While teaching a class of nursing students about spinal cord injury, the instructor mentions that male SCI clients will be able to have a sexual response if their injury is at which level on the spinal column?
A) T12
B) S1
C) L2
D) S4
Ans: D
Feedback:
Sexual function, like bladder and bowel control, is mediated by the S2 to S4 segments of the spinal cord. The S2 to S4 cord segments have been identified as the sexual touch reflex center. The T11 to L2 cord segments have been identified as the mental–stimulus, or psychogenic, sexual response area, where autonomic nerve pathways in communication with the forebrain leave the cord and innervate the genitalia. In T10 or higher injuries, reflex sexual response to genital touch may occur freely. However, a sexual response to mental stimuli (T11 to L2) does not occur because of the spinal lesion blocking the communication pathway. In an injury at T12 or below, the sexual reflex center may be damaged, and there may be no response to touch.
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