Document Detail


Erectile Dysfunction in Young Surgically Treated Patients with Lumbar Spine Disease -A Prospective Follow-Up Study.
MedLine Citation:
PMID:  21912318     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT: Study Design. This is a prospective study.Objective. The prevalence of erectile dysfunction (ED) in patients under 50 years with fracture-unrelated lumbar spine disease requiring surgical decompression without other risk factors for ED is evaluated.Summary Of Background Data. There is little literature documenting ED in young patients with atraumatic lumbar spine disease.Methods. All male patients under 50 years who underwent lumbar spine surgery during June 2006-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 (ODI), North American Spine Society score for neurogenic symptoms (NS) and the International Index of Erectile function (IIEF-5) scores were recorded pre-operatively, at 1, 3 and 6 months.Results. There were 61 patients with mean age 38.4 (SD 7.0, Range 20-49). Majority of patients had 43 (70.5%) prolapsed intervertebral disc with discectomy being the commonest operation. Mean VAS scores, ODI and NS improved significantly post-operatively. However, the mean IIEF-5 scores did not.Pre-operatively, there was no correlation between ED and VAS scores on back pain (p = 0.70), leg pain (p = 0.91), ODI (p = 0.93) or NS (p = 0.51). At 6 months, patients with NS > 70 had an increased risk of ED (p = 0.03). Eighty percent with NS > 70 had ED compared 30% with NS ≤ 70. There was however no correlation between ED with ODI (p = 0.38), VAS scores on back pain (p = 0.20) or leg pain (p = 0.08) at 6 months.Conclusion. The incidence of ED in patients under the age of 50 with non-fracture related lumbar spine disease undergoing surgery without risk factors is 34.3%. Despite improvement in VAS, ODI and NS scores post-operatively, ED did not improve. Patients with NS > 70 post-operatively are more likely to have ED reflecting possible permanent nerve damage from lumbar spine pathology.
Authors:
Mashfiqul A Siddiqui; Benedict Peng; Nidumaran Shanmugam; William Yeo; S Fook-Chong; John Chen Li Tat; Chang Ming Guo; Seang Beng Tan; Wai Mun Yue
Related Documents :
21627558 - The effect of risedronate treatment on serum osteoprotegerin and bone marker levels in ...
21598888 - Clinical features and treatment of the hip in multiple epiphyseal dysplasia in childhood.
3423748 - Hand radiography of 200 patients with rheumatoid arthritis repeated after an interval o...
21841448 - "4-in-1 osteosynthesis" for atrophic-type congenital pseudarthrosis of the tibia.
20643818 - Maintaining a clear vision during long-lasting thoracoscopic procedures.
18320378 - Posterior shoulder pain and anterior instability: a preliminary clinical study.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-8
Journal Detail:
Title:  Spine     Volume:  -     ISSN:  1528-1159     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Department of Orthopaedic Surgery, Singapore General Hospital 2Orthopaedic Diagnostic Centre, Singapore General Hospital 3Department of Clinical Research, Singapore General Hospital.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Biomechanical Behavior of a Biomimetic Artificial Intervertebral Disc.
Next Document:  Relaxation Response of Lumbar Segments Undergoing Disc Space Distraction: Implications to the Stabil...