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Assessment of sexual function and quality of life of patients with spinal cord injury

Published online by Cambridge University Press:  19 July 2023

A. Loghmari*
Affiliation:
Urology, Sahloul teachin Hospital Sousse
A. Mtiraoui
Affiliation:
Psychiatry, Farhat hached Hospital, Sousse
K. Ben Ahmed
Affiliation:
Urology, Sidibouzid Hospital, Sidibouzid
K. Bouassida
Affiliation:
Urology, Sahloul teachin Hospital Sousse
M. Ben Othmen
Affiliation:
Urology, Sahloul teachin Hospital Sousse
G. Tlili
Affiliation:
Urology, Sahloul teachin Hospital Sousse
E. Acacha
Affiliation:
Urology, Sahloul teachin Hospital Sousse
W. Ben Abdallah
Affiliation:
Urology, Sahloul teachin Hospital Sousse
M. Kahloul
Affiliation:
Anesthesiology department, Sahloul teachin Hospital Sousse, Sousse, Tunisia
W. Hmida
Affiliation:
Urology, Sahloul teachin Hospital Sousse
M. Jaidane
Affiliation:
Urology, Sahloul teachin Hospital Sousse
*
*Corresponding author.

Abstract

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Introduction

Spinal cord injuries are known to have physical damage. They are often accompanied by urinary and fecal incontinence, disorders of tenderness, neuropathic pain and motor deficits. Therefore they have a serious impact on physical, mental and social health.

Objectives

The objective of our work was to assess sexual function and quality of life in men with spinal cord injuries.

Methods

This is a cross-sectional study enrolling patients with spinal cord injuries followed at the physical medicine consultation and/or urology department of Sahloul teaching Hospital during the period from January 2016 to January 2018.

Results

This study enrolled 21 patients. Mean age was 45.62 ±15.79 years. Thirteen patients were married, and nine had a primary school level of education. Thirteen patients worked as building workers. The cause of the spinal cord injury was traffic accident in 12 cases. The overall IIEF 15 was 15.57±7.46. Thirteen patients had erectile dysfunction which was rated severe in five patients. The average MSQ was 27.52 ± 26.32 with 10 patients very dissatisfied. The overall SF-36 score was 31.71± 26.16. We found a statistical correlation between quality of life impairment and sexuality impairment in almost all dimensions and especially impairment of physical activity (r²=+0.783 p<0.001) and impairment of perceived health.

Conclusions

The impairment of sexual function is a serious health problem in patients with spinal cord injury. It has a serious impact in the quality of life that justify specific interventions.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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