Research Reports - Treating male sexual dysfunction after traumatic brain injury

NeuroRehabilitation. 2016 Mar 23. [Epub ahead of print]

Simpson GK(1,)(2), McCann B(3), Lowy M(3).

BACKGROUND: Sexual dysfunction is common after traumatic brain injury (TBI) but
evaluation of treatment interventions have been sparse.
OBJECTIVE: To report on the treatment of sexual dysfunction for two males with
severe TBI.
METHODS AND RESULTS: Case one was treated for erectile dysfunction (ED). After a
medical examination which found no underlying physiological problems, Sildenafil
was prescribed. Scores on the Golombok Rust Inventory of Sexual Functioning
Impotence subscale found that scores had improved from the dysfunction range at
baseline to the functional range at 6 weeks follow-up. There was some reduction
in this improvement at 3 months follow-up, maybe associated with a co-morbid
deterioration of emotional state. Case two was treated for idiopathic delayed
ejaculation (DE). A standard sex therapy intervention was employed that resulted
in the resolution of the problem, documented on the Sex Behavior sub-scale of the
Derogatis Inventory for Sexual Functioning-Self Report (comparing baseline to
post intervention and follow-up scores).
CONCLUSIONS: The case reports show promise for the treatment of sexual
dysfunction after severe TBI using standard medical and sex therapy treatments.
In the future, controlled evaluations are required to demonstrate the efficacy of
such interventions. 

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