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If a sphincterectomy has been performed reflex and psychogenic erections are rarely possible.Difficulties with erections may eventually be experienced by nearly half of men with Multiple Sclerosis (MS) caused by lesions of the thoracic spine and autonomic nerves.
The introduction of oral medications Viagra and Ciallis have largely replaced their intracavernosal predecessors.
The amount of physical sexual function and ability to feel pleasure or pain sensation after a spinal cord injury depends on level and completeness.
In general, an incomplete spinal cord injury affects sexual function to a varying degree if at all, as opposed to complete where no function exists.
It has been reported that 45 percent of men have experienced orgasm after spinal cord injury.
Complete injuries involving S2 to S4 affect the nerves responsible for two main chambers (corpora cavernosa) of the penis which fill with blood to create an erection, damage at and above this level makes reflex (physically stimulated) erections totally unachievable for most.
While a more than adequate blessing for most, such erections are not always sustainable or strong enough for penetrative sex.