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European Spine Journal

Published in:

01-10-2018 | Review

Sexual activity after spine surgery: a systematic review

Authors: Azeem Tariq Malik, Nikhil Jain, Jeffery Kim, Safdar N. Khan, Elizabeth Yu

Published in: European Spine Journal | Issue 10/2018

Abstract

Introduction

Sexual function is an important determinant of quality of life, and factors such as surgical approach, performance of fusion, neurological function and residual pain can affect it after spine surgery. Our aim was to perform a systematic review to collate evidence regarding the impact of spine surgery on sexual function.

Methods

A systematic review of studies reporting measures of sexual function, and incidence of adverse sexual outcomes (retrograde ejaculation) after major spine surgery was done, regardless of spinal location. Pubmed (MEDLINE) and Google Scholar databases were queried using the following search words “Sex”, “Sex life”, “Sexual function”, “Sexual activity”, “retrograde ejaculation”, “Spine”, “Spine surgery”, “Lumbar surgery”, “Lumbar fusion”, “cervical spine”, “cervical fusion”, “Spinal deformity”, “scoliosis” and “Decompression”. All articles published between 1997 and 2017 were retrieved from the database. A total of 81 studies were included in the final review.

Results

Majority of the studies were retrospective case series and were low quality (Level IV) in evidence. Anterior lumbar approaches were associated with a higher incidence of retrograde ejaculation, especially with the utilization of transperitoneal laparoscopic approach. There is inconclusive evidence on the preferred sexual position following fusion, and also on the impact of BMP-2 usage on retrograde ejaculation/sexual dysfunction.

Conclusion

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.

Graphical abstract

These slides can be retrieved under Electronic Supplementary Material.

Available only for authorised users

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Title: Sexual activity after spine surgery: a systematic review
Authors: Azeem Tariq Malik
Nikhil Jain
Jeffery Kim
Safdar N. Khan
Elizabeth Yu
Publication date: 01-10-2018
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 10/2018
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-018-5636-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Sexual activity after spine surgery: a systematic review

Abstract

Introduction

Methods

Results

Conclusion

Graphical abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

Graphical abstract

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