Background:
Sexual dysfunction is a
major concern for Indian men living with a spinal cord injury
Objectives:
To examine the
literature related to sexuality traumatic cord injury and its impact on sexual
functioning.
Materials and Methods:
Databases using
Cumulative Index to Nursing and Allied Health Literature (CINAHL) 2000–2012, Medline
1989–2012, Applied Social Sciences Index and Abstracts (ASSIA) 1989–2012 and
Google Scholar were the search engines used used for literature review.
Results:
The search yielded a
total of 457 articles and only 75 of them were found relevant. The minimum
number of articles required to meet the inclusion criteria for this review was
25–30 articles. Out of the 75 articles, 33 were considered relevant or related
to the topic of sexual functioning, spinal cord injury, and paraplegia. Six
areas were identified: Sexual stigmatization, physiological barriers to sexual
satisfaction, clinical aspects of sexual functioning, biomedical approaches to
sexual dysfunction, partner satisfaction, and lack of accessibility to sexual
education.
Conclusion:
Spinal cord injury and
sexual functioning affects a large segment of the male Indian population, yet
most current research focuses on quantitative measurement with the emphasis on
ejaculatory dysfunction, orgasm impairment, incontinence, and other
physiological dysfunction. Further research is needed to address the subjective
accounts of patients themselves with respect to the emotional and social impact
of sexual disability. This would help to identify the best possible outcomes
for both treatment and rehabilitation.
Full article at:
By:
Department of
Research and Training, Trivandrum Institute of Palliative Sciences, Trivandrum,
Kerala, India
1Department of Family Practice, Faculty of
Medicine, University of British Columbia, University Boulevard, Vancouver,
British Columbia, Canada
Address for correspondence: Dr. Sunilkumar MM; E-mail: moc.liamffider@mmramuklinusrd
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