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首页> 外文期刊>The Internet Journal of Urology >A Survey of SCI Individuals Who Use a Ferti CareR Personal Vibrator: Reproduction, Bladder Program, Spasticity and Quality of Life
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A Survey of SCI Individuals Who Use a Ferti CareR Personal Vibrator: Reproduction, Bladder Program, Spasticity and Quality of Life

机译：对使用Ferti CareR个人振动器的SCI个人的调查：生殖，膀胱程序，痉挛和生活质量

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Introduction: For individuals with spinal cord injury, the Ferti Care R Personal vibrator can be applied to the genitalia for reproductive health and orgasm. In addition, reports of vibratory effects on spasticity and bladder inhibition have been reported. However, there is no reported owner survey for the devices home-use, either benefits or problems.Methods: 122 SCI individuals (69% response rate) who had been using the device for 2 to more than 4 years completed a mailed survey which included a wide range of device related questions.Results: Respondents were primarily males (90%) between 20 and 60 years old. Seventy-two percent had cervical or upper thoracic injury and 56% had complete injuries; 91% are using the device currently, but 48% have periods of nonuse. They were using it for orgasm (ejaculation, 84%) and sexual activity (68%). Most respondents also perceived improvement since starting to use the device in health areas including: overall health (70%), quality of life (96%), leg spasticity (80%), sleeping (65%), decreased urinary incontinence episodes (71%) and decreased rate of urinary tract infections (57%). Help with having 22 children was reported by 14 owners. Problems with use included few or no erections (77%), skin problems (13%), and needing medication for high blood pressure during use (10%). Conclusions: This is the first survey of use and nonuse of a vibrator by individuals with SCI. High percentages of respondents reported benefit in areas of sexual health, quality of life, spasticity relief and bladder inhibition. Problems with use were limited. Thus, vibratory therapy should be considered further in SCI rehabilitation programs as well as for continued outcomes research. Introduction Assistive technology continues to improve the lives of those with spinal cord injury (SCI)[1-3] The Ferti CareR Personal vibrator is a hand-held, home-use device that is applied to the genitalia to produce orgasm. The device is usually prescribed as an assistive device for reproductive health [1-5] A few studies limited by the small number of patients studied have also shown benefits with regular vibratory therapy to reduce spasticity, urinary incontinence, as well as suggested improvement in quality of life [6,9-11] However, there is no study of owner perceptions of benefits or problems with home-use. Thus, a national survey was conducted in the United States including use and nonuse of vibratory therapy. Materials and Methods The Ferti CareR Personal vibrator is a hand-held device that produces vibrations on a 3.5 cm diameter round plate (photos of the device are published and available at the distributor’s web site [7,12]. It is manufactured by Multicept Inc, Denmark and distributed by a web based company in the United States [12]. Product information for vibrator use by those with spinal injuries includes advice on using 2.5 mm stroke length and at 100 Hz to produce an orgasm [4,12]. For males, vibration is applied against the lower side of the frenulum of the penis with the thumb placed over the head of the penis to hold it down against the vibrating plate. For females, it is applied against the clitoris. There is an indicator light to show if too much force is being applied. Vibration is continued until orgasm occurs or for a maximum of 3 min. If no orgasm occurs, repeated use after 1 min can be conducted if there is no genital skin irritation or autonomic dysreflexia. Product information states that the frequency of use should not be more than once every 24 hours. Warnings include risk for superficial trauma to the skin resulting in bruising, bleeding or superficial ulceration and to not use it over edematous or inflamed areas of skin, and that it should not be used when the patient has unexplained calf pain because of the risk of deep venous thrombosis. Furthermore, vibrations in SCI individuals with lesions above T6 have a risk of autonomic dysreflexia. Medication can be given to manage the autonomic dysreflexia [
机译：简介：对于患有脊髓损伤的个人，Ferti Care R Personal振动器可应用于生殖器，以生殖健康和性高潮。另外，已经报道了振动对痉挛和膀胱抑制的影响的报道。但是，没有关于使用家用设备的收益或问题的所有者调查报告。方法：使用该设备2至4年以上的122位SCI个人（69％的回应率）完成了邮寄调查，其中包括结果：受访者主要是20至60岁之间的男性（占90％）。 72％的人患有颈椎或上胸部损伤，56％的人完全受伤。当前有91％的人正在使用该设备，但48％的用户有一段时间不使用。他们将其用于性高潮（射精，84％）和性行为（68％）。自从在健康领域开始使用该设备以来，大多数受访者还感觉到了改善，包括：整体健康（70％），生活质量（96％），腿部痉挛（80％），睡眠（65％），尿失禁发作减少（71） ％）和尿路感染率降低（57％）。 14位业主报告了帮助22个孩子的方法。使用问题包括很少或没有勃起（77％），皮肤问题（13％）以及在使用过程中需要高血压药物治疗（10％）。结论：这是首次对SCI患者使用和不使用振动器的调查。高比例的受访者表示在性健康，生活质量，痉挛缓解和膀胱抑制方面受益。使用问题是有限的。因此，振动疗法应在SCI康复计划以及继续的结局研究中进一步考虑。引言辅助技术继续改善脊髓损伤（SCI）[1-3]患者的生活。FertiCareR个人振动器是一种手持式家用设备，适用于生殖器产生性高潮。通常将其指定为生殖健康的辅助设备[1-5]。少数研究的局限性在于少数患者的研究还显示，常规振动疗法可减少痉挛，尿失禁，并改善质量生活[6,9-11]但是，还没有研究所有者对家庭使用带来的好处或问题的看法。因此，在美国进行了一项全国性调查，包括使用和不使用振动疗法。材料和方法Ferti CareR个人振动器是一种手持式设备，可在直径为3.5厘米的圆板上产生振动（该设备的照片已发布，可在分销商的网站上找到[7,12]。由Multicept Inc.制造） ，由网上公司在美国发行[12]。脊柱受伤者使用振动器的产品信息包括使用2.5 mm冲程长度和100 Hz产生高潮的建议[4,12]。男性，将拇指放在阴茎头上方，将振动压在阴茎带的下侧，将其压在振动板上;对于女性，则将振动压在阴蒂上。显示是否施加了太大的力，持续振动直到达到性高潮为止或最多持续3分钟;如果没有高潮发生，则在没有生殖器皮肤刺激或自主神经反射异常的情况下，可以在1分钟后重复使用。声明指出，使用频率每24小时不得超过一次。警告包括可能导致皮肤浅伤，导致瘀伤，出血或浅表溃疡，请勿在皮肤水肿或发炎的区域使用它;并且，如果患者因无法解释的小腿疼痛而有深部的危险，则不应使用它静脉血栓形成。此外，损伤程度高于T6的SCI个体的振动有自主神经反射不良的风险。可以给予药物治疗自主神经反射不良[

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