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  4. Quality of Sexual Life in Mexican Men After Spinal Cord Injury

Quality of Sexual Life in Mexican Men After Spinal Cord Injury

Journal of Rehabilitation Medicine, 2023 · DOI: 10.2340/jrm.v55.11641 · Published: October 24, 2023

Spinal Cord InjuryUrologyRehabilitation

Simple Explanation

Spinal cord injury can adversely affect the quality of sexual of life in men. However, support and early application of strategies for sex practices are often overlooked during spinal cord injury rehabilitation for men. The aim of this study was to gain insight into the factors associated with dissatisfaction and sexual quality of life in men with spinal cord injury. Multidisciplinary teams that specialize in spinal cord injury can provide earlier strategies to help men adopt new methods to improve their sexual lives.

Study Duration
March 2021 to March 2022
Participants
80 adult male patients with complete spinal cord injury
Evidence Level
Cross-sectional analytical study

Key Findings

  • 1
    Patients with thoracic spinal cord injury reported significantly higher sexual dissatisfaction compared to those with lumbar spinal cord injury.
  • 2
    Patients with a higher level of education (high school or university) reported less sexual dissatisfaction than those with a lower level of schooling (p = 0.03; OR 1.78, 95% CI 1.04–3.07).
  • 3
    The risk of developing sexual dissatisfaction was 8 times higher in patients with thoracic SCI than in those with lumbar SCI (p < 0.001, OR 8.4, 95% CI 3.2–21.7).

Research Summary

This study aimed to evaluate the quality of sexual life among male patients with SCI undergoing treatment at a rehabilitation department in Mexico. The study found a significant disparity in sexual dissatisfaction between individuals with thoracic and lumbar SCI, with thoracic SCI patients reporting higher dissatisfaction. The research also identified a correlation between lower education levels and increased sexual dissatisfaction among SCI patients, highlighting the importance of addressing sexual well-being in rehabilitation programs.

Practical Implications

Targeted Rehabilitation Strategies

Rehabilitation programs should specifically address the sexual health needs of men with spinal cord injuries, especially those with thoracic injuries.

Educational Interventions

Provide educational resources and support to individuals with lower education levels to improve their understanding of sexual health and available treatment options.

Multidisciplinary Approach

Incorporate multidisciplinary teams to offer strategies that help men adopt new methods to improve their sexual lives.

Study Limitations

  • 1
    Limited sample size
  • 2
    Lack of partner assessments
  • 3
    Absence of pre-SCI dissatisfaction data

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