SEXUALITY IN SCI-ERECTILE DYSFUNCTION MGM

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SUMMARY

1. Maximising conditions for good sex, such as getting adequate sleep, reducing stress and planning.

2. Modifying reversible contributors, such as smoking, alcohol and medications.

3. First line of medical mgm. for erectile dysfunction in SCI: PDE5 inhibitors, such as sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis). Men with preserved reflexogenic function (UMN lesions) will respond better to PDE5 inhibitors.

4. Intra-cavernosal (penile injectable) medications, alprostadil (Caverject).

5. Vacuum constriction device and/or penile tension ring.


Reference(s)

Lever, S. and Leong, G., 2017. Sexuality following spinal cord injury. Sydney: NSW Agency for Clinical Innovation.
Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.

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