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At least 1,621 records · Page 90Linked to original sources
PubMed1976

Sexual function after major resections of the sacrum with bilateral or unilateral sacrifice of sacral nerves.

The sexual function of nine patients with severance of sacral nerves bilaterally (five patients) or unilaterally (four patients), performed during operations for radical extirpation of tumors of the sacrum or its vicinity, was studied. Sexual histories were obtained and sensibility tests were performed. In four of the five male patients an attempt was made to collect electromyographic recordings from the external urethral and anal sphincters during ejaculation. Bilateral loss of S3 to S5 nerves in two women seemed not to affect their sexual function. Bilateral loss of S2 to S5 nerves in one man was compatible with gratifying sexual intercourse, the stimulation for erection being purely psychogenic, and "ejaculation" of a dripping nature. Unilateral loss of all sacral nerves did not impair previously normal sexual function, although the penises and vulvae of these patients were anesthetic on one side. The sensibility of the penis seemed to be subserved by the second sacral nerve. The myoelectric activity of the striated urethral and anal sphincters during ejaculation recorded in one patient with unilateral total loss of sacral nerves was normal bilaterally considering the duration of, and intervals between, the clonic contractions.

Adult↗
PubMed1986

Sexual function in adults with myelomeningocele.

During the last 25 years more myelomeningocele patients have survived to adulthood and there is increasing interest in their sexual function. Little has been written on this subject. Of 108 patients 16 or more years old with myelomeningocele 47 were interviewed regarding sexual function. Of the 35 female patients 24 were sexually active and 12 of the 17 having actual sexual intercourse had become pregnant. Of the latter 12 patients 10 had ileal conduit urinary diversions, and neither they nor their children experienced any major complications from pregnancy and delivery. Among the 12 male patients 10 were sexually active, with erection and ejaculation present in 9. Six male patients were having sexual intercourse and 1 had become a father. Most of our adults with myelomeningocele had satisfactory sexual function.

Adolescent↗
PubMed1975

The effect of pharmacological agents on ejaculation.

Infertility in a patient on pharmacological agents with sympatholoytic activity was found to be caused by ejaculatory failure owing to absent contraction of the seminal vesicle, ampulla and ductus deferens, rather than the previously accepted reason of retrograde ejaculation. These findings suggest that pharmacological agents producing alpha-adrenergic blockage may produce temporary interference with ejaculation, suggesting investigation of their use as reversible male contraceptives.

Adult↗
PubMed1980

Adolescent sexuality.

Adolescent sexuality is surveyed from three angles: the emergence of adult sexual functions, the participation in sexual behaviors, and the relationship of sexuality to the developmental tasks of adolescence. Common medical problems arising from adolescent sexual activity are also discussed.

Adolescent↗
PubMed1989

Subtypes of anorgasmia via mathematical taxonomy.

Seventy-six women who presented with a principal complaint of anorgasmia were partitioned into four distinct subtypes on the basis of psychosexual and psychological symptoms using hierarchical cluster analysis, a mathematical taxonomic method. The classification was accomplished with data from the Derogatis Sexual Functioning Inventory (DSFI) and the Brief Symptom Inventory (BSI). Comparisons involving age, race, marital status, and social class demonstrated no significant differences between the four subtypes; however, statistical analyses of psychosexual, psychological symptom, and chart-review variables (including psychiatric diagnosis) revealed very significant distinctions between the four groups. From the resulting typology, anorgasmic subtypes were presumptively identified as "low desire" (n = 21), "histrionic/marital conflict" (n = 20) "psychiatric disorder" (n = 12) and "constitutional" (n = 16). Implications of the typology for etiologic and optimal treatment decisions concerning anorgasmia are discussed.

Adult↗