Article

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.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS