately 10-20% of erectile dysfunction (ED) is of neurological origin. The neurogenic ED is classified into 3 groups, as supraspinal, spinal (sacral and suprasacral) and peripheral. Main causes of neurogenic ED include stroke, Alzheimer's disease, spinal cord injury (SCI) and spinal lesions, pelvic injury, pelvic surgery, diabetic neuropathy and multiple sclerosis. Almost 50% of neurogenic ED cases are resulted from SCI. Depending on the level of SCI, reflexogenic erection and/ or psychogenic erection may occur in the patients.
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