Term
| what spinal and corresponding vertebral body levels are the bowel and sexual organs located? |
|
Definition
Spinal cord S2-S4
Vertebral body levels T12-L1 |
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|
Term
Compare reflexogenic and psychogenic erections
What levels are required for reflexogenic? |
|
Definition
Reflexogenic occur in response to external physical stimulation of the genitals or perineum. An intact reflex arc required through S2, S3, S4
Psychogenic occur through cognative activity such as erotic fantasy. Mediated from cerebral cortex through sympathetic outflow via hypogastric plexus |
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Term
| Complete UMN injuries above which level can men have reflex erections but not psychogenic? |
|
Definition
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|
Term
| Men with LMN injuries will most likely have reflex or psychogenic erections? |
|
Definition
|
|
Term
| Erectile capacity is greater in UMN or LMN lesions? |
|
Definition
|
|
Term
| Name the various methods of erection assistance |
|
Definition
vacuum erection device
penile prosthesis
penile injection
oral medications such as viagra |
|
|
Term
| Compare sexual function at lesions above T10 (UMN), T10-T12 (UMN), Below T10 (LMN) |
|
Definition
Above T10 UMN: very few men will have emission ejaculation or orgasm
T10-T12: increased emission and ejaculation compared to higher lesion
Below T10 (LMN): erection and ejaculation may be normal |
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Term
| 2 major causes of infertility in men after SCI |
|
Definition
| poor semen quality and ejaculatory dysfunction |
|
|
Term
| Is IC or Foley shown to be better for sperm motility? |
|
Definition
| Intermittent catheterization |
|
|
Term
| What 2 conditions are men with SCI predisposed to that are associated with sperm antibodies? |
|
Definition
Obstruction of the genital tract
UTI |
|
|
Term
| Name 3 methods to obtain sperm in men with SCI |
|
Definition
artificial insemination techniques
vibratory stimulation
electroejaculation |
|
|
Term
| Compare vibratory vs electroejaculation techniques in terms of quality and sperm motility |
|
Definition
PVS is better quality with better sperm motility although EE is the only viable method in some men.
Overall sperm quality is low with both |
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|
Term
| Injury of which levels affect lubrication? (females) |
|
Definition
|
|
Term
| How do female fertility rates and miscarriage rates compare to the general population? |
|
Definition
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|
Term
| What are some pregnancy issues for females with SCI? |
|
Definition
Medications: tapered down and can cause withdraw symptoms
UTI risk increases
Weight gain/skin issues
DVT risk due to enlarged uterus
Respiration since uterus presses on diaphragm
Function status such as transfers and increased spasticity |
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