sexual problems are either psychological, urological or neurological.
Neurological dysfunction may arise from damage to the regional nerve,
the spinal cord or the brain by trauma, infections, tumors or stroke.
Diabetes and alcoholism may disturb neurological control.
problems resulting in sterility and unsatisfactory sex may be due to a
brain tumor. Impotence is the most common presenting problem.
Antihypertensives and antiepileptics rarely cause impotence. In some
brain problems, patients exhibit hyper sexuality and inappropriate
bladder control is affected in many neurological problems and
associated with sexual dysfunction. As the bladder fills beyond it's
capacity, the patient develops over flow incontinence as happens in
lumbosacral spinal cord or in peripheral nerve involvement. Higher
spinal cord involvement results in a shrunken bladder, premature
contraction of the bladder and incontinence.
decides when to pass urine. When specific areas in the brain are
involved incontinence results. Incontinence at sleep may be an early
sign of seizure.