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  4. A therapeutic effect for males with spinal cord injury using abdominal functional electrical stimulation for sexual functioning

A therapeutic effect for males with spinal cord injury using abdominal functional electrical stimulation for sexual functioning

Spinal Cord Series and Cases, 2020 · DOI: https://doi.org/10.1038/s41394-020-0273-x · Published: March 16, 2020

Spinal Cord InjuryUrologyNeurology

Simple Explanation

This study explores the potential of abdominal functional electrical stimulation (ABFES) to improve sexual function in men with spinal cord injuries (SCI). Two case studies showed unexpected improvements in erectile and ejaculatory function after ABFES treatment. A 74-year-old male with a C5/C6 SCI (AIS D) reported improved strength and duration of erections after 3 weeks of ABFES. A 36-year-old male with a T4/T5 SCI (AIS A) reported improvements in ejaculatory function and urine flow. The researchers suggest that ABFES may have a therapeutic effect on sexual function, possibly due to improved blood flow in the abdominal area, enhanced self-esteem, or stimulation of nerves involved in sexual function.

Study Duration
6 weeks
Participants
Two SCI male case reports: a 74-year-old (AIS D, C5/C6) and a 36-year-old (AIS A, T4/T5)
Evidence Level
Case Reports

Key Findings

  • 1
    A 74-year-old SCI male (AIS D, C5/C6) reported improved strength and duration of erectile function after using ABFES for 3 weeks.
  • 2
    A 36-year-old SCI male (AIS A, T4/T5) reported improvements in ejaculatory function and urine flow after ABFES treatment.
  • 3
    Both participants reported a reduction in time required for bowel management, suggesting a broader benefit of ABFES.

Research Summary

This paper presents two case reports of men with spinal cord injury (SCI) who experienced unexpected improvements in sexual functioning after being treated with abdominal functional electrical stimulation (ABFES) for neurogenic bowel. One participant reported improved erectile function, while the other reported improvements in ejaculatory function and urine flow. Both participants also noted improvements in bowel management. The authors suggest several possible mechanisms for these improvements, including improved vascularization, enhanced self-esteem, or direct innervation of nerves involved in parasympathetic pathways.

Practical Implications

Potential Therapeutic Intervention

ABFES may be a potential therapeutic intervention for improving sexual function in males with SCI.

Further Research Needed

A controlled trial is necessary to determine the relative contributions of ABFES for recovery of sexual function.

Impact on Quality of Life

Improvements in sexual, bowel, and bladder function can significantly impact the quality of life for individuals with SCI.

Study Limitations

  • 1
    Case study design limits generalizability.
  • 2
    Improvements in sexual functioning were not formally measured.
  • 3
    Small sample size (two participants).

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