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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.

Men with incomplete spinal cord injuries may achieve reflex, but not psychogenic erections.

That is; an erection may be achieved by physical stimulus, touch, not erotic vision or thought.

After a complete injury the ability to achieve erections, ejaculate, and father children can be greatly compromised.

Never assume a spinal cord injury causes infertility or makes one incapable of catching and spreading Sexually Transmitted Diseases (STD). Men with a permanent Indwelling Catheter (IDC) can remove or fold back and cover with a condom or otherwise secure to penis shaft.

While a more than adequate blessing for most, such erections are not always sustainable or strong enough for penetrative sex.

Not only can unpredictable erections cause embarrassing situations during sexual intimacy but for wheelchair users in public (being void of sensation below the level of injury) unaware they have an erection.

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.

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