|Two-year outcome of erectile dysfunction in patients younger than 50 years with fracture-unrelated lumbar spine disease requiring surgical decompression: a prospective study.|
|PMID: 23222569 Owner: NLM Status: MEDLINE|
|STUDY DESIGN: This is a prospective study.
OBJECTIVE: A 2-year outcome of erectile dysfunction (ED) in patients younger than 50 years with fracture-unrelated lumbar spine disease requiring surgical decompression for ED is evaluated. Risk factors for ED were also evaluated.
SUMMARY OF BACKGROUND DATA: There is no literature documenting 2-year follow-up of ED status in young patients with atraumatic lumbar spine disease.
METHODS: All male patients younger than 50 years who underwent lumbar spine surgery between June 2006 and November 2007 without risk factors for ED were included. Patient demographics, neurological dysfunction, visual analogue scale (VAS) for back and leg pain, Oswestry Disability Index, North American Spine Society score for neurogenic symptoms, and the international index of erectile function-5 scores were recorded preoperatively and at 2 years. Patients who did not complete a 2-year follow-up were excluded. RESULTS.: A total of 75 patients were eligible for the study. Nineteen patients did not complete a 2-year follow-up giving a response rate of 75%. There were 56 patients in the study with a mean age of 38.4 (SD, 7.2; range, 20-49). The most common diagnosis was prolapsed intervertebral disc (77%) for which patients underwent discectomy. Preoperatively, 21 of 56 (37.5%) patients had ED. Despite significant improvement in mean VAS scores for back pain and leg pain, Oswestry Disability Index, and North American Spine Society score for neurogenic symptoms at 2 years (P < 0.01), the mean international index of erectile function-5 scores remained stable. Patients with ED at 2 years had greater back pain (mean VAS score 3.4) compared with patients without back pain (mean VAS score, 1.6; P ≤ 0.01).
CONCLUSION: Despite excellent outcome in most spine scores postoperatively after lumbar spine surgery, one has to be less optimistic about any improvement in the ED status of patients after surgery. ED is still a problem 2 years after surgery. Back pain reduction may have a significant role in dealing with ED at 2 years postoperatively.
LEVEL OF EVIDENCE: 2.
|Mashfiqul A Siddiqui; Chusheng Seng; Nidumaran Shanmugam; William Yeo; Karen Zhang; Hwei Chi Chong; John Chen Li Tat; Chang Ming Guo; Seang Beng Tan; Wai Mun Yue|
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|Type: Journal Article|
|Title: Spine Volume: 38 ISSN: 1528-1159 ISO Abbreviation: Spine Publication Date: 2013 May|
|Created Date: 2013-04-30 Completed Date: 2013-12-04 Revised Date: 2014-07-31|
Medline Journal Info:
|Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: United States|
|Languages: eng Pagination: 846-50 Citation Subset: IM|
|APA/MLA Format Download EndNote Download BibTex|
Back Pain / etiology
Decompression, Surgical / adverse effects*
Diskectomy / adverse effects
Erectile Dysfunction / etiology*
Intervertebral Disc Displacement / etiology
Leg / physiopathology
Lumbar Vertebrae / surgery*
Pain / etiology, physiopathology
Postoperative Complications / etiology
Spinal Diseases / surgery*
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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