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Wheelchair sex and the ability to develop sexuality, participate in sexual activity, and maintain long term intimate relations is desired as much by people with a disability as in the general population.
Usually high level quadriplegics cannot go without a catheter for long.
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.
Be aware tubing pressed hard against skin can cause blisters.
A sleeve of soft material slipped over the catheter and or tubing may avoid blistering.
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The amount of physical sexual function and ability to feel pleasure or pain sensation after a spinal cord injury depends on level and completeness.