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Neurorehabilitation and Neural Repair
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Review Article: The Evaluation and Treatment of Sexual Dysfunction in the Neurologically Impaired Patient

Mark Stein

Department of Urology, Montefiore Medical Center/ Albert Einstein College of Medicine

Joe W. Chamberlin

Department of Urology, Montefiore Medical Center/ Albert Einstein College of Medicine

Seth E. Lerner

Department of Urology, Montefiore Medical Center/ Albert Einstein College of Medicine

Mark Gladshteyn

Department of Urology, Montefiore Medical Center/ Albert Einstein College of Medicine

Male patients with spinal cord injury and sexual dysfunction on initial evaluation by a primary physician may seem to pose overwhelming diagnostic and management problems. This need not necessarily be the case if the primary physician has a thorough knowledge of the physiology of the erectile process and utilizes a basic treatment regimen.

The treatment regimen is guided by an uncomplicated approach that first rules out psychogenic causes. If an organic cause is then suspected, a more detailed diagnostic work-up can be performed. Various treatments are available, which include noninvasive mechanical and pharmacologic therapies as well as microsurgical procedures and prostheses.

Key Words: Spinal cord injury • Erectile dysfunction • Physiology • Diagnosis • Treatment.

Neurorehabilitation and Neural Repair, Vol. 7, No. 2, 63-71 (1993)
DOI: 10.1177/136140969300700203
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