Performance and safety of treatment options for erectile dysfunction in patients with spinal cord injury: a review of the literature

ConclusionsThe best treatment options for ED in SCI patients emerged to be PDE5 ‐Is and ICI. The choice of ED treatment should be based on several aspects, including residual erectile function, SCI location and patients’ comorbidities. Future studies assessing the applicability of less well studied treatments, as well as evaluating innovative options, are needed in this spe cific population.
Source: Andrology - Category: Urology & Nephrology Authors: Tags: REVIEW ARTICLE Source Type: research

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CONCLUSIONS: A high number of SF soldiers self-reported an SCI diagnosis. Airborne operations landings were the leading cause of SCI, which coincided with warfare tactics employed during the Persian Gulf War, Operation Iraqi Freedom, and other conflicts. A majority of SCIs occurred while wearing headgear and no body armor, suggesting the need for improvements in protective equipment use and design. The low rate of medevac rescue for these injuries may suggest that medical rescue was not attainable at the time or that certain SCIs were deemed minor at the time of injury. PMID: 32977307 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
AbstractPurpose of ReviewThe goal of this article is to review the major neurologic disorders that can lead to erectile dysfunction (ED) as well as the current management options, highlighting the most recent literature on the subject.Recent FindingsStudies suggest that emerging novel therapies may act to supplement the established therapies for neurogenic ED, such as adipose tissue –derived mesenchymal stem cells and focal muscle vibration. Recent studies and meta-analyses also confirm the safety and efficacy of phosphodiesterase type-5 inhibitors (PDE5i) as the first-line therapy for neurogenic ED.SummaryNeurologic...
Source: Current Sexual Health Reports - Category: Sexual Medicine Source Type: research
Authors: Perret C, Van Biesen D, Strupler M, Pit-Grosheide P, Vanlandewijck Y Abstract PURPOSE: Ingestion of sildenafil citrate has performance-enhancing effects at high altitudes above 3800 m in able-bodied individuals. It is unknown whether it can improve the performance of athletes with spinal cord injury (SCI) at moderate altitudes (
Source: International Journal of Sports Physiology and Performance - Category: Sports Medicine Tags: Int J Sports Physiol Perform Source Type: research
This article provides a critical review of relevant publications pertaining to PPI in men with diabetes, significant corporal fibrosis, spinal cord injury, concurrent continence surgery, and complex salvage cases. The discussion of each category of special populations includes a brief review of the surgical challenges and a practical action-based set of recommendations. While specific patient populations posed considerable challenges in PPI surgery, strict pre- and postoperative management coupled with safe surgical practice is a prerequisite to achieving excellent clinical outcomes and high patient satisfaction rate. ...
Source: Asian Journal of Andrology - Category: Urology & Nephrology Authors: Tags: Asian J Androl Source Type: research
Penile numbness is an unusual presentation that is often associated with significant medical pathologies such as pelvic trauma, spinal cord injury or diabetic neuropathy. However, numbness of the penis or genitals may also be associated with pudendal nerve entrapment.1 Pudendal neuralgia is a debilitating condition that leads to neuropathic pain in the penis, scrotum, perineum and anus, especially with sitting.2 It may result from mechanical impingement of the pudendal nerve, typically as it courses along the sacrospinous ligament and through Alcock's canal.
Source: Urology - Category: Urology & Nephrology Authors: Tags: Surgical techniques in urology Source Type: research
Conclusion. Fixed partner, ejaculation, masturbation are protective factors for sexual dysfunction. Erectile dysfunction, orgasmic, and infrequent sex dysfunction are predictors of sexual dysfunction. Level of Evidence: 3
Source: Spine - Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research
International Journal of Impotence Research, Published online: 04 July 2019; doi:10.1038/s41443-019-0168-1Mesenchymal stem cell therapy improves erectile dysfunction in experimental spinal cord injury
Source: International Journal of Impotence Research - Category: Urology & Nephrology Authors: Source Type: research
Abstract Erectile dysfunction (ED) is a common male sexual dysfunction associated with a reduced quality of life for patients and their partners. ED is associated with increasing age, depression, obesity, lack of exercise, diabetes mellitus, hypertension, dyslipidaemia, cardiovascular disease and lower urinary tract symptoms related to benign prostatic hyperplasia. The evaluation of men with ED requires a full medical and personally and culturally sensitive sexual history, a focused clinical examination, fasting glucose levels, a fasting lipid profile and, in select cases, a total testosterone level and a prostate...
Source: Med J Aust - Category: General Medicine Authors: Tags: Med J Aust Source Type: research
AbstractPurpose of ReviewMen with spinal cord injury (SCI) commonly suffer from erectile dysfunction and ejaculatory dysfunction. The literature regarding the causes and treatment of these two important problems was reviewed.Recent FindingsMany of the erectile dysfunction treatments applied to able bodied individuals are also useful in the SCI population, although there are differences in the goals and results of treatment. Ejaculatory dysfunction can be treated with either penile vibratory stimulation or electroejaculation with high success rates. Pregnancies are possible, but poor quality sperm quality in male SCI patien...
Source: Current Urology Reports - Category: Urology & Nephrology Source Type: research
Conclusion As Vitaros® may be an effective treatment of erectile dysfunction in SCI men, it seems to be less efficient than ICI and PDE5I; however, some patients choose it for future use.
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research
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