The Journal of Urology
Volume 177, Issue 1 , Pages 247-251 , January 2007

The Effects of Spinal Cord Injury on Psychogenic Sexual Arousal in Males

  • Marcalee Sipski

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama
    • Corresponding Author InformationCorrespondence: Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham School of Medicine, 519 South 19th St., SRC/157, Birmingham, Alabama 35249 (telephone: 205-934-2088).
    • ,
  • Craig Alexander

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama
    • ,
  • Orlando Gómez-Marín

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama
    • Departments of Epidemiology and Public Health and Pediatrics, Miami, Florida
    • ,
  • Joshua Spalding

      Affiliations

    • University of Miami School of Medicine, Miami, Florida

Received 27 December 2005

References 

  1. Comarr AD, Vigue M. Sexual counseling among male and female patients with spinal cord injury and/or cauda equine injury (Part I). Am J Phys Med. 1978;57:107
  2. Bors E, Comarr AD. Neurological disturbances of sexual function with special reference to 529 patients with spinal cord injury. Urol Surv. 1960;110:191
  3. Geiger RC. Neurophysiology of sexual response in spinal cord injury. Sex Disabil. 1979;2:257
  4. Kennedy S, Over R. Psychophysiological assessment of male sexual arousal following spinal cord injury. Arch Sex Behav. 1990;19:15
  5. Courtois FJ, Goulet MC, Charvier KF, Leriche A. Post-traumatic erectile potential of spinal cord injured men: How physiologic recordings supplement subjective reports. Arch Phys Med Rehabil. 1999;80:1268
  6. Schmid DM, Curt A, Hauri D, Schurch B. Clinical value of combined electrophysiological and urodynamic recordings to assess sexual disorders in spinal cord injured men. Neurourol Urodyn. 2003;22:314
  7. Sipski ML, Alexander CJ, Rosen RC. The neurologic basis of sexual arousal and orgasm in women: effects of spinal cord injury. Ann Neurol. 2001;49:35
  8. International Standards for Neurological Classification of Spinal Cord Injury, Revised. Atlanta: American Spinal Injury Association 2000.
  9. Sipski ML, Rosen RC, Alexander CJ, Gómez-Marín O. Sexual responsiveness in women with spinal cord injuries: differential effects of anxiety-eliciting stimulation. Arch Sex Behav. 2004;33:295
  10. Othmer E, Penick EC, Powell BY, Read MR, Othemer SC. Psychiatric Diagnostic Interview Revised. Los Angeles: Western Psychological Services; 1989;
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  13. Sachs BD. Placing erection in context: the reflexogenic-psychogenic dichotomy reconsidered. Neurosci Biobehav Rev. 1995;19:211
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  15. Dail WG, Walton G, Olmsted MP. Penile erection in the rat: stimulation of the hypogastric nerve elicits increases in penile pressure after chronic interruption of the sacral parasympathetic outflow. J Autonom Nerv Syst. 1989;28:251
  16. Nunez R, Gross GH, Sachs BD. Origin and central projections of rat dorsal penile nerve: possible direct projection to autonomic and somatic neurons by primary afferents of nonmuscle origin. J Comp Neurol. 1986;247:417
  17. Root WS, Bard P. The mediation of feline erection through sympathetic pathways with some remarks on sexual behavior after deafferentation of the genitalia. Am J Physiol. 1947;151:80
  18. Meston CH, Heiman JR. Ephedrine-activated physiological sexual arousal in women. Arch Gen Psychiatry. 1998;55:652
  19. McKenna K. The brain is the master organ in sexual function: central nervous system control of male and female sexual function. Int J Impotence Res. 1999;11:S48

 Study received human subjects subcommittee approval.

 Supported by National Institute on Disability and Rehabilitation Research Grant H113N50017.

PII: S0022-5347(06)02188-4

doi: 10.1016/j.juro.2006.08.059

The Journal of Urology
Volume 177, Issue 1 , Pages 247-251 , January 2007

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