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Conditions: Spinal Cord Injury

Causes - Spinal Cord Injury

Most men with spinal cord injury are able to have a reflex erection with physical stimulation although rigidity is not always perfect. It is psychogenic erections that often are more problematic for men with spinal cord injuries.

Many men with spinal cord injury are capable of having an erection, however the erection may not be hard enough or last long enough for sexual activity. There are various treatments available for treating ED, but men with spinal cord injury may have particular concerns or problems with their use. It is important to see a doctor or urologist for accurate information.

Another type of physical problem that is common in some men with spinal cord injuries is a condition called retrograde ejaculation. Men with retrograde ejaculation release all or part of their semen into their bladder during ejaculation instead of it leaving through the tip of the penis. Injuries to the spinal cord can sometimes interfere with the function of the internal muscles called sphincters,preventing the bladder opening from closing properly. As a result, during ejaculation semen is propelled backward into the bladder instead of leaving the penis. This causes semen to mix with urine in the bladder and leave the body during urination without harming the bladder. Retrograde ejaculation can impair fertility since it affects the delivering of sperm to the vagina during intercourse.

Because each spinal cord injury is different, each man’s physical response is different. You should talk to your doctor openly and honestly about your particular needs.

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