Troubles sexuels chez les patients atteints de lésions médullaires

Abstract

Spinal cord injury (SCI) can alter to varying degrees patients' sexuality. The goals of this study were to evaluate sexual dysfunctions (SD) among a sample of Tunisian patients with SCI and to determine the associated factors. A cross-sectional descriptive study was conducted on a sample of 30patients with SCI. Sexuality was evaluated by: Male Sexual Quotient (MSQ) and Sexual Health Inventory for Men (SHIM). Other parameters were collected: sociodemographic, clinical, functional capacity, psychological profile and quality of life (QoL) (Short-Form 36SF36). The mean age was 41±9.6years (23-56). The frequency of SD in this study was 69.2%. The most affected items in the MSQ (76%) were erection, orgasm, seduction and performance. The SD were associated with alteration of SF36domains. We noted positive correlations on the one hand between the MSQ score and the role physical (RP) and general health (GH) sub scores of SF36and on the other hand between the SHIM and the sub scores RP, mental and physical component score (MCS and PCS). The MSQ score was negatively correlated with the HAD score. No other associations were noted. Our study showed a high frequency of SD in SCI patients including Tunisians. SD were mainly associated with impaired QOL and the anxio-depressive profile. The absence of other associations could be explained mainly by the peculiarity of our culture which still considers sexuality and SD as a taboo and secondary subject.