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Open Access 07-03-2024 | Lumbar Disc Herniation | Original Article

Evaluation of the effect of cervical and lumbar disc herniations on female sexual function: a comparative prospective study

Authors: Sameh Fayek GamalEl Din, Nashaat Nabil, Mohamed Alaa, Mohamed Ahmed Abdel Salam, Ahmed Raef, Rana Barakat Elhalaly, Ahmed Abo Sief

Published in: European Spine Journal | Issue 4/2024

Abstract

Purpose

We aimed to evaluate the effect of cervical disc herniation (CDH) and lumbar disc herniation (LDH) on female sexual functioning before and after surgical intervention.

Methods

The current study was conducted from February 2022 to February 2023. A total of 100 sexually active female patients in their reproductive phase who were diagnosed with CDH and LDH based on physical examination and previous magnetic resonance imaging (MRI) results, as well as 50 healthy females, were enrolled. The female subjects were evaluated using the validated Arabic version of the female sexual function index (ArFSFI), a 0 to 10 visual analogue scale (VAS), the Oswestry disability index (ODI) and Beck’s depression index (BDI).

Results

The baseline ArFSFI domains and total scores were greatest in the controls, followed by the CDH group. The ArFSFI domains and total scores were greatest in the control group, followed by the postoperative ArFSFI domains and total scores in the cervical group. The variations in satisfaction, pain, and overall ArFSFI ratings were significant across research groups. The difference in desire, arousal, lubrication, and orgasm was substantial in the lumbosacral group, but there were no significant changes between the cervical and control groups. Postoperatively, ArFSFI domains and overall scores improved in both of the cervical and lumbar groups. Both research groups’ ODI score and grade improved after surgery. Finally, both groups’ BDI score and grade improved after surgery.

Conclusion

Female sexual dysfunctions caused by CDH and LDH improved considerably after surgery.

Rubin DI (2007) Epidemiology and risk factors for spine pain. Neurol Clin 25(2):353–371CrossRefPubMed

Daniels AH, Reid D, Durand W, Disilvestro K, Hamilton DK, Passias P et al (2020) Sexual dysfunction secondary to lumbar stiffness in adult spinal deformity patients before and after long-segment spinal fusion. World Neurosurgery 139:e474–e479. https://doi.org/10.1016/j.wneu.2020.04.033. (Epub 2020 Apr 18 PMID: 32311559)CrossRefPubMed

Chan AK, Bisson EF, Fu K-M, Park P, Robinson LC, Bydon M et al (2020) Sexual dysfunction: Prevalence and prognosis in patients operated for degenerative lumbar spondylolisthesis. Neurosurgery 87(2):200–210CrossRefPubMed

Zanoli G, Strömqvist B, Jönsson B (2001) Visual analog scales for interpretation of back and leg pain intensity in patients operated for degenerative lumbar spine disorders. Spine (Phila Pa 1976) 26(21):2375–2380CrossRefPubMed

Carreon LY, Glassman SD, Campbell MJ, Anderson PA (2010) neck disability index, short form-36 physical component summary, and pain scales for neck and arm pain: the minimum clinically important difference and substantial clinical benefit after cervical spine fusion. Spine J 10(6):469–474CrossRefPubMed

Korse NS, Nicolai MP, Both S, Vleggeert-Lankamp CL, Elzevier HW (2016) Discussing sexual health in spinal care. Eur Spine J 25(3):766–773CrossRefPubMed

Wimberly YH, Hogben M, Moore-Ruffin J, Moore SE, Fry-Johnson Y (2006) Sexual history-taking among primary care physicians. J Natl Med Assoc 98(12):1924–1929PubMedPubMedCentral

Marwick C (1999) Survey says patients expect little physician help on sex. JAMA 281(23):2173–2174CrossRefPubMed

Temple-Smith M, Hammond J, Pyett P, Presswell N (1996) Barriers to sexual history taking in general practice. AustFam Physician 25(9 Suppl 2):S71–S74

10.

Malik AT, Jain N, Kim J, Khan SN, Yu E (2018) Sexual activity after spine surgery: a systematic review. Eur Spine J 27(10):2395–2426CrossRefPubMed

11.

Maigne JY, Chatellier G (2001) Assessment of sexual activity in patients with back pain compared with patients with neck pain. ClinOrthopRelat Res 385:82–87

12.

Akbaş NB, Dalbayrak S, Külcü DG, Yilmaz M, Yilmaz T, Naderi S (2010) Assessment of sexual dysfunction before and after surgery for lumbar disc herniation. J Neurosurg Spine 13(5):581–586CrossRefPubMed

13.

Elsharkawy AE, Lange B, Caldas F, Alabbasi AH, Klassen PD (2018) Predictors and long-term outcome of sexual function after surgical treatment for single-level lumbar disk herniation among patients in a german spine center. Clin Spine Surg 31(8):356–362CrossRefPubMed

14.

Keefe MK, Zygourakis CC, Theologis AA et al (2017) Sexual function after cervical spine surgery: independent predictors of functional impairment. J ClinNeurosci 36:94–101

15.

Hamilton DK, Smith JS, Nguyen T, Arlet V, Kasliwal MK, Shaffrey CI (2013) Sexual function in older adults following thoracolumbar to pelvic instrumentation for spinal deformity. J Neurosurg Spine 19(1):95–100CrossRefPubMed

16.

Jordon J, Konstantinou K, O’Dowd J (2009) Herniated lumbar disc. BMJ. Clin Evid 209:1118

17.

Deyo RA, Tsui-Wu YJ (1987) Descriptive epidemiology of low-back pain and its related medical care in the United States. Spine 12:264–268 ([CrossRef] [PubMed])CrossRefPubMed

18.

Radhakrishnan K, Kitchy WJ, O’Fallon M, Kurland LT (1994) Epidemiology of cervical radiculopathy: A population-based study from Rochester, Minnesota, 1976 through 1990. Brain 117:325–335 ([CrossRef] [PubMed])CrossRefPubMed

19.

Kim YK, Kang D, Lee I, Kim SY (2018) Differences in the incidence of symptomatic cervical and lumbar disc herniation according to age, sex and national health insurance eligibility: a pilot study on the disease’s association with work. Int J Environ Res Public Health 15(10):2094. https://doi.org/10.3390/ijerph15102094CrossRefPubMedPubMedCentral

20.

Edmond SL, Werneke MW, Young M, Grigsby D, McClenahan B, Harris G, McGill T (2020) Cognitive behavioural interventions, and function and pain outcomes among patients with chronic neck pain managed with the McKenzie approach. Musculoskeletal Care 18(1):46–52CrossRefPubMed

21.

Yang B, Xie J, Yin B, Wang L, Fang S, Wan S (2014) Treatment of cervical disc herniation through percutaneous minimally invasive techniques. Eur Spine J 23(2):382–388. https://doi.org/10.1007/s00586-013-3063-3.CrossRefPubMed

22.

Cloward RB (2007) The anterior approach for removal of ruptured cervical disks. J Neurosurg 6:496–511

23.

Love JG (1939) Removal of intervertebral disc without laminectomy. Proc Staff Meet Mayo Clinic 14:800

24.

Sammes RE (1939) Diagnosis of ruptured intervertebral disc without contrast myelography and comment upon recent experience with modified hemilaminectomy for their removal. Yale J Biol Med 11(5):433–435

25.

Vialle LR, Vialle EN, Suárez Henao JE, Giraldo G (2015) LUMBAR DISC HERNIATION Rev Bras Ortop 45(1):17–22. https://doi.org/10.1016/S2255-4971(15)30211-1CrossRefPubMed

26.

Spangfort EV (1972) The lumbar disc herniation. A computer-aided analysis of 2504 operations. Acta Orthop Scand Suppl 142:1–95CrossRefPubMed

27.

World Medical Association (2013) World medical association declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 310(20):2191–2194CrossRef

28.

Anis TH, Gheit SA, Saied HS, Al Kherbash SA (2011) Arabic translation of female sexual function Index and validation in an Egyptian population. J Sex Med 8(12):3370–3378CrossRefPubMed

29.

Gould D, Kelly D, Goldstone L, Gammon J (2001) Examining the validity of pressure ulcer risk assessment scales: developing and using illustrated patient simulations to collect the data. J ClinNurs 10(5):697–706

30.

Vianin M (2008) Psychometric properties and clinical usefulness of the oswestry disability index. J Chiropr Med 7(4):161–163. https://doi.org/10.1016/j.jcm.2008.07.001.PMID:19646379;PMCID:PMC2697602CrossRefPubMedPubMedCentral

31.

Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571CrossRefPubMed

32.

Akkurt HE, Yilmaz H, YilmazSD, Ordahan B, Şen Z, Gürbüz C, Göksu H (2017) Sexual dysfunction in women with lumbosacral disc disease. J Phys Med Rehabilit Sci 20(1)

33.

Łabuz-Roszak B, Babińska A, Skupiński J, Czech E, Szczygieł J, Wawrzynek W (2018) Sexual quality of life in patients with low back pain and the radiological changes evaluated in magnetic resonance. WiadLek 71(5):1039–1045

34.

Moscicki P, Bachmann GA (2022) Characterization of Female Sexual Dysfunction Associated with Spinal Pathology and Surgery. Sex Med Rev 10(4):493–498CrossRefPubMed

Title: Evaluation of the effect of cervical and lumbar disc herniations on female sexual function: a comparative prospective study
Authors: Sameh Fayek GamalEl Din
Nashaat Nabil
Mohamed Alaa
Mohamed Ahmed Abdel Salam
Ahmed Raef
Rana Barakat Elhalaly
Ahmed Abo Sief
Publication date: 07-03-2024
Publisher: Springer Berlin Heidelberg
Keywords: Lumbar Disc Herniation
Lumbar Disc Herniation
Cervical Disc Herniation
Cervical Disc Herniation
Published in: European Spine Journal / Issue 4/2024
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-024-08191-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evaluation of the effect of cervical and lumbar disc herniations on female sexual function: a comparative prospective study

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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