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

Abstract

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. We had a total of 46 patients with a mean age of 56.89 ± 11.25 years. Results: We observed prevalence of sexual dysfunction in 22(47.8%) cases, 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.