To provide a comprehensive insight into sexuality after spinal cord injury, the patients received a questionnaire to assess their sexual activities, abilities, desires, satisfaction and sexual adjustment before and after injury. Relationship to partner, social life, bladder management and physical well-being had a significant impact on quality of life.

We studied 34 pts. with the following spinal cord lesions: 6 cervical lesions; 6 upper thoracic lesions; 17 thoraco-lumbar (D11-L2), 4 lower thoracic, sacral or cauda equina lesions; 1 transverse myelitis; 1 multiple sclerosis; 23(67%) pts. with complete lesions and 11 (33%) with incomplete lesions. The average is 41 ys. (range: 25-54 ys.)

The median f-up was 5 months (range 1-11) in 27 pts. with this results: 13 are very satisfied; 5 with partial response; 9 were unsatisfied unable to have a sexual intercourse. 19 pts. choose the 100 mg dose to have the best response; side effects were reported only in 3 cases: 3 pts. respectively with cephalalgia, severe hypotension and dysreflessia, interrupted the therapy.

In the upper motoneuron lesions (LMNS) we had positive and negative response respectively in 77% and 23%. of the cases, but in the lower motoneuron lesions (LMNI) the results were positive and negative respectively in 44% and 56% of the pts.