Evaluation of Sexual Dysfunction in Men With Spinal Cord Injury Using the Male Sexual Quotient

Author(s):Show less -

Miranda, Eduardo P. ^[1] ; Gomes, Cristiano Mendes ^[1] ; de Bessa, Jr., Jose ^[1] ; Najjar Abdo, Carmita Helena ^[2] ; Suzuki Bellucci, Carlos Henrique ^[1] ; de Castro Filho, Jose Everton ^[1] ; de Carvalho, Fabricio Leite ^[1] ; de Souza, Daniel. Rubio ^[3] ; Battistella, Linamara Rizzo ^[3] ; Scazufca, Marcia ^[4] ; Bruschini, Homero ^[1] ; Barros Filho, Tarcisio ^[4] ; Srougi, Miguel. ^[1]

Affiliation

^[1] Univ Sao Paulo, Sch Med, Div Urol, Sao Paulo - Brazil

^[2] Univ Sao Paulo, Sch Med, Inst Psychiat, Sao Paulo - Brazil

^[3] Univ Sao Paulo, Sch Med, Inst Phys Med & Rehabil, Sao Paulo - Brazil

^[4] Univ Sao Paulo, Sch Med, Dept Orthoped, Sao Paulo - Brazil

• Document type: Journal article
• Source: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION; v. 97, n. 6, p. 947-952, JUN 2016.
• Web of Science Citations: 5

Abstract

Objective: To assess different aspects of sexual function in men with spinal cord injury (SCI) using the Male Sexual Quotient (MSQ), a newly developed tool to assess sexual function and satisfaction. Design: Cross-sectional study. Setting: Tertiary rehabilitation center. Participants: Patients (N=295) older than 18 years (mean age +/- SD, 40.7 +/- 14.5y) with SCI for more than 1 year (median time since SCI, 3.6y; range, 1.6-7.0y) were assessed from February to August 2012. Patients completed the MSQ questionnaire and the Sexual Health Inventory for Men (SHIM). Interventions: Not applicable. Main Outcome Measures: Performance in various domains of sexual function was evaluated using the MSQ and SHIM questionnaires. Results: Erectile function, ejaculation, and orgasm were the most severely affected domains. The median MSQ score was 40 (range, 8-66), and the median SHIM score was 5 (range, 0-16). The diagnostic properties of the 2 instruments were similar in the discrimination of sexually active subjects. The area under the receiver operating characteristic curve was .950 (95% confidence interval {[}CI], .923.979) for the MSQ and .942 (95% CI, .915.968) for the SHIM. There was a strong correlation between the 2 instruments (r=.826; 95% CI, .802.878). Conclusions: Different domains of sexual function are severely impaired in men with SCI, although their sexual interest remains high. The MSQ and SHIM scores strongly correlate, but the MSQ provides a more comprehensive assessment of sexual dysfunction in male patients with SCI. (C) 2016 by the American Congress of Rehabilitation Medicine (AU)