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Doody's Review ServiceReviewer: Daniel B. Hier, MD (University of Illinois at Chicago College of Medicine)
Description: This multiauthored compendium of articles addresses the diagnosis and management of sexual and reproductive problems in the patient with chronic neurological disability.
Purpose: The book seeks to educate rehabilitation specialists and other caretakers of the chronically neurologically impaired patients as to methods of diagnosis and treatment of sexual and reproductive disorders.
Audience: It is intended for physiatrists, nurses, neurologists, neurosurgeons, and psychologists who care for patients with chronic neurological disabilities.
Features: The book features a concise but thorough introduction to male sexual anatomy and physiology as well as the influences of pregnancy and menses on neurological illnesses in women. This is followed by excellent discussions of sexual and reproductive issues in a variety of illnesses, including spinal cord injury, stroke, neuropathy, and multiple sclerosis.
Assessment: This is an excellent book that addresses important issues of neurorehabilitation that are often ignored. A sexual history should become a routine part of the evaluation of patients with chronic neurological disease. Much can be done to improve sexual functioning and gratification in this group of patients. Only by eliciting the problems experienced by these patients and their own wishes for change can appropriate and often effective therapy be offered.