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2012, Number 1

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Rev Cub de Med Fis y Rehab 2012; 4 (1)

Usefulness of sildenafil citrate erectile dysfunction in patients with spinal cord injury

Castillo CJJ, Álvarez GCR, Gutiérrez GF

Language: Spanish
References: 28
Page:
PDF size: 199.51 Kb.


ABSTRACT

Objective: To determine the efficacy of sildenafil citrate on erectile dysfunction following spinal cord injury.
Material and methods: We conducted a quasi-experimental uncontrolled study in 75 patients with spinal cord injury who attended sex therapy at the Julio Diaz National Rehabilitation Center between 2007 and 2011; these patients had trouble maintaining or achieve an adequate erection to allow them to have intercourse with penetration. Sildenafil citrate treatment was prescribed, beginning with a dose of 50 mg to 100 mg which was increased when the original dose was not effective. In order to be evaluated, the patients were grouped according to the classification of ASIA and the damage or lack thereof to the center sacral parasympathetic S2-S4 where the reflex erection is integrated.
Results: 86.7 % of patients achieved good quality erections that allowed them to perform penetrative intercourse without difficulties. There were no complications and only two patients reported a mild headache; 3 of them had discomfort in the epigastrium.
Conclusions: sildenafil citrate was effective to achieve or maintain an erection in most patients with spinal cord injury, regardless of the level and intensity of spinal cord injury and no complications were present with its use.


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