Male Sexual Dysfunctions after a Stroke at the Hubert Koutoukou Maga National Hospital and University Centre in Cotonou, Benin
Keywords:
Male sexual dysfunction, stroke, CotonouAbstract
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.
Downloads
Published
License
Copyright (c) 2025 East African Journal of Neurological Sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.