Evaluation of Sexual Dysfunction in Men With Spinal Cord Injury Using the Male Sexual Quotient.

Abstract:

OBJECTIVE:To assess different aspects of sexual function in men with spinal cord injury (SCI) using the Male Sexual Quotient (MSQ), a newly developed tool to assess sexual function and satisfaction. DESIGN:Cross-sectional study. SETTING:Tertiary rehabilitation center. PARTICIPANTS:Patients (N=295) older than 18 years (mean age ± SD, 40.7±14.5y) with SCI for more than 1 year (median time since SCI, 3.6y; range, 1.6-7.0y) were assessed from February to August 2012. Patients completed the MSQ questionnaire and the Sexual Health Inventory for Men (SHIM). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Performance in various domains of sexual function was evaluated using the MSQ and SHIM questionnaires. RESULTS:Erectile function, ejaculation, and orgasm were the most severely affected domains. The median MSQ score was 40 (range, 8-66), and the median SHIM score was 5 (range, 0-16). The diagnostic properties of the 2 instruments were similar in the discrimination of sexually active subjects. The area under the receiver operating characteristic curve was .950 (95% confidence interval [CI], .923-.979) for the MSQ and .942 (95% CI, .915-.968) for the SHIM. There was a strong correlation between the 2 instruments (r=.826; 95% CI, .802-.878). CONCLUSIONS:Different domains of sexual function are severely impaired in men with SCI, although their sexual interest remains high. The MSQ and SHIM scores strongly correlate, but the MSQ provides a more comprehensive assessment of sexual dysfunction in male patients with SCI.

journal_name

Arch Phys Med Rehabil

authors

Miranda EP,Gomes CM,de Bessa J Jr,Najjar Abdo CH,Suzuki Bellucci CH,de Castro Filho JE,de Carvalho FL,de Souza DR,Battistella LR,Scazufca M,Bruschini H,Barros Filho T,Srougi M

doi

10.1016/j.apmr.2016.01.005

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

947-52

issue

6

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(16)00040-X

journal_volume

97

pub_type

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