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Du désir au plaisir, la relation sexuelle du blessé médullaire.

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Veröffentlicht am

La lésion médullaire occasionne à des degrés divers un bouleversement de la vie sexuelle avec notamment une altération des fonctions érectile et éjaculatoire.

La section de la moelle interrompt la transmission de la motricité volontaire et de la sensibilité.

L’érection a été bien étudiée. L’éjaculation et l’orgasme beaucoup moins.

L’objectif de notre étude est l’analyse du déroulement de la relation sexuelle du désir à l’orgasme d’un groupe de blessés vertébromédullaires hospitalisés.



POPULATION

Notre étude intéresse des bléssés vertébromédullaires hospitalisés suivis lors de précédents séjours pour dys fonctionnements périnéaux (vésicosphinctériens, anorectoraux et sexuels).

Tous les patients ont un équilibre vésicisphinctérien et anorectal, un potentiel érecile et une activité sexuelle au moment de l'étude.



MATERIEL ET METHODES

Tous les patients ont bénéficié d'un examen neurologique. Celui-ci détermine le niveau de la lésion ainsi que le degré d'indépendance.

L'examen du périnée nous renseigne sur le fonctionnement des myéloméres S2 S3 S4 et sur l'intégralité des circuits qui en dépendent. Nous pouvons en déduire un potentiel d'érection reflexe et d'éjaculation clonique.

Ils ont répondu au questionnaire IIEF (indice international de la fonction érectile) (14). Il s'agit d'un questionnaire validé. Il permet l'évaluation de toutes les composante usuelles de la sexualité.

Une évaluation des dysfonctions sexuelles à partir du "questionnaire d'histoire sexuelle" tiré de Trudel (18) et de nos entretiens.

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Du désir au plaisir, la relation sexuelle du blessé médullaire.

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  57. 57. 2. Bonal M., Desbarats M. (1994) $JUHVVLYLWªHWVH[XDOLWª(GLWLRQ(UHV 3. Boutot B. (1982) /ȆRUJDVPHDXPDVFXOLQ/HMRXU 4. Colombel J.C (2002) /ȆLQYHQWLRQGHOȆHVSDFHFKH]OHWªWUDSOªJLTXH L’Harmattan 5. Crepault C. (1981)/ȆLPDJLQDLUHªURWLTXHHWVHVVHFUHWV3UHVVHVGH OȆXQLYHUVLWªGX4XªEHF 6. Crepault C. (1991) La non intégration des érotismes fusionnels et DQWLIXVLRQQHOV XQ GªVRUGUH QªJOLJª 5HYXH FRQWUDFHSWLRQ IHUWLOLWª HW VH[XDOLWªYRO 7. Crepault C., Destardins J.Y. (1976) /DFRPSOªPHQWDULWªªURWLTXH (GXFRP 8. Honore B. (2001) 6RLJQHUSHUVªYªUHUHQVHPEOHGDQVOȆH[LVWHQFH6HOL $UVODQ 9. Kaplan H. (1979) 'LVRUGHUVRIVH[XDOGHVLUH%UXQQHUHW0D]H 10. Kaplan H. (1979) /DQRXYHOOHWKªUDSLHVH[XHOOH%XFKHWHWKDVWHO 11. Kinsey A., Pomeroy B., martin C., Gerhard H. (1954) /LHe FcRoPmSpRoUrWtHe PHQWVH[XHOGHODIHPPH$PLRWHW'XPRQW /LWWOH%URZQ 12. Masters W.H., JOHnson V.E. (1971) /HVPªVHQWHQWHVVH[XHOOHVHWOHXU WUDLWHPHQW5RVHUHW/DɎRQW 13. Maury M. (1966)0DQLIHVWDWLRQVQHXURYªJªWDWLYHVGDQVOHVOªVLRQV PªGXOODLUHV3UHVVH0HG 14. Rosen R., Riley A., Wagner G., Osterioz I., Kirk Patrick J.,Mischra A.
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  59. 59. $PXOWLGLPHQVLRQ VH[XDOIRUDVVHVVPHQWRIHUHFWLOHGVIXQFWLRQ 8URORJ 15. Tremblay R. (1993) RXSOHVH[XDOLWªHWVRFLªWª3DRW 16. Tremblay R. (1998) *XLGH GȆªGXFDWLRQ VH[XHOOH ¡ OȆXVDJH GHV SURIHVVLRQQHOV7RPH(U©V 17. Tremblay R. (1999)3DUROHVGȆDPRXUHWGHSODLVLU(U©V 18. Trudel G. (2004)/HVGVIRQFWLRQVVH[XHOOHV 3UHVVHVGHOȆ8QLYHUVLWªGX4XªEHF©PHªGLWLRQ 19. De Vigny A./DFRO©UHGH6DPVRQ5HFXHLO/HV'HVWLQªHV

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