Discussing reproductive health in spinal care, part II: fertility issues

Korse, Nina S.; Nicolai, M. P. J.; Both, Stephanie; Vleggeert-Lankamp, Carmen; Elzevier, Henk W.

doi:10.1007/s00586-016-4502-8

Cited by 5 publications

(4 citation statements)

References 37 publications

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“…This is remarkable considering the definition of CES. Recently, clinicians in spinal care were found to barely discuss sexual health and/or defecation at presentation and at follow-up, suggested to be due to, e.g., lack of knowledge or time [2,15,16]. Clinicians who do want to inform their patients about the prognosis of these functions are confronted with scarce data.…”

Section: Introductionmentioning

confidence: 99%

Cauda Equina Syndrome: presentation, outcome, and predictors with focus on micturition, defecation, and sexual dysfunction

et al. 2017

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Background Even though micturition, defecation, and sexual function are substantially affected in cauda equina syndrome (CES), data on outcome are scarce. Methods Medical files of patients operated on lumbar herniated disc were screened for CES and retrospectively analyzed for baseline characteristics, outcome of micturition, defecation, and sexual function and possible predictors. Results Seventy-five CES patients (52% men) were included with a mean age of 44 years. L5-S1 was the most common affected level. Duration of CES complaints at presentation was, on average, 84 h (median 48 h). Prevalence of symptoms at presentation: sciatica (97%), altered sensation of the saddle area (93%), micturition dysfunction (92%), and defecation dysfunction (74%). Only 26 patients were asked about sexual dysfunction of whom 25 patients experienced dysfunction. Female gender was associated with more defecation dysfunction at presentation than male gender (OR 4.11; p = 0.039). All patients underwent decompressive surgery. Two post-operative follow-up (FU) moments took place after a mean of 75 h and 63 days.Outcomes at second FU moment: micturition dysfunction 48%, defecation dysfunction 42%, sexual dysfunction 53%, sciatica 48%, and altered sensation of the saddle area 57%. A shorter time to decompression was associated with more sciatica at FU 1 (p = 0.042) which effect had disappeared at FU 2. Conclusion This study is unique in (1) displaying the presenting features in a large cohort of CES patients, (2) demonstrating that recovery after decompression is slow and far from complete in the majority of patients with regard to micturition, defecation, and sexual function and (3) evaluating predictors for outcome.

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Section: Introductionmentioning

confidence: 99%

Cauda Equina Syndrome: presentation, outcome, and predictors with focus on micturition, defecation, and sexual dysfunction

et al. 2017

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“…Different studies regarding Spinal cord injured men illustrated that Spina Bifida patients possessed greater inimical Semen quality contrasted to those of injured men that posited that there was existence of probability of significance of early neurological gonadal intervention [76]. The presentation of ejaculatory impairments is in general is as an ejaculation, with the requirement of penile vibratory stimulation/ electro ejaculation [77]. Future studies are warranted in the population for getting more insight, regarding the risk for infertility, aiding the treating doctors to tackle these issues in a more advantageous manner for long term therapy.…”

Section: Spina Bifidamentioning

confidence: 99%

Optimizing Fertility in Paediatric Disorders that Possess the Potential of Reducing Fertility and Maximization of Avoidance of Development of Male Infertility in Long Term: A Systematic Review

Kaur¹,

Allahbadia²,

Singh³

2022

MJGO

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Worldwide male factor Infertility contributes to 20-70% of couples attempting to conceive. Some male Pediatric generational disorders inclusive of Cryptorchidism, hypospadias, testicular besides other acquired cancers of childhood, infections, torsions, Spina Bifida along with Pediatric varicocoele have correlated with future infertility. Early timely fertility preservation, in particular in those waiting for chemotherapy or in cases of genetic disorders like Klinefelters syndrome (KS), Congenital Adrenal Hyperplasia need to be taken into account robustly in patients anticipated to generate testicular depletion. Despite no clarification regarding ideal timing in view of absence of long term prospective studies, early diagnosis as well as targeting treatment might cause maximization of fertility potential in adult hood. Here we conducted a systematic review utilizing search engine PubMed, Google Scholar; Web of Science; Embase;Cochrane review library utilizing the MeSH terms like Cryptorchidism; hypospadias, testicular cancers; torsion; other cancers of childhood; infections; Spina Bifida; paediatric varicocoele; Klinefelters syndrome (KS); Congenital Adrenal Hyperplasia from 1980's till date in 2022. We found a total of 300 articles out of which we selected 97 articles for this review. No meta-analysis was done. Thus here we summarize how these disorders need to be tackled for optimizing long-term fertility potential.

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“…LDH has an incidence of about 5–20 cases per 1000 adults per year and typically occurs in individuals in their third to fifth decade of life, a time when couples are usually sexually active 6 . Sexual health is discussed significantly less often with female patients than with male patients, leading to most studies on the correlation between sexual function and LDH being conducted on men 7 . This could be attributed to social norms and expectations surrounding sexual performance, making it easier for physicians to address men, despite data showing that sexual dysfunction is more common in women 1 , 8 .…”

Section: Introductionmentioning

confidence: 99%

“…Given that this condition commonly affects reproductive-aged women than men 1 , 8 and since most studies on the correlation between sexual function and LDH being conducted on men 7 , our study aimed to examine the sexual function of women with acute LDH and the factors contributing to sexual dysfunction in this population. We looked at correlations between LDH and different aspects of sexual function, such as desire, arousal, lubrication, orgasm, satisfaction, and pain, to identify the most affected areas due to disc herniation.…”

Section: Introductionmentioning

confidence: 99%

Correlates of sexual function in women with acute lumbar disc herniation in Iran: a cross-sectional study

Moradi,

Shahali,

Ahmadi

et al. 2024

Sci Rep

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Evidence suggests that lumbar disc herniation (LDH) influences sexual function to a great deal. However, most existing studies have been conducted on men. Thus, the current study aimed to assess sexual function and its correlates in women with acute LDH. This descriptive cross-sectional study was conducted on 350 women of reproductive age with acute LDH in Fasa, Iran in 2023. The mean score of female sexual function was 21.33 (3.38). Almost 80% of women had sexual dysfunction. Women scored lower on sexual desire and the higher on lubrication. As the severity of LDH increased, arousal, lubrication and sexual pain score decreased and low back pain (LBP) score increased (p < 0.05). The number of sexual activities after disc herniation was significantly lower in the women with sexual dysfunction (p < 0.001). Regression analysis showed a significant association between sexual dysfunction and LBP intensity (OR = 1.13, CI 1.02–1.26, p = 0.01) and lumbar disc herniation intensity (OR = 2.22, CI 1.07–4.62, p = 0.03). Lumbar disc herniation (LDH) may significantly affect women's sexual function. Severity of low back pain and severity of lumbar disc herniation were found to be risk factors for sexual dysfunction in this population.

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Discussing reproductive health in spinal care, part II: fertility issues

Cited by 5 publications

References 37 publications

Cauda Equina Syndrome: presentation, outcome, and predictors with focus on micturition, defecation, and sexual dysfunction

Cauda Equina Syndrome: presentation, outcome, and predictors with focus on micturition, defecation, and sexual dysfunction

Optimizing Fertility in Paediatric Disorders that Possess the Potential of Reducing Fertility and Maximization of Avoidance of Development of Male Infertility in Long Term: A Systematic Review

Correlates of sexual function in women with acute lumbar disc herniation in Iran: a cross-sectional study

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