Posterior lumbar fusion surgery doesn’t change sexual activities in patients with lumbar degenerative disease: an observational study

Background There are few studies about sexual function in the patient with posterior lumbar spinal fusion for degenerative lumbar disease. The aim of this study is to investigate sexual activities in patients with lumbar degenerative disease before and after lumbar fusion surgery. Methods We recruit...

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2023-09, Vol.24 (1), p.1-6, Article 724
Main Authors: Shimamura, Yukitoshi, Kanayama, Masahiro, Horio, Michiko, Yamaguchi, Ai, Oha, Fumihiro, Tsujimoto, Takeru, Tanaka, Masaru, Hasegawa, Yuichi, Endo, Tsutomu, Hashimoto, Tomoyuki
Format: Article
Language:English
Subjects:
Analysis
Back pain
Back surgery
Care and treatment
Condoms
Degenerative disc disease
Degenerative diseases
Development and progression
Gender
Low back pain
Lumbar degenerative disease
Men
Methods
Middle age
Musculoskeletal diseases
Observational studies
Patient outcomes
Posterior lumbar fusion surgery
Privacy
Questionnaires
Sexual activity
Sexual disorders
Sexual excitement
Sexual intercourse
Spinal diseases
Spinal fusion
Surgery
Womens health
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Summary:Background There are few studies about sexual function in the patient with posterior lumbar spinal fusion for degenerative lumbar disease. The aim of this study is to investigate sexual activities in patients with lumbar degenerative disease before and after lumbar fusion surgery. Methods We recruited 35 patients who underwent lumbar spinal fusion at the age of 55 years or younger. They were 17 men and 18 women with a mean age of 47.4 years. After informed consent, the patients were asked to complete anonymous questionnaire concerning sexual desire, activity, and satisfaction before and after surgery. Results In the presick period, 69% of the patients had sexual desire, and 79% achieved satisfaction during sexual activity. Lumbar degenerative disease decreased sexual desire and frequency of sexual activity in 40%, and 74% respectively. Before surgery, satisfaction in sexual activities decreased in 53%, and 55% of the patients felt discomfort during sexual activity. Adjustment in sexual position was required in 44% of man and 54% of woman. After surgery, Sexual desire, frequency of sexual activity and satisfaction did not regain after surgery in 94%, 93% and 92%, respectively. Those who did not feel discomfort after surgery was significantly lower VAS in both low back pain and leg pain than the patients felt discomfort (low back pain; p = 0.024, leg pain; p = 0.046). Conclusion This study demonstrated that lumbar degenerative diseases decreased sexual desire, frequency of sexual activity and satisfaction, and little of the patients regained their sexual activities after posterior lumbar fusion surgery in the middle-aged patients. Keywords: Posterior lumbar fusion surgery, Lumbar degenerative disease, Sexual activity
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-023-06855-3