Evidence map›Paper›PMID 29339878›Full record

ReviewTopics in spinal cord injury rehabilitation2017

Improving Sexual Satisfaction in Persons with Spinal Cord Injuries: Collective Wisdom.

Marcalee Alexander, Frédérique Courtois, Stacy Elliott, Mitchell Tepper

Open access · bronzeAbstract readReview
In one paragraph

Review in Topics in spinal cord injury rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Quality of sexual life in Mexican men after spinal cord injury.Journal of rehabilitation medicine · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Male genital sensation after spinal cord injury: a review.Translational andrology and urology · 2020
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Marcalee AlexanderDepartment of Rehabilitative Medicine, Birmingham VA Medical Center, Birmingham, Alabama.
Frédérique CourtoisDepartement of Sexology, Université du Québec à Montréal, Montreal, Canada.
Stacy ElliottDepartments of Psychiatry and Urologic Sciences, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Mitchell TepperThe Sexual Health Network, Inc.
Birmingham VA Medical Center · USInstitut de Readaptation Gingras Lindsay de Montreal · CAInternational Collaboration On Repair Discoveries · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sexuality is an important part of life, and it is necessary for clinicians to have a specific format in which to address sexual issues with their patients. A systematic approach to working with patients with spinal cord injury (SCI) to improve their sexual functioning and response is presented. Nonjudgmental communication about sexual concerns is followed by a detailed pre- and postinjury medical, psychosocial, and sexual history. If preexisting sexual issues are present, it is recommended that the patient be referred for assessment and treatment of these separate from the patient's SCI-related concerns. Physical examination, with special attention to issues that could impact the patient's sexuality, is followed by a detailed neurologic assessment with specific attention to the T11-L2 and S3-5 spinal segments. Education of the patient with regard to his or her sexual potential and the need to be flexible in his or her sexual repertoire is followed by self-exploration and practice. Routine follow-up is suggested after patient's initial sexual exploration. Treatment of confounding and iatrogenic factors related to SCI is followed by more sexual experience. Afterwards the clinician is encouraged to use simple techniques to treat sexual issues and follow-up with the patient to assess the outcome. A structured program utilizing vibratory stimulation with or without midodrine is described as a way to achieve ejaculation and potentially orgasm, and techniques for treating severe autonomic dysreflexia are discussed. If these interventions do not alleviate the patient's sexual concerns, the clinician should refer the patient for more specialized consultation.

Indexed as

Personal SatisfactionFemaleHumansLibidoMaleOrgasmSexual BehaviorSexual Dysfunction, PhysiologicalSexual HealthSpinal Cord Injuriesorgasmsatisfactionsexual arousalsexualityspinal cord injurywomen

Identifiers

PMID29339878
PMCPMC5340510
OpenAlexW2593968056

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.