Treatment of erectile dysfunction in patients with spinal cord injury.
- Author:
Hui-Liang ZHOU
1
Author Information
1. Department of Andrology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian 350005, China .
- Publication Type:Journal Article
- Keywords:
spinal cord injury;
erectile dysfunction;
treatment
- MeSH:
Erectile Dysfunction;
etiology;
therapy;
Humans;
Male;
Penile Prosthesis;
Phosphodiesterase 5 Inhibitors;
therapeutic use;
Psychotherapy;
Spinal Cord Injuries;
complications
- From:
National Journal of Andrology
2017;23(2):99-102
- CountryChina
- Language:Chinese
-
Abstract:
The majority of men with spinal cord injury (SCI) suffer from different types and degrees of erectile dysfunction (ED). The impact of SCL on erectile function depends on the severity and location of the injury. Some patients can restore the residual sexual potential in the period of SCI recovery. Treatments of ED in men with SCI include psychotherapy, medication of oral PDE5 inhibitors, intracavernous injection of vasoactive drugs, transurethral medication, application of the vacuum erectile device and penile ring, penile prostheses, sacral neuromodulation, etc., among which PDE5 inhibitors remain the first option and usually give good clinical results for those with higher SCI. However, intracavernous injection of vasoactive drugs and combined treatment are preferable for those with lower SCI.