Journal of personalized medicine · 2022
Male Sexual Dysfunction and Infertility in Spinal Cord Injury Patients: State-of-the-Art and Future Perspectives.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Di Bello Francesco, Creta Massimiliano, Napolitano Luigi, Califano Gianluigi, Passaro Francesco, Morra Simone, Giovanni Angelo di, Fusco Giovanni Maria, Cirillo Luigi, Abate Marco, Morgera Vincenzo, Cacace Gianluigi, De Luca Luigi, Spena Gianluca, Collà Ruvolo Claudia, Calace Francesco Paolo, Manfredi Celeste, La Rocca Roberto, Celentano Giuseppe, Turco Carmine, Capece Marco, D'Alterio Carlo, Giordano Alessandro, Mauro Ernesto di, Trama Francesco, Amicuzi Ugo, Arcaniolo Davide, Fusco Ferdinando, Longo Nicola
Аннотация
Spinal cord injury (SCI) is a relevant medical and social problem. According to the World Health Organization, the commonly estimated worldwide annual incidence of SCI is 40 to 80 cases per million population. After the SCI experience, most men present with sexual dysfunction (erectile dysfunction (ED) and ejaculatory dysfunction), fertility problems (such as impaired spermatogenesis, abnormalities in sperm viability, motility, and morphology), and systemic disorders such as genitourinary infection and endocrine imbalances. The best options available for managing the ejaculatory disorders in patients suffering from SCI are penile vibratory stimulation (PVS) and electroejaculation (EEJ). Furthermore, the treatment of ED in SCI patients consists of medical therapies including phosphodiesterase 5 inhibitors (PDE5i), intracavernosal injections (ICI), vacuum erection devices (VEDs), and surgical as penile prosthesis (PP). This review provides a snapshot of the current evidence for the mechanisms of sexual dysfunction and infertility in SCI patients, discusses the best management strategies for these conditions, and offers our perspective on the direction of future research.