Sexual Dysfunction: Prevalence and Prognosis in Patients Operated for Degenerative Lumbar Spondylolisthesis. Academic Article uri icon

Overview

abstract

  • BACKGROUND: There is a paucity of investigation on the impact of spondylolisthesis surgery on back pain-related sexual inactivity. OBJECTIVE: To investigate predictors of improved sex life postoperatively by utilizing the prospective Quality Outcomes Database (QOD) registry. METHODS: A total of 218 patients who underwent surgery for grade 1 degenerative lumbar spondylolisthesis were included who were sexually active. Sex life was assessed by Oswestry Disability Index item 8 at baseline and 24-mo follow-up. RESULTS: Mean age was 58.0 ± 11.0 yr, and 108 (49.5%) patients were women. At baseline, 178 patients (81.7%) had sex life impairment. At 24 mo, 130 patients (73.0% of the 178 impaired) had an improved sex life. Those with improved sex lives noted higher satisfaction with surgery (84.5% vs 64.6% would undergo surgery again, P = .002). In multivariate analyses, lower body mass index (BMI) was associated with improved sex life (OR = 1.14; 95% CI [1.05-1.20]; P < .001). In the younger patients (age < 57 yr), lower BMI remained the sole significant predictor of improvement (OR = 1.12; 95% CI [1.03-1.23]; P = .01). In the older patients (age ≥ 57 yr)-in addition to lower BMI (OR = 1.12; 95% CI [1.02-1.27]; P = .02)-lower American Society of Anesthesiologists (ASA) grades (1 or 2) (OR = 3.7; 95% CI [1.2-12.0]; P = .02) and ≥4 yr of college education (OR = 3.9; 95% CI [1.2-15.1]; P = .03) were predictive of improvement. CONCLUSION: Over 80% of patients who present for surgery for degenerative lumbar spondylolisthesis report a negative effect of the disease on sex life. However, most patients (73%) report improvement postoperatively. Sex life improvement was associated with greater satisfaction with surgery. Lower BMI was predictive of improved sex life. In older patients-in addition to lower BMI-lower ASA grade and higher education were predictive of improvement.

authors

  • Chan, Andrew K
  • Bisson, Erica F
  • Fu, Kai-Ming
  • Park, Paul
  • Robinson, Leslie C
  • Bydon, Mohamad
  • Glassman, Steven D
  • Foley, Kevin T
  • Shaffrey, Christopher I
  • Potts, Eric A
  • Shaffrey, Mark E
  • Coric, Domagoj
  • Knightly, John J
  • Wang, Michael Y
  • Slotkin, Jonathan R
  • Asher, Anthony L
  • Virk, Michael
  • Kerezoudis, Panagiotis
  • Alvi, Mohammed A
  • Guan, Jian
  • Haid, Regis W
  • Mummaneni, Praveen V

publication date

  • August 1, 2020

Research

keywords

  • Neurosurgical Procedures
  • Sexual Dysfunction, Physiological
  • Spondylolisthesis

Identity

Scopus Document Identifier

  • 85088213323

Digital Object Identifier (DOI)

  • 10.1093/neuros/nyz406

PubMed ID

  • 31625568

Additional Document Info

volume

  • 87

issue

  • 2