Male Sexual Dysfunctions after a Stroke at the Hubert Koutoukou Maga National Hospital and University Centre in Cotonou, Benin

Authors

  • Richard Houeze Centre National Hospitalier et Universitaire Hubert Koutoukou MAGA image/svg+xml
  • Alexandre Dossou Faton Department of Neurology, University of Parakou, Benin; Neurology Unit, Departmental University Hospital Center of Borgou, Parakou, Benin
  • Mendinatou A. Houessou Centre national hospitalier et universitaire Hubert Koutoukou Maga
  • Jennifer N. Mapaga Department of Neurology, University of Health Sciences, Libreville, Gabon
  • Géraud Houansou Centre National Hospitalier et Universitaire Hubert Koutoukou MAGA image/svg+xml
  • Eugénie Dansou Centre national hospitalier et universitaire Hubert Koutoukou Maga
  • Salim Djaouga Centre national hospitalier et universitaire Hubert Koutoukou Maga
  • Richmine Covi Centre National Hospitalier et Universitaire Hubert Koutoukou MAGA image/svg+xml
  • Gédéon Balley Centre National Hospitalier et Universitaire Hubert Koutoukou MAGA image/svg+xml
  • Constant Adjien Centre national hospitalier et universitaire Hubert Koutoukou Maga

Keywords:

Male sexual dysfunction, stroke, Cotonou

Abstract

Background: Sexuality is an integral part of quality of life, and the impact of sexual dysfunction on patients with a recent stroke is known to be significant. Objectives: To study male sexual dysfunction following stroke at the National University Hospital Center Hubert Koutoukou MAGA in Cotonou in 2022. Methodology: This was a cross-sectional study conducted over three months. The Men's Sexual Health Questionnaire (MSHQ) score was used to assess sexual dysfunction. A score < 65% of the maximum was indicative of male-specific sexual dysfunction.Results: We had a total of 46 patients with a mean age of 56.89 ± 11.25 years. We observed (n=22; 47.8%) prevalence of sexual dysfunction, including sexual activity and desire (n=24; 52.2%), erectile dysfunction (n=11; 40.7%) with discomfort reported by (n=12; 44.4%), ejaculation disorders (n=3; 11.7%), with discomfort (n=8; 29.6%), and marital dissatisfaction (n=13; 28.3%) of patients. Factors associated with this dysfunction were marital status, time post-stroke, level of functional independence, quality of life, and site of brain injury. Conclusion: Male post-stroke sexual dysfunction remains high and influences couples' quality of life, requiring special attention.

 

References

Calabrò RS, Gervasi G, Bramanti P. Male sexual disorders following stroke: an overview. Int J Neurosci. 2011 Nov;121(11):598-604. doi: 10.3109/00207454.2011.600647. Epub 2011 Jul 27. PMID: 21790509

Soulier, B. (2001) Un amour comme tant d’autres ? Handicaps moteurs et sexualité. Association des Paralysés de France (APF), 1e éd. Paris.

Denys P, Soler J-M, Giuliano F. Sexualité du patient neurologique. Progrès en urologie. 2013;23:712-7.

Korpelainen JT, Keulenen ML, Kemblait H et al. Sexual dysfunction in patients. Acta Neurol Stand. 1998;98(6):400-5.

Thompson HS, Ryan A. The impact of stroke consequences on spousal relationships from the perspective of the person stroke. J Clin Nurs. 2009;18(12):1803-11.

Gnonlonfoun D, Azon-Kouanou A, Adjien KC, Djakpo L, Houinato D et al. L'association HTA et diabète, facteur prédictif de mauvais pronostic des accidents vasculaires cérébraux en milieu hospitalier à Cotonou. Revue Le Bénin Médical. 2016;62(2):8-12.

Diaweta J, Banzouzi P, Mpandzou G, Latou D, Ontsira GG, Aloba K et al. Post-strocke sexual disorders and its real-life experience within couples in Brazzaville. WJNS. 2021 Feb 25;11:22-33.

Akinpelu AO, Osose AA, Odole AC, Odunaiya N.A. Sexual Dysfunction in Nigerian Stroke Survivors. Afr Health Sci. 2013;13:639-45.

Somda AP, Ouédraogo PV, Kpoda BN, Savadogo AA, Séré IS , Ouattara M et al. Dépression Post Accident Vasculaire Cérébral : Aspects Epidémiologiques et Cliniques au Centre Hospitalier Universitaire Sourô Sanou de Bobo-Dioulasso. Health Sci. 2022 May;23(5):143-6.

Akigbe G. Etude des facteurs de risque et des facteurs de pronostic des AVC [Thèse de doctorat en médecine]. Faculté des Sciences de la Santé de Cotonou ; 1993. 133 p.

Institut National de la Statistique et l’Analyse Economique (INSAE) du Bénin [En ligne]. Troisième Recensement General de la Population et de l'Habitation (RGPH-3). 2002 [cité le 15 jan 2023]. Disponible sur: https://searchworks.stanford.edu/view/6487167

Bener A, Al-Hamaq AO, Kamran S, Al-Ansari A. Prevalence of erectile dysfunction inmale stroke patients, and associated co-morbidities and risk factors. Int Urol Nephrol. 2008;40(3):701-8.

Kimura M, Murata Y, Shimoda K, Robinson R. Sexual dysfunction following stroke. Compr Psychiatry. 2001;42:217-22.

Ossou-Nguie PM, Odzébé AS, Bandzouzi-Ndamba B, Banzouzi LF, Gnonlonfoun D, Bouyab PA et al. Dysfonction érectile après un accident vasculaire cérébral à Brazzaville. Rev Neurol. 2012;158:538-42.

Schmitz MA, Finkelstein M. Perspectives on poststroke sexual issues and rehabilitation needs. Top Stroke Rehabil. 2010;17:204-213.

Na Y, Htwe M, Rehman CA, Palmer T, Munshi S. Sexual dysfunction after stroke—A biopsychosocial perspective. Int J Clin Pract. 2020;74:e13496. https://doi.org/10.1111/ijcp.13496

Amarenco G. Troubles génito-sexuels et activité sexuelle après une attaque cérébrale. Correspondances en neurologie vasculaire. 2004;5(1):18-20.

Hawton K. Sexual adjustment of men who have had strokes. J Psychosom Res. 1984;28:243-9.

Monga TN, Lawson JS, Inglis J. Sexual Dysfunction in Stroke Patients.Archives of Physical Medicine and Rehabilitation. 1986;67:19-22.

Chambon X. Analyse de la sexualité de la personne hémiplégique. Progrès en urologie. 2013;23:712-7.

Monga TN, Ostermann HJ. Sexuality and sexual adjustment in stroke patients. Phys Med Rehabil State Art Rev. 1995;9:345-59.

Agarwal A, & Jain DC. (1989). Male sexual dysfunction after stroke. Journal of the Association of Physicians of India, 37, 505–507.

Coslett HB, & Heilman KM. (1986). Male sexual function. Impairment after right hemisphere stroke. Archives of Neurology, 43, 1036–1039.

Goddess ED, Wagner NN, & Silverman D. (1979). Post stroke activity in CVA patients. Medical Aspects of Human Sexuality, 13, 16–30.

Giaquinto S, Buzzelli S, Di Francesco L, & Nolfe G. (2003). Evaluation of sexual changes after stroke. Journal of Clinical Psychiatry,64, 302–307.

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12-10-2025

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Male Sexual Dysfunctions after a Stroke at the Hubert Koutoukou Maga National Hospital and University Centre in Cotonou, Benin. EAJNS [Internet]. 2025 Oct. 12 [cited 2025 Dec. 8];4(3):162-8. Available from: https://theeajns.org/index.php/eajns/article/view/309