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

Ferrari, Silvano; Vanti, Carla; Frigau, Luca; Guccione, Andrew A.; Molà, Francesco; Ruggeri, Martina; Pillastrini, Paolo; Monticone, Marco

doi:10.1589/jpts.31.360

Cited by 14 publications

(11 citation statements)

References 33 publications

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“…We found that this association was identified in a study of chronic nonspecific low back pain. 41 Since the internal iliac artery is shallow and easily anastomosed with the graft vessels and its blood flow vessel meets the needs for blood perfusion flow of the graft kidney, generally speaking, the graft kidney is usually transplanted in the fossa iliac on one side of the patient's lower abdomen, which is adjacent to the sexual organ (ie, vagina and testis). Many patients are found afraid to have sex for fear of colliding or damaging the graft through physicians' interviews with them, 20,42 thereby presenting a low frequency of sexual intercourse after KT.…”

Section: Discussionmentioning

confidence: 99%

Sexual dysfunction and activity avoidance in female kidney transplant patients

Xiao

Liu

Cui

et al. 2021

Clinical Transplantation

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Kidney transplantation (KT) has become the most ideal alternative therapy for patients with end-stage renal disease (ESRD) compared to dialysis, with the 10-year survival rate for patients with KT increasing to 85%-90%. 1,2 Recently, there have been attempts from nephrologists and sociologists to find solutions that improve the quality of life for kidney transplant patients, 3 such as increasing support from society, family, and medical staff, 4 and providing exercise training plans. 5 Sexual life is an important determinant of quality of life. 6 A multinational cross-sectional study with 1472 patients with ESRD showed that approximately 85% of them reported sexual dysfunction (SD) during dialysis. 7 Although KT, to some extent, improves sexual health (eg, libido) due to normalization of the hormonal disturbances, 8,9 some studies with prospective cohort designs have shown that some aspects of sexual function do not improve after KT, and a significant number of patients may even experience worsening of sexual function. 10,11 For instance, a literature review concluded that 60.9% of kidney transplant patients reported decreased interest or ability to perform or respond sexually. 12 A qualitative interview showed that SD has been reported in approximately 50% of both men and women after transplantation. 13 In addition to the quality of life, SD in patients with KT can also affect medication

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Section: Discussionmentioning

confidence: 99%

Sexual dysfunction and activity avoidance in female kidney transplant patients

Xiao

Liu

Cui

et al. 2021

Clinical Transplantation

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“…The degree of SD is inversely proportional to the intensity of the accompanying pain. To find out how common and relevant sexual impairment caused by LBP is, Ferrari et al [14] conducted research to find out how many Italian patients reported that their sexual life was affected by pain in some way, just as in other countries. When it comes to persistent low back pain and female sexual function, Drummond et al [11] found no connection.…”

Section: Discussionmentioning

confidence: 99%

Female Sexual Dysfunction in Patients with Chronic Low Back Pain

Abdallah

Youssef

M.Tantawy

2021

Benha Journal of Applied Sciences

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Facts: Female sexual dysfunction (FSD) is a common yet misdiagnosed condition. The purpose of this study was to examine this problem in Egypt and explain the effects of CLBP on the sexual lives of women. Methods: 200 married women with persistent low back pain participated in this cross-sectional research. All patients had a thorough history and clinical examination, as well as a 25-question self-report questionnaire with additional questions tailored to the study's objectives. English and Arabic are used to write this piece. To guarantee the privacy and security of all collected data. Results: 35% of the 30-39-year-old individuals had a positive history of FGC, and 54.8 percent had no history of FGC. While 33.7% of individuals who had never had FGC and no one with FGC had frequency from 3 to 4 times, there was a statistically significant relationship between the patients' age, marital age and frequency of sex. FGC exposure reduced frequency in 18.5% of participants, who reported satisfaction with the frequency of intercourse and frequency of wetting in the bed during intercourse (88 percent and 63 percent of participants unexposed and exposed respectively get wetduring intercourse in more than 50 percent of sexual encounters). Conclusion: 54.8 percent of female chronic low back pain patients had female sexual dysfunction. Chronic low back pain was linked to decreased female erections.

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“…The impact of SPL in terms of disability in activities of daily living (ADLs), including impact on sexual activity, can be assessed using the Oswestry Disability Index [ 35 ], which has demonstrated strong metric properties also in symptomatic lumbar SPL [ 36 ]. Other questionnaires useful for the assessment of cognitive-behavioural obstacles to recovery are: Fear Avoidance Beliefs Questionnaire and the Tampa Scale for fear of movement; the Coping Strategies Questionnaire and the Chronic Pain Coping Index for coping; the Pain Self-Efficacy Questionnaire for self-efficacy, the Pain Catastrophizing Scale, and the revised version of the Coping Strategies Questionnaire for catastrophizing [ 37 ].…”

Section: Assessmentmentioning

confidence: 99%

Lumbar spondylolisthesis: STATE of the art on assessment and conservative treatment

et al. 2021

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Introduction There is weak relationship between the presence of lumbar spondylolisthesis [SPL] and low back pain that is not always associated with instability, either at the involved lumbar segment or at different spinal levels. Therefore patients with lumbar symptomatic SPL can be divided into stable and unstable, based on the level of mobility during flexion and extension movements as general classifications for diagnostic and therapeutic purposes. Different opinions persist about best treatment (conservative vs. surgical) and among conservative treatments, on the type, dosage, and progression of physical therapy procedures. Purpose and importance to practice The aim of this Masterclass is to provide clinicians evidence-based indications for assessment and conservative treatment of SPL, taking into consideration some subgroups related to specific clinical presentations. Clinical implications This Masterclass addresses the different phases of the assessment of a patient with SPL, including history, imaging, physical exam, and questionnaires on disability and cognitive-behavioral components. Regarding conservative treatment, self- management approaches and graded supervised training, including therapeutic relationships, information and education, are explained. Primary therapeutic procedures for pain control, recovery of the function and the mobility through therapeutic exercise, passive mobilization and antalgic techniques are suggested. Moreover, some guidance is provided on conservative treatment in specific clinical presentations (lumbar SPL with radiating pain and/or lumbar stenosis, SPL complicated by other factors, and SPL in adolescents) and the number/duration of sessions. Future research priorities Some steps to improve the diagnostic-therapeutic approach in SPL are to identify the best cluster of clinical tests, define different lumbar SPL subgroups, and investigate the effects of treatments based on that classification, similarly to the approach already proposed for non-specific LBP.

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

Cited by 14 publications

References 33 publications

Sexual dysfunction and activity avoidance in female kidney transplant patients

Sexual dysfunction and activity avoidance in female kidney transplant patients

Female Sexual Dysfunction in Patients with Chronic Low Back Pain

Lumbar spondylolisthesis: STATE of the art on assessment and conservative treatment

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