Pain During Sex Before and After Surgery for Lumbar Disc Herniation: A Multicenter Observational Study.
Adult
Back Pain
/ diagnosis
Female
Follow-Up Studies
Humans
Intervertebral Disc Degeneration
/ diagnosis
Intervertebral Disc Displacement
/ diagnosis
Lumbar Vertebrae
/ surgery
Male
Middle Aged
Norway
/ epidemiology
Pain Measurement
/ trends
Prospective Studies
Registries
Sexual Behavior
Surveys and Questionnaires
Treatment Outcome
Journal
Spine
ISSN: 1528-1159
Titre abrégé: Spine (Phila Pa 1976)
Pays: United States
ID NLM: 7610646
Informations de publication
Date de publication:
15 Dec 2020
15 Dec 2020
Historique:
entrez:
24
11
2020
pubmed:
25
11
2020
medline:
16
2
2021
Statut:
ppublish
Résumé
Observational multicenter study. The aim of this study was to evaluate changes in pain during sexual activity after surgery for lumbar disc herniation (LDH). There are limited data available on sexual function in patients undergoing surgery for LDH. Data were retrieved from the Norwegian Registry for Spine Surgery. The primary outcome was change in pain during sexual activity at one year, assessed by item number eight of the Oswestry disability index (ODI) questionnaire. Secondary outcome measures included ODI, EuroQol-5D (EQ-5D), and numeric rating scale (NRS) scores for back and leg pain. Among the 18,529 patients included, 12,103 (64.8%) completed 1-year follow-up. At baseline, 16,729 patients (90.3%) provided information about pain during sexual activity, whereas 11,130 (92.0%) among those with complete follow-up completed this item. Preoperatively 2586 of 16,729 patients (15.5%) reported that pain did not affect sexual activity and at 1 year, 7251 of 11,130 patients (65.1%) reported a normal sex-life without pain. Preoperatively, 2483 (14.8%) patients reported that pain prevented any sex-life, compared to 190 patients (1.7%) at 1 year. At baseline, 14,143 of 16,729 patients (84.5%) reported that sexual activity caused pain, and among these 7232 of 10,509 responders (68.8%) reported an improvement at 1 year. A multivariable regression analysis showed that having a life partner, college education, working until time of surgery, undergoing emergency surgery, and increasing ODI score were predictors of improvement in pain during sexual activity. Increasing age, tobacco smoking, increasing body mass index, comorbidity, back pain >12 months, previous spine surgery, surgery in two or more lumbar levels, and complications occurring within 3 months were negative predictors. This study clearly demonstrates that a large proportion of patients undergoing surgery for LDH experienced an improvement in pain during sexual activity at 1 year. 2.
Sections du résumé
STUDY DESIGN
METHODS
Observational multicenter study.
OBJECTIVE
OBJECTIVE
The aim of this study was to evaluate changes in pain during sexual activity after surgery for lumbar disc herniation (LDH).
SUMMARY OF BACKGROUND DATA
BACKGROUND
There are limited data available on sexual function in patients undergoing surgery for LDH.
METHODS
METHODS
Data were retrieved from the Norwegian Registry for Spine Surgery. The primary outcome was change in pain during sexual activity at one year, assessed by item number eight of the Oswestry disability index (ODI) questionnaire. Secondary outcome measures included ODI, EuroQol-5D (EQ-5D), and numeric rating scale (NRS) scores for back and leg pain.
RESULTS
RESULTS
Among the 18,529 patients included, 12,103 (64.8%) completed 1-year follow-up. At baseline, 16,729 patients (90.3%) provided information about pain during sexual activity, whereas 11,130 (92.0%) among those with complete follow-up completed this item. Preoperatively 2586 of 16,729 patients (15.5%) reported that pain did not affect sexual activity and at 1 year, 7251 of 11,130 patients (65.1%) reported a normal sex-life without pain. Preoperatively, 2483 (14.8%) patients reported that pain prevented any sex-life, compared to 190 patients (1.7%) at 1 year. At baseline, 14,143 of 16,729 patients (84.5%) reported that sexual activity caused pain, and among these 7232 of 10,509 responders (68.8%) reported an improvement at 1 year. A multivariable regression analysis showed that having a life partner, college education, working until time of surgery, undergoing emergency surgery, and increasing ODI score were predictors of improvement in pain during sexual activity. Increasing age, tobacco smoking, increasing body mass index, comorbidity, back pain >12 months, previous spine surgery, surgery in two or more lumbar levels, and complications occurring within 3 months were negative predictors.
CONCLUSION
CONCLUSIONS
This study clearly demonstrates that a large proportion of patients undergoing surgery for LDH experienced an improvement in pain during sexual activity at 1 year.
LEVEL OF EVIDENCE
METHODS
2.
Identifiants
pubmed: 33230085
doi: 10.1097/BRS.0000000000003675
pii: 00007632-202012150-00019
doi:
Types de publication
Comparative Study
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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