Sexual dysfunction after anterior lumbar fusion has mainly been focused on male biological function retrograde ejaculation. The aim of the present study is to assess the effect of fusion surgery for chronic low back pain on the sex-related quality of life.
Apart from routine prospective questionnaires, additional gender-specific mailed questionnaires produced retrospective data on sexual enjoyment and function after 2 years of follow-up. Patients randomised to non-surgical treatment and anterior or posterior fusion were compared. We found that surgically treated patients had a significantly better sex life than those
Alif satar wife sexual dysfunction treated.
The improved sex life was significantly associated with the reduced back pain. The improvement after anterior fusion, however, was counteracted by a trend towards disturbed
Alif satar wife sexual dysfunction and genital sensation in women, and a significant disturbance of ejaculation and genital sensation in men.
In view of the increased frequency of anterior lumbar surgery with the strong promotion of disc replacement, the findings in the present small retrospective pilot study should be tested in larger prospective trials. Sexual dysfunction after anterior lumbar interbody fusion ALIF related to damage to hypogastric nervous plexus has mainly focused on the male biological function, which has been reported as retrograde ejaculation, resulting in infertility.
The reported frequency of retrograde ejaculation varies largely. There Alif satar wife sexual dysfunction also some indications that this complication is technique-dependent [ 7 ]. Less attention has been paid to the consequences of ALIF on in both men and women. We therefore undertook the
Alif satar wife sexual dysfunction study, with the aim to assess the overall effect on sexual function and to describe gender-specific complications.
This study includes patients who complied with randomisation and were followed up after 2 years. The mean age was 43 SD 8. Comorbidity was evenly distributed between treatment groups and no patient had obvious psychiatric disease or hip joint disease. There were 63 non-surgically treated patients. The surgical patients were operated with four different techniques: Back pain was estimated prospectively with the visual analogue scale VAS; with data Alif satar wife sexual dysfunction for 62 non-surgical and surgical patients.
The overall sexual function was estimated with item 8 of the ODI: Sexual enjoyment was assessed with item number 6 of the ZDS: All surgically treated patients received postal questionnaires immediately after the two years of follow-up, consisting of gender-specific questions related to details of sexual dysfunction see Appendix.
The AF was performed with retroperitoneal dissection in 39 cases and by the transperitoneal approach in 5 cases. The questions in the questionnaire were by definition retrospective.
We also performed multivariate logistic regression analyses separately for men and women who were surgically treated. There was no significant difference in the frequency of improved sex life between anterior and posterior fusion. Improved sex life was significantly associated with decreased back pain. There were however, no significant differences between genders or between anterior and posterior fusion. Improved sexual enjoyment was significantly associated with decreased back pain: As illustrated in Fig.
Thus, all gender-specific questions, surgical approach and change of back Alif satar wife sexual dysfunction were included in the regression model. For both men and women, we found that the only variable remaining as significantly associated with the improved sex life was the decreased back pain. The OR for women was 1. The results of the Alif satar wife sexual dysfunction study indicate that sexual function improved in a majority of patients being surgically treated for CLBP.
The improvement, which seems Alif satar wife sexual dysfunction greater after surgical than after non-surgical treatment, appears to be independent of the approach—the same effect was achieved whether anterior or posterior fusion was performed. However, the beneficial effect of the surgically induced pain reduction may be counteracted by detrimental effects of the same treatment by neurological disturbance.
It was somewhat unexpected that several of the gender-specific sexual dysfunctions were reported after both anterior and posterior fusion surgery. There were no significant differences between anterior and posterior surgery in female sexual dysfunction. However, the sample size is small, so statistical power is limited. In the male sample, we found a significantly increased incidence of disturbed genital sensation and ejaculation in the anterior fusion group.
Somewhat surprising, as in the female sample, disturbances were reported also in the posterior fusion group. It is impossible to tell from the
Alif satar wife sexual dysfunction study if this represents a true disturbance or the uncertainty of retrospective analysis.
However, we suspect that the presented differences between anterior and posterior fusion do represent the real differences.
Alif satar wife sexual dysfunction, retrograde ejaculation was reported after both the surgical approaches.
Alif satar wife sexual dysfunction appears that retrograde ejaculation is a less frequent complication than more pleasure-related disturbances such as decreased orgasm and genital sensation.
In the present pilot study, one should not only look for strict statistical significances, but also appreciate the disclosed tendencies as potential yellow flags. From this point of view, when contemplating both female and male data, there is
Alif satar wife sexual dysfunction trend towards more sexual disturbance in the anterior fusion group.
Furthermore, data suggest that reduced sexual pleasure may be more frequent than impaired reproductive capacity. Also, the fact that no specific type of fusion technique Alif satar wife sexual dysfunction been demonstrated to be superior to others [ 6 ], should make us very cautious in promoting anterior lumbar surgery.
This appears particularly important now because anterior lumbar disc replacement is heavily promoted by the manufacturers of disc prostheses, without any indications as yet that it is better than a un-instrumented PLF. The limitation of the present study is the retrospective nature of gender-specific questions.
As the first
Alif satar wife sexual dysfunction study, we hope it will promote prospective studies of sex-related of life, in which also the presently employed questionnaires need to be validated. It appears that the surgically induced pain reduction related improvement in overall sexual function may be counteracted by the surgically induced neurological disturbance, when performing lumbar fusion for CLBP. The anterior approach appears to be associated with an increased risk of sexual dysfunction in men.
The Swedish Spine Study Group: National Center for Biotechnology InformationU. Journal List Eur Spine J v. Published online Sep 7. Author information Article notes Copyright and License information Disclaimer. This article has been cited by other articles in PMC. Abstract Sexual dysfunction after anterior lumbar fusion has mainly been focused on male biological function retrograde ejaculation. Sexual dysfunction, Orgasm, Ejaculation, Alif satar wife sexual dysfunction fusion, Low back pain.
Introduction Alif satar wife sexual dysfunction after anterior lumbar interbody fusion ALIF related to damage to the hypogastric nervous plexus has mainly focused on the male biological function, which has been reported as retrograde ejaculation, resulting in infertility.
My sex life is normal and causes no extra pain. Open in a separate window.
Alif satar wife sexual dysfunction patients Specific sexual dysfunction As illustrated in Fig. Discussion The results of the present study indicate that sexual function improved in a majority of Alif satar wife sexual dysfunction being surgically
Alif satar wife sexual dysfunction for CLBP.
Conclusion It appears that the surgically induced pain reduction related improvement in overall sexual function may be counteracted by the surgically induced neurological disturbance, when performing lumbar fusion for CLBP.
Questionnaires mailed to surgically treated patients immediately after the 2—year follow-up Questionnaire for women 1.
Have you, after surgery, experienced decreased ability to have orgasm? Questionnaire for 1. Have you, after surgery, experienced decreased erectile function? The role of anterior lumbar fusion for internal disc disruption.
Retrograde ejaculation after retroperitoneal lower lumbar interbody fusion. Exposure of the anterior spine: Video-assisted versus open anterior lumbar spine fusion surgery: Chronic low back pain and fusion: Laparoscopic anterior lumbar interbody fusion with rhBMP Anterior lumbar interbody fusion. Minimally invasive anterior retroperitoneal approach to the lumbar spine.
Emphasis on the lateral BAK. Anterior lumbar interbody fusion for internal disc disruption. Visceral and vascular complications resulting from anterior lumbar interbody fusion. Retrograde
Alif satar wife sexual dysfunction after anterior lumbar interbody fusion: Retrograde ejaculation after anterior interbody lumbar fusion.