To provide a comprehensive insight into sexuality after spinal cord injury, 120 patients received a questionnaire to assess their sexual activities, abilities, desires, satisfaction and sexual adjustment after injury. In the 63 responding patients, spinal cord injury had a major impact on sexual function. Relationship to partner, social life, bladder management and physical well-being had a significant impact on quality of life. Relationship to partner, ability to move and mental well-being, as well as aspects of sexual desire and body image had a significant correlation to satisfaction with sexual life. In the studied population, there was no significant correlation between preserved sexual abilities after spinal cord injury and the satisfaction with sexual life.