Abstract:
STUDY DESIGN:Retrospective study. OBJECTIVES:Spinal cord injuries are usually associated with anejaculation, but few premature ejaculations (PE) are described in lumbosacral lesions. The objective of the study is to analyze the retrospective files of patients with lumbosacral lesions to explore whether PE is systematic, and which type of lesions (conus teminalis, epiconal, cauda equina) is associated with these PE. METHODS:Standard sexological consultations from 34 men with L5-S4 lesions were analyzed including questions on psychogenic and reflexogenic erection, and ejaculation. Medical assessment included bulbocavernosus, anal, and cremasteric reflexes and urodynamics. RESULTS:Thirty one (31/33) patients maintained natural ejaculations, but 18 complained of PE and five of spontaneous ejaculations. Fourteen patients complained of dribbling ejaculation, and 27 of non-climactic ejaculation (13 no sensation, 10 some sensation, 4 painful sensation). Medical assessments showed absent or diminished anal sensation in 28 patients, absent or diminished anal reflexes in 21, absent or diminished bulbocavernosus reflexes in 20, but 12/13 positive cremasteric reflex. Urodynamics showed 12/20 areflex and 2/20 hyperactive bladders. CONCLUSIONS:Most men with lower lumbosacral lesions maintain natural ejaculation, but often complain of PE following injury. The PE is such that a mere sexual thought can trigger the response, or appear spontaneously as daytime ('sticky paints') or nighttime ('sticky sheets') emissions. PE appears to be a direct consequence of the lesion as it is reported from the very first ejaculation post injury, in men who otherwise controlled their ejaculation prior to injury. Underlying mechanisms may involve sacral inhibition on ejaculation, or simultaneous activation of psychogenic erection and emission. Clinical implications are discussed.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Courtois F,Charvier Kdoi
10.1038/sc.2014.175subject
Has Abstractpub_date
2014-12-01 00:00:00pages
905-10issue
12eissn
1362-4393issn
1476-5624pii
sc2014175journal_volume
52pub_type
杂志文章相关文献
SPINAL CORD文献大全abstract:OBJECTIVE:The objective of this study is to investigate the changes of urothelial junction proteins, apoptosis and suburothelial inflammation after detrusor injection of botulinum toxin A (BoNT-A) in patients with spinal cord injury (SCI) and neurogenic detrusor overactivity (NDO). METHODS:A total of 26 patients with ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.241
更新日期:2016-10-01 00:00:00
abstract:STUDY DESIGN:Experimental laboratory investigation of the effects of serotonergic and glutamatergic drugs in early paraplegic mice. OBJECTIVES:To examine whether NMDA and 5-HT receptors synergistically participate to generate basic stepping movements in paraplegic mice. SETTING:Laval University Medical Center, Quebec...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101580
更新日期:2004-03-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVES:There is a knowledge gap on urinary incontinence in women with spinal cord injury. Hence, the aim of this study was to determine the prevalence and conditions associated with urinary incontinence in this population. SETTING:Clinic for Spinal Cord Injuries, Rigshospitalet...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-018-0157-0
更新日期:2018-12-01 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVES:(1) To describe and compare follow-up care programmes, performed by rehabilitation centres, for persons with spinal cord injury (SCI) and (2) to describe the effects of these programmes regarding the occurrence of secondary impairments, well-being, the quality and costs of ca...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sj.sc.3101750
更新日期:2005-08-01 00:00:00
abstract:STUDY DESIGN:Assessment of spasticity before and after hippotherapy treatment. OBJECTIVE:To evaluate the short-term effect of hippotherapy on spasticity of spinal cord injured patients (SCIs). SETTING:Swiss Paraplegic Centre, Nottwil. METHODS:32 patients with spinal cord injury with various degrees of spasticity had...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101492
更新日期:2003-09-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVES:To describe a case of suprascapular nerve entrapment (SNE) in a patient with a spinal cord injury (SCI) as a cause of shoulder pain. SETTING:Physical Medicine and Rehabilitation Institute, Nancy, France. REPORT:Six months after the occurrence of acute paraplegia T9 ASIA, a 45-yea...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2010.89
更新日期:2011-06-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional clinical study. OBJECTIVES:Plastic changes within cortical areas occur after traumatic spinal cord injury (TSCI). The aim of the study was to assess cortical activation in the chronic phase of TSCI using functional magnetic resonance imaging (fMRI). SETTING:Tartu University Hospital, Tart...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.158
更新日期:2016-01-01 00:00:00
abstract:STUDY DESIGN:The study was designed as a single-arm clinical trial. OBJECTIVES:To investigate the therapeutic effects of detrusor botulinum toxin A (BoNT-A) treatment in patients with different levels of spinal cord injury (SCI) and types of detrusor sphincter dyssynergia (DSD). SETTING:Patients with chronic suprasac...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sc.2010.179
更新日期:2011-05-01 00:00:00
abstract:STUDY DESIGN:Experimental animal study. OBJECTIVE:The current study aims to test whether the blood flow within the contused spinal cord can be assessed in a rodent model via the acoustic window of the laminectomy utilizing transcutaneous ultrasound. SETTING:Department of Neurological Surgery, University of Washington...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-020-0415-9
更新日期:2020-06-01 00:00:00
abstract:STUDY DESIGN:Case reports and survey of literature. OBJECTIVE:Case reports of two women with tuberculosis (TB) of the spine (Pott's disease) presenting with severe back pain and diagnosed as compression fracture are described. Physicians should include Pott's disease in the differential diagnosis when patients present...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101365
更新日期:2002-11-01 00:00:00
abstract:STUDY DESIGN:Prospective experimental. OBJECTIVES:To compare the cardiorespiratory responses with electrical stimulation (ES) producing either dynamic leg cycling or intermittent isometric leg contractions using the same ES protocol. SETTING:Sydney, Australia. METHODS:Eight paraplegics (T4-T11) performed ES exercise...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.85
更新日期:2014-08-01 00:00:00
abstract:STUDY DESIGN:Single-blind randomized controlled trial of 6 months' duration. OBJECTIVES:To evaluate the efficacy of a novel telehealth intervention, 'CareCall', on reducing pressure ulcers and depression and enhancing the use of appropriate health care. SETTING:General community, Massachusetts and Connecticut, United...
journal_title:Spinal cord
pub_type: 杂志文章,随机对照试验
doi:10.1038/sc.2013.45
更新日期:2013-09-01 00:00:00
abstract:STUDY DESIGN:A prospective study. OBJECTIVES:To investigate the risk factors predicting upper urinary tract (UUT) deterioration in patients with spinal cord injury (SCI). SETTING:Beijing, China. METHODS:We reviewed the medical records and UUT imaging studies of 112 patients, with a mean follow-up of 2 years. Variabl...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.63
更新日期:2014-06-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVES:To investigate the risk factors of vesicoureteral reflux in the early stage of spinal cord injury. SETTING:Japan. METHODS:Urological evaluation, including cystography and urodynamic study was performed in patients in the early stage of spinal cord injury. The patients w...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101091
更新日期:2001-01-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional postal survey. OBJECTIVES:To describe defecation stimulation methods and their outcomes, and to investigate the impact of bowel dysfunction on the quality of life (QoL) in community-dwelling persons with spinal cord injury in South Korea. SETTING:Community-based, Korea. METHODS:A cross...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2011.124
更新日期:2012-04-01 00:00:00
abstract::Ejaculatory failure and poor fertility are major problems for patients with spinal cord injury, who wish to father children. Artificial ejaculation in conjunction with assisted reproductive techniques has been proposed as a possible solution to this situation. In this paper, we presented the case of a tetraplegic man ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100381
更新日期:1997-03-01 00:00:00
abstract:STUDY DESIGN:Although abnormal cutaneous reflex (CR) activity has been identified during gait after incomplete spinal cord injury (SCI), this activity has not been directly compared in subjects with and without the spasticity syndrome. OBJECTIVES:Characterisation of CR activity during controlled rest and 'ramp and hol...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2016.9
更新日期:2016-09-01 00:00:00
abstract:STUDY DESIGN:The rat's acellular spinal cord scaffold (ASCS) and spinal cord neurons were prepared in vitro to explore their biocompatibility. OBJECTIVES:The preparation of ASCS and co-culture with neuron may lay a foundation for clinical treatment of spinal cord injury (SCI). SETTING:Tianjin Medical University Gener...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2016.144
更新日期:2017-04-01 00:00:00
abstract:STUDY DESIGN:Literature review. OBJECTIVES:Upper extremity (UE) joint degeneration, particularly at the shoulder, detrimentally influences functional independence, quality of life, cardiovascular disease risk, and life expectancy of individuals following spinal cord injury (SCI). This review (1) describes UE use for t...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sj.sc.3101070
更新日期:2000-11-01 00:00:00
abstract::Forty-five patients with incomplete cervical spinal cord injuries were examined as to the mechanism of injury, neurological deficits in the initial stage and differences in treatment. Nineteen (42.2%) were treated non-surgically and 26 (57.8%) surgically. Their injuries could be divided into seven types of cervical sp...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sc.1996.111
更新日期:1996-10-01 00:00:00
abstract:STUDY DESIGN:A case report. OBJECTIVES:To demonstrate stimulating action of F XIII in wound healing of complicated pressure sores. SETTING:A Spinal Cord Injury Center in Germany. METHODS:Clinical exam, clinical and photographic wound control, biochemical serum monitoring. RESULTS:Recurrent pressure sores in plegic ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101092
更新日期:2001-02-01 00:00:00
abstract:STUDY DESIGN:Review. OBJECTIVES:This review article investigated the objective evidence of benefits derived from functional electrical stimulation (FES)-assisted gait for people with spinal cord injury (SCI). Both FES and gait have been proposed to promote not only augmented health and fitness, but specific ambulatory...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sj.sc.3102101
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVE:To draw attention to inadequate care received by some spinal cord injury patients after discharge from the regional spinal injury center. SETTING:Regional Spinal Injuries Centre, Southport, UK. METHODS:Presence of the urethral stricture was not recognised in a 69-year-old male with T-3 paraplegia, who atten...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101576
更新日期:2004-08-01 00:00:00
abstract:STUDY DESIGN:Observational study with prospective and retrospective monitoring. OBJECTIVE:To describe the epidemiological and demographic characteristics of traumatic spinal cord injury (TSCI), and to analyze its epidemiological changes. SETTING:Unidad de Lesionados Medulares, Complejo Hospitalario Universitario A Co...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2017.13
更新日期:2017-06-01 00:00:00
abstract:STUDY DESIGN:A prospective, immunohistochemical study of bladder biopsies taken from spinal cord injury (SCI) patients. OBJECTIVES:To investigate whether cytokeratin 14 immunostaining may be useful to detect early squamous metaplasia in bladder biopsies from patients with SCI. SETTING:Southport, United Kingdom. METH...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101464
更新日期:2003-08-01 00:00:00
abstract:STUDY DESIGN:Prospective repeated measures. OBJECTIVES:Evaluate intra-rater agreement of repeated motor and sensory scores at individual spinal levels. SETTING:Non-profit pediatric rehabilitation center. METHODS:Fifty-eight youth with complete spinal cord injury undergoing two neurological exams. Agreement between e...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2008.66
更新日期:2009-01-01 00:00:00
abstract:STUDY DESIGN:Survey. OBJECTIVES:Describe and compare the organisation and delivery of rehabilitation services and systems of care for patients with spinal cord injury (SCI). SETTING:International. Nine spinal rehabilitation units that manage traumatic SCI and non-traumatic SCI (NTSCI) patients. METHODS:Survey based ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2012.82
更新日期:2013-01-01 00:00:00
abstract:STUDY DESIGN:Prospective case series. OBJECTIVES:Male infertility is a common sequela of spinal cord injury (SCI). Fatherhood is a goal in this group of young patients; however, most are anejaculatory. Penile vibratory stimulation is recommended as the first line of treatment for this condition. Our study evaluated th...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.110
更新日期:2014-08-01 00:00:00
abstract:STUDY DESIGN:Serum levels of carboxyterminal propeptide of type I collagen (PICP), osteocalcin (OC), carboxyterminal telopeptide of type I collagen (ICTP) and urinary levels of pyridinoline (Pyr) and deoxypyridinoline (Dpyr) were measured in patients with ossification of posterior longitudinal ligament of the spine (OP...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3100989
更新日期:2000-04-01 00:00:00
abstract::A patient who had had a traffic accident resulting with a compression fracture of the L1 vertebra but with no neurological deficits, developed urinary incontinence and weakness in his lower extremities 25 years after the spinal injury. An MRI scan of the spine revealed gliosis of the conus medullaris at the level of t...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sc.1996.55
更新日期:1996-05-01 00:00:00