P W New1,2,3, K E Currie1. 1. Spinal Rehabilitation Service, Department of Rehabilitation, Caulfield Hospital, Alfred Health, Melbourne, Victoria, Australia. 2. Epworth-Monash Rehabilitation Medicine Unit, Southern Medical School, Monash University, Melbourne, Victoria, Australia. 3. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Abstract
STUDY DESIGN: Questionnaire development, validation and completion. OBJECTIVES: Develop comprehensive survey of sexuality issues including validated self-report versions of the International Spinal Cord Injury male sexual function and female sexual and reproductive function basic data sets (SR-iSCI-sexual function). SETTING: People with spinal cord damage (SCD) living in the community, Australia from August 2013 to June 2014. METHODS: An iterative process involving rehabilitation medicine clinicians, a nurse specialising in sexuality issues in SCD and people with SCD who developed a comprehensive survey that included the SR-iSCI-sexual function. Participants recruitment through spinal rehabilitation review clinic and community organisations that support people with SCD. RESULTS: Surveys completed by 154 people. Most were male (n=101, 65.6%). Respondents' median age was 50 years (interquartile range (IQR) 38-58), and they were a median of 10 years (IQR 4-20) after the onset of SCD. Sexual problems unrelated to SCD were reported by 12 (8%) respondents, and 114 (n=75.5%) reported sexual problems because of SCD. Orgasms were much less likely (χ(2)=13.1, P=0.006) to be normal in males (n=5, 5%) compared with females (n=11, 22%). Males had significantly worse (χ(2)=26.0, P=0.001) psychogenic genital functioning (normal n=9, 9%) than females (normal n=13, 26%) and worse (χ(2)=10.8, P=0.013) reflex genital functioning. Normal ejaculation was reported in only three (3%) men. Most (n=26, 52%) women reported reduced or absent menstruation pattern since SCD. CONCLUSION: The SR-iSCI-sexual function provides a useful tool for researchers and clinicians to collect information regarding patient-reported sexual functioning after SCD and to facilitate comparative studies.
STUDY DESIGN: Questionnaire development, validation and completion. OBJECTIVES: Develop comprehensive survey of sexuality issues including validated self-report versions of the International Spinal Cord Injury male sexual function and female sexual and reproductive function basic data sets (SR-iSCI-sexual function). SETTING:People with spinal cord damage (SCD) living in the community, Australia from August 2013 to June 2014. METHODS: An iterative process involving rehabilitation medicine clinicians, a nurse specialising in sexuality issues in SCD and people with SCD who developed a comprehensive survey that included the SR-iSCI-sexual function. Participants recruitment through spinal rehabilitation review clinic and community organisations that support people with SCD. RESULTS: Surveys completed by 154 people. Most were male (n=101, 65.6%). Respondents' median age was 50 years (interquartile range (IQR) 38-58), and they were a median of 10 years (IQR 4-20) after the onset of SCD. Sexual problems unrelated to SCD were reported by 12 (8%) respondents, and 114 (n=75.5%) reported sexual problems because of SCD. Orgasms were much less likely (χ(2)=13.1, P=0.006) to be normal in males (n=5, 5%) compared with females (n=11, 22%). Males had significantly worse (χ(2)=26.0, P=0.001) psychogenic genital functioning (normal n=9, 9%) than females (normal n=13, 26%) and worse (χ(2)=10.8, P=0.013) reflex genital functioning. Normal ejaculation was reported in only three (3%) men. Most (n=26, 52%) women reported reduced or absent menstruation pattern since SCD. CONCLUSION: The SR-iSCI-sexual function provides a useful tool for researchers and clinicians to collect information regarding patient-reported sexual functioning after SCD and to facilitate comparative studies.
Authors: Andrew E Grulich; Richard O de Visser; Paul B Badcock; Anthony M A Smith; Wendy Heywood; Juliet Richters; Chris Rissel; Judy M Simpson Journal: Sex Health Date: 2014-11 Impact factor: 2.706
Authors: F Biering-Sørensen; M J DeVivo; S Charlifue; Y Chen; P W New; V Noonan; M W M Post; L Vogel Journal: Spinal Cord Date: 2017-05-30 Impact factor: 2.772
Authors: Marcalee S Alexander; Peter W New; Fin Biering-Sørensen; Frederique Courtois; Giulio Del Popolo; Stacy Elliott; Carlotte Kiekens; Lawrence Vogel; Jean G Previnaire Journal: Spinal Cord Ser Cases Date: 2017-08-10
Authors: Peter Wayne New; Denise G Tate; Martin B Forchheimer; Julia Maria D'Andréa Greve; Divya Parashar; Marcel W M Post Journal: Spinal Cord Date: 2019-03-27 Impact factor: 2.772
Authors: Peter Wayne New; Inge Eriks-Hoogland; Giorgio Scivoletto; Ronald K Reeves; Andrea Townson; Ruth Marshall; Farooq A Rathore Journal: Top Spinal Cord Inj Rehabil Date: 2017