title: Evaluation of Sexual Dysfunction in Men With Spinal Cord Injury Using the Male Sexual Quotient.
abstract: 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.
  
  
  
  Cross-sectional study.
  
  
  
  Tertiary rehabilitation center.
  
  
  
  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).
  
  
  
  Not applicable.
  
  
  
  Performance in various domains of sexual function was evaluated using the MSQ and SHIM questionnaires.
  
  
  
  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).
  
  
  
  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.
authors.affiliation: Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil. Electronic address: mirandaedp@gmail.com.
authors.forename: Eduardo P
authors.initials: EP
authors.lastname: Miranda
authors.affiliation: Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Cristiano Mendes
authors.initials: CM
authors.lastname: Gomes
authors.affiliation: Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: José
authors.initials: J
authors.lastname: de Bessa
authors.affiliation: Institute of Psychiatry, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Carmita Helena
authors.initials: CH
authors.lastname: Najjar Abdo
authors.affiliation: Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Carlos Henrique
authors.initials: CH
authors.lastname: Suzuki Bellucci
authors.affiliation: Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Jose Everton
authors.initials: JE
authors.lastname: de Castro Filho
authors.affiliation: Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Fabrício Leite
authors.initials: FL
authors.lastname: de Carvalho
authors.affiliation: Institute of Physical Medicine and Rehabilitation, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Daniel Rubio
authors.initials: DR
authors.lastname: de Souza
authors.affiliation: Institute of Physical Medicine and Rehabilitation, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Linamara Rizzo
authors.initials: LR
authors.lastname: Battistella
authors.affiliation: Department of Orthopedics, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Márcia
authors.initials: M
authors.lastname: Scazufca
authors.affiliation: Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Homero
authors.initials: H
authors.lastname: Bruschini
authors.affiliation: Department of Orthopedics, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Tarcisio
authors.initials: T
authors.lastname: Barros Filho
authors.affiliation: Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
authors.forename: Miguel
authors.initials: M
authors.lastname: Srougi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities / Q000592:standards*; D011788:Quality of Life; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D013119:Spinal Cord Injuries / Q000150:complications*; D055815:Young Adult
keywords: Ejaculation; Physiology; Rehabilitation; Sensitivity and specificity; Sexual behavior; Sexual dysfunction, physiological; Spinal cord injuries; Surveys and questionnaires