The good news is that sensual experience and even orgasm are still possible. Many individuals with SCI find unexpected erogenous zones. Ultimately, sexual experience happens in the brain, not in any specific organ. Adjustment to altered sexuality is aided by an attitude of permissive experimentation, as the previous methods and habits may no longer serve. At The Ohio State University Medical Center, a nursing clinic is dedicated to provide practical help in matters of bowel, bladder, and sexuality for people with disabilities.
Skin breakdown occurs if the skin is exposed to undo pressure for a sufficient amount of time.
Skin integrity is maintained in people without disabilities by two related mechanisms. First, the able-bodied have sensation, so that if they sit in one position for too long, they get uncomfortable. Secondly, they have the strength to shift position as necessary. Sitting position should be changed at least every 15 minutes. This can be accomplished by standing, by lifting the body up while pushing down on armrests, or by just leaning and weight shifting.