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Abstract Objective To investigate the impact of male sexual function by the injury of spinal cord.Methods 39 cases of traumatic spinal cord injury patients in 2nd People's Hospital of Zhengzhou from December 2017 to May 2019 were included in this retrospective research.All patients were male，aged from 28 to 46 years，with an average age of (37.5±5.5) years.All patients underwent surgery after injury.International index of ecrectile function(IIEF) was used to evaluate patients' erection function.The neurological classification of spinal cord injury developed by American Spinal Injury Association (ASIA ) and ASIA motor and sensory scores were used to evaluate the neurological function of spinal cord injury.We evaluated the impacts of neurological and sexual function before and after injury of spinal cord，compare neurological and sexual function recovery after surgery.For the patients with sexual dysfunction were examine for felex erection and psychogenic erection function.Results All patients received follow-up in a period of 14 to 31 months (mean 21.9±5.2).ASIA sensory score was (116.9±50.0)，ASIA motor score was (60.5±14.3).IIEF-5 decreased from (22.9±1.4) pre-injuryly to (11.3±2.7) post-injuryly.Aside from the Sensorimotor dysfunction，sexual function was also affected significantly after injury (P＜0.05).After surgery，IIEF-5 was (17.9±5.2)，ASIA sensory score was (174.6±36.0)，ASIA motor score was (83.0±13.8)，with significantly improved compared with which before surgery(P＜0.05).Conclusion Traumatic injury of spinal cord can make obvious impact on male sexual function，aside from sensorimotor dysfunction.Time of treatment，injury segment，damage level and time to recover affect the extent of the damage of sexual function and recovery.
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