title: The impact of spinal cord injury on sexual function: concerns of the general population.
abstract: METHODS
  Secure, web-based survey.
  
  
  OBJECTIVE
  Obtain information from the spinal cord injured (SCI) population regarding sexual dysfunctions, with the aim of developing new basic science and clinical research and eventual therapies targeting these issues.
  
  
  METHODS
  Worldwide web.
  
  
  METHODS
  Individuals 18 years or older living with SCI. Participants obtained a pass-code to enter a secure website and answered survey questions. A total of 286 subjects completed the survey.
  
  
  RESULTS
  The majority of participants stated that their SCI altered their sexual sense of self and that improving their sexual function would improve their quality of life (QoL). The primary reason for pursuing sexual activity was for intimacy need, not fertility. Bladder and bowel concerns during sexual activity were not strong enough to deter the majority of the population from engaging in sexual activity. However, in the subset of individuals concerned about bladder and/or bowel incontinence during sexual activity, this was a highly significant issue. In addition, the occurrence of autonomic dysreflexia (AD) during typical bladder or bowel care was a significant variable predicting the occurrence and distress of AD during sexual activity.
  
  
  CONCLUSIONS
  Sexual function and its resultant impact on QoL is a major issue to an overwhelming majority of people living with SCI. This certainly constitutes the need for expanding research in multiple aspects to develop future therapeutic interventions for sexual health and SCI.
authors.affiliation: Department of Neurological Surgery, Reeve-Irvine Research Center, University of California, Irvine, CA 92697, USA.
authors.forename: K D
authors.initials: KD
authors.lastname: Anderson
authors.forename: J F
authors.initials: JF
authors.lastname: Borisoff
authors.forename: R D
authors.initials: RD
authors.lastname: Johnson
authors.forename: S A
authors.initials: SA
authors.lastname: Stiens
authors.forename: S L
authors.initials: SL
authors.lastname: Elliott
mesh_terms: D000293:Adolescent; D000328:Adult; D020211:Autonomic Dysreflexia / Q000209:etiology / Q000503:physiopathology; D003625:Data Collection; D005242:Fecal Incontinence / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012725:Sexual Behavior / Q000502:physiology*; D013119:Spinal Cord Injuries / Q000150:complications / Q000503:physiopathology* / Q000523:psychology; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology