How Does Surgery Affect Sexual Desire and Activities in Patients With Lumbar Disc Herniation?

Kanayama, Masahiro; Horio, Michiko; Umi, Yumi; Yamaguchi, Ai; Omata, Junichi; Togawa, Daisuke; Hashimoto, Tomoyuki

doi:10.1097/brs.0b013e3181ba29f9

Cited by 12 publications

(10 citation statements)

References 15 publications

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“…Among all the severely limited participants, females were the triple of males. Previous studies also reported higher prevalence of sexual disability in female patients3, 7, 10 ) . The prevalence of sexual disability in Italian patients with LBP was relatively low, compared to other studies6, 7, 9 ) , probably due to the different location as our study was carried out in a conservative setting, whereas other studies have been performed in a surgical setting.…”

Section: Discussionmentioning

confidence: 66%

“…In a psychosocial model27, 29 ) , clinicians should consider sexual disability in the assessment and management of LBP, both in surgical and in conservative settings7 ) . Clinicians may explain which positions are more inclined to generate pain and which are more comfortable for sexual activity3 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Fifty-five percent of Turkish men and 84% of women with lumbar disc herniation reported experiencing sexual problems1 ) ; in the Swedish population, 34% complained of further LBP related to sexual activity, and 30% reported that their sex life was severely limited due to LBP6 ) . In 50% of the Japanese population, lumbar disc herniation significantly decreased sexual arousal and the frequency of sexual activity7 ) .…”

Section: Introductionmentioning

confidence: 99%

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Sexual disability in patients with chronic non-specific low back pain—a multicenter retrospective analysis

et al. 2019

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[Purpose] Oswestry Disability Index includes an item (Oswestry Disability Index-8) aiming to assess sexual disability associated to low back pain. The aim of this study is to investigate the percentage of participants who answered the Oswestry Disability Index-8, and the relevance and characteristics of sexual disability due to low back pain in Italian patients. [Participants and Methods] Design: multicenter retrospective analysis. Population: six hundred and ninety-seven outpatients with non-specific low back pain. Variables: pain characteristics (amount, localization, and duration of perceived pain), disability, and psychological variables (anxiety, depression, catastrophizing, kinesiophobia, pain acceptance, and pain vigilance and awareness). [Results] Seventy-seven participants (11.05%) did not answer the Oswestry Disability Index-8. The odds of being not responding to the Oswestry Disability Index-8 item appeared related to age (odds=7.50 for over 60), gender (odds=2.65 for females), and marital status (odds=2.33 for not married). Concerning the psychological variables, Activity Avoidance (coefficient=0.071), Depression (coefficient=0.068), and Rumination (coefficient=0.031) showed a positive impact on sexual disability. [Conclusion] In Italian patients, the percentage of not-responding to Oswestry Disability Index-8 was relatively low. In addition, sexual disability was related to depression, activity avoidance, and rumination.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sexual disability in patients with chronic non-specific low back pain—a multicenter retrospective analysis

et al. 2019

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“…Akbaş et al 2 reported significant improvement in sexual life after surgery for lumbar disc herniation at the 2-month follow-up. In contrast, Kanayama et al, 10 in a recent study on sexual desire and activities following lumbar disc herniation surgery, showed that 46% of women still felt discomfort after surgery. The authors suggested that even patients with significant pain relief following surgery might require counseling, including a discussion on the timing of a return to sexual activity and the safety of various sexual positions to enhance satisfaction.…”

Section: Discussionmentioning

confidence: 90%

“…13,15,22,23 There have also been reports of improved sexual function after the successful treatment of lumbar disc herniation and chronic back pain. 2,5,9,10 Moreover, sexual dysfunction has been reported in up to two-thirds of patients with back pain. 16 Despite the potentially substantial impact of spinal deformity on HRQOL among the elderly, its impact on sexual function remains relatively unexplored.…”

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confidence: 99%

Sexual function in older adults following thoracolumbar to pelvic instrumentation for spinal deformity

Hamilton

Smith

Nguyen

et al. 2013

SPI

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Object Sexual function is an often-overlooked aspect of health-related quality of life among older adults treated for spinal deformity. The authors' objective was to assess sexual function among older adults following thoracolumbar fusion with pelvic fixation for spinal deformity. Methods This was a retrospective review of consecutive older adults (≥50 years) treated with posterior thoracolumbar instrumentation (including pelvic fixation) for spinal deformity and with a minimum 18-month follow-up. Patients completed the Changes in Sexual Function Questionnaire-14 (CSFQ-14), Oswestry Disability Index (ODI), and 12-Item Short-Form Health Survey (SF-12). Results Sixty-two patients (45 women and 17 men) with a mean age of 70 years (range 50–83 years) met the inclusion criteria. Eight women did not complete all questionnaires and were excluded from the subanalysis. The mean number of instrumented levels was 9.8 (range 6–18), and the mean follow-up was 36 months (range 19–69 months). Based on the CSFQ-14, 13 patients (24%) had normal sexual function, and 8 (15%), 10 (19%), and 23 (42%) had mild, moderate, and severe dysfunction, respectively. Thirty-nine percent of patients reporting severe sexual dysfunction did not have available partners—23% because of a partner's death and 16% because of a partner's illness)—or had significant medical comorbidities of their own (48%). Thirty-nine percent of assessed patients had either no or only mild sexual dysfunction. Patients with minimal or mild disability tended to have no or mild sexual dysfunction. Conclusions The authors of this study assessed sexual function in older adults following surgical correction of spinal deformity that included posterior instrumented fusion and iliac bolts. Nearly 40% of assessed patients had either no or only mild sexual dysfunction, suggesting that despite an older age and extensive spinopelvic instrumentation, it remains very possible to maintain or achieve satisfactory sexual function.

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Sexual activity after spine surgery: a systematic review

et al. 2018

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Despite limited evidence from high-quality articles, there is a general trend towards improvement of sexual activity and function after spine surgery. Future studies incorporating specific assessments of sexual activity will be required to address this important determinant of quality of life so that appropriate pre-operative counselling can be done by providers. These slides can be retrieved under Electronic Supplementary Material.

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How Does Surgery Affect Sexual Desire and Activities in Patients With Lumbar Disc Herniation?

Cited by 12 publications

References 15 publications

Sexual disability in patients with chronic non-specific low back pain—a multicenter retrospective analysis

Sexual disability in patients with chronic non-specific low back pain—a multicenter retrospective analysis

Sexual function in older adults following thoracolumbar to pelvic instrumentation for spinal deformity

Sexual activity after spine surgery: a systematic review

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