ABSTRACT
After spinal cord injury (SCI), the impairment of neural command and its consequences on genitosexual organs have been extensively described in humans. Overall, sexual activity and satisfaction decrease but sexuality remains a major concern, especially after the first year after injury. Male sexual behavior comprises desire, erection, ejaculation, and orgasm. About 40% of SCI men report to be dissatisfied with their sexual life. After injury, desire for sexual activity is reduced and about 20% of SCI men describe their sexual desire to be weak and decreased as compared to prior injury. Some studies reported cardiovascular, respiratory, muscular, and autonomic events during sexual climax in SCI men to be similar to those in able-bodied men. Sexual behavior after SCI depends on the location and extent of the SCI but also the dynamic process of reorganization within the spinal cord of pathways and centers involved in sexual function.
