EFFECT OF PDE5- I ON MEN’S SEXUAL HEALTH AFTER SPINAL TRAUMA
Authors:
I. Dolan; T. Šrámková; P. Řehořek; P. Filipenský
Published in:
Urol List 2014; 12(4): 29-32
Overview
Introduction:
Sexual dysfunction is a common consequence of spinal trauma. Treatment of sexual dysfunction is an important part of rehabilitation and resocialization of these patients and helps to improve their quality of life. Development of erectile dysfunction (ED) depends on the height of the injured segment of the spinal cord and the extent of the lesion. ED therapy currently provides a wide range of options, depending on the preference of the patient. Oral PDE5 inhibitors (PDE5-I) are the gold standard in the treatment of ED in men after spinal trauma, especially for its easy application and proven effect.
Material and methods:
We examined the influence of the use of PDE5- I on erection quality and frequency of sexual intercourse and non‑coital sexual activity in men after spinal trauma. The group consisted of 67 patients after spinal trauma aged 15– 60 years (mean age 36.5 years) followed up in the androurologic ambulance of University Hospital St. Anne. IIEF‑ 5 questionnaire and custom design were used. The autors used descriptive and inductive statistics using the Wilcoxon paired test (p < 0.05). Rate of return was 44% (30 questionnaires).
Results and conclusion:
Almost all men after spinal trauma in our sample (93%) suffer from erectile dysfunction. Only less than half of them (43%) were taking PDE5- I. We found a significant correlation between the use of PDE5- I and erection quality (p < 0.01). PDE5- I users have significantly higher frequency of sexual intercourse (p < 0.01) and non‑coital sexual activity. The wide range and frequent incidence of sexual dysfunction after spinal trauma requires an active approach of both urologist and andrologist.
Key words:
spinal trauma, erectile dysfunction, PDE5-I
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Paediatric urologist UrologyArticle was published in
Urological Journal
2014 Issue 4
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