脊柱裂致脊髓栓系综合征患者性功能现状评估

马彦; 韩晓敏; 汪隆旺; 李兵; 潘峰

脊柱裂致脊髓栓系综合征患者性功能现状评估

- 华中科技大学同济医学院附属协和医院泌尿外科(武汉, 430022)

详细信息

通讯作者: 韩晓敏,E-mail:hanhanmin@126.com

中图分类号: R682.1;R698

收稿日期: 2012-09-25

Evaluation of sexual function in men with tethred cord syndrome associated with spina bifida

- Department of Urology, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhai, 430022, China

More Information

Corresponding author: HAN Xiaomin, E-mail: hanhanmin@126.com

Received Date: 25 September 2012

摘要

摘要: 目的：研究脊柱裂（spina bifida，SB）致脊髓栓系综合征（tethered cord syndrome，TCS）患者勃起功能状况。方法：近10年来收治TCS患者中，成年男性且有稳定性伴侣者16例。采用邮件问卷方法，对这些患者行国际勃起功能指数（IIEF）问卷及阴茎硬度分级问卷评估。结果：16例TCS患者中，4例未完成问卷。余12例患者中，10例（83%）诊断为勃起功能障碍（erectile dysfunction， ED），其中轻-中度和中度ED占总例数的70%。仅有1例（8%）TCS患者阴茎硬度达到4级，阴茎达到3级硬度的占58%。结论：TCS患者有较高的ED发生。IIEF自评量表能很好地反映TCS患者ED的发病情况。
- 脊柱裂 /
- 脊髓栓系综合征 /
- 勃起功能障碍 /
- 国际勃起功能指数
Abstract: Objective: To assess sexual function in men with tethered cord syndrome (TCS) caused by Spinal Bifida.Methods: A cross-sectional study was performed in 16 adult men with TCS who had have stabilized sexual partners in recent 10 years. The International Index of Erectile Function (IIEF) and Erection Hardness Score (EHS) questionnaire was mailed to each man. Results: Of the 16 patients with TCS, 12 completed the IIEF questionnaire and EHS finally. Of the 12 men who replied, 10 (83%) had erectile dysfunction (ED). 70% of the patients were mild to moderate and moderate ED. Only 1 patients (8%) with TCS developed grade 4 on the EHS, and 58% of the patients developed grade 3.Conclusions: The incidence rate of ED in TCS patients was high. IIEF is equally effective to assess sexual function in men with TCS.
- spina bifida /
- tethered cord syndrome /
- erectile dysfunction /
- International Index of Erectile Function

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参考文献(12)

[1]	YEN I H, KHOURY M J, ERICKSON J D, et al. The changing epidemiology of neural tube defects. United States, 1968-1989[J]. Am J Dis Child, 1992, 146(7):857-861.
[2]	BOTTO L D, MOORE C A, KHOURY M J, et al. Neural-tube defects[J]. N Engl J Med, 1999, 341(20):1509-1519.
[3]	VENKATARAMANA N K. Spinal dysraphism[J]. J Pediatr Neurosci, 2011, 6(Suppl 1):S31-40.
[4]	ROSEN R C, RILEY A, WAGNER G, et al. The international index of erectile function (IIEF):a multidimensional scale for assessment of erectile dysfunction[J]. Urology, 1997, 49(6):822-830.
[5]	GAME X, MOSCOVICI J, GAME L, et al. Evaluation of sexual function in young men with spina bifida and myelomeningocele using the International Index of Erectile Function[J]. Urology, 2006, 67(3):566-570.
[6]	PALMER J S, KAPLAN W E, FIRLIT C F. Erectile dysfunction in patients with spina bifida is a treatable condition[J]. J Urol, 2000, 164(3 Pt 2):958-961.
[7]	MARTIN-MORALES A, SANCHEZ-CRUZ J J, SAENZ DE TEJADA I, et al. Prevalence and independent risk factors for erectile dysfunction in Spain:results of the Epidemiologia de la Disfuncion Erectil Masculina Study[J]. J Urol, 2001, 166(2):569-574; discussion 574-565.
[8]	DIAMOND D A, RICKWOOD A M, THOMAS D G. Penile erections in myelomeningocele patients[J]. Br J Urol, 1986, 58(4):434-435.
[9]	HIRAYAMA A, YAMADA K, TANAKA Y, et al. Evaluation of sexual function in adults with myelomeningocele[J]. Hinyokika Kiyo, 1995, 41(12):985-989.
[10]	SANDLER A D, WORLEY G, LEROY E C, et al. Sexual function and erection capability among young men with spina bifida[J]. Dev Med Child Neurol, 1996, 38(9):823-829.
[11]	DORNER S. Sexual interest and activity in adolescents with spina bifida[J]. J Child Psychol Psychiatry, 1977, 18(3):229-237.
[12]	VERHOEF M, BARF H A, VROEGE J A, et al. Sex education, relationships, and sexuality in young adults with spina bifida[J]. Arch Phys Med Rehabil, 2005, 86(5):979-987.