For men with incomplete spinal cord injuries involuntary motor and or sensory function still exists below the level of injury.The ability to achieve a sustainable erection for wheelchair sex and reach orgasm is usually possible.The most sensitive area of the penis is the fraenum (underside of penis head).A vibrator applied to the fraenum can not only induce erection but orgasm, ejaculation.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.
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.
Swallowing a pill has much less shock value than injecting and massaging meds into the penis.
While both methods can help sustain an erection, the ability to achieve some form of erection in the first place, is most desirable.
Care should be taken not to pull on a catheter during sex but don’t let it spoil enjoyment.
If either wheelchair sex partner (or soloist) has major concern about a catheter for medical or aesthetic reasons tape it and any tubing to the body prior to love making.