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An unappreciated correlation : surgical treatment of lumbosacral disc disease and erectile dysfunction.
MedLine Citation:
PMID:  20461169     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of the present study was to assess the effect of lumbar disc herniation surgery for low back pain on the erectile functioning.
METHODS: Thirty-eight patients, with age ranging from 22 to 56 years, who had presented with pain due to herniated lumbar discs were included in the study. International Index of Erectile Function (IIEF) Short Form questionnaire was used to evaluate the erectile functioning. Patient visits on the 1st week,1st month and 3rd month postoperatively were analyzed. Pain scores were also noted together with side effects and the complications of the surgery.
RESULTS: Of the 38 patients, 18 patients had reported erectile dysfunction; 10 patients mild and 8 patients moderate erectile dysfunction. Twenty patients did not report erectile problems. The herniation levels mostly were L5-S1 in 12 (31.6%). Overall, erectile dysfunction rates have improved in 31.7% of those previously with erectile dysfunction in a 3 month period after the surgery. Best results were obtained in those patients with mild erectile dysfunction preoperatively.
CONCLUSION: Mild erectile dysfunction together with radiculopathy tends to improve after lumbosacral disc surgery. Moderate and severe erectile dysfunction may be related to a more severe nerve injury or to vascular and/or psychiatric factors. An evaluation of erectile functioning should routinely be performed in patients with lumbosacral disc disease both for data accumulation and for medico legal causes since the documentation of the correlation between erectile dysfunction and lumbosacral disc disease is still lacking.
Authors:
Haluk Kulaksizoglu; Hulagu Kaptan
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Publication Detail:
Type:  Journal Article     Date:  2010-04-30
Journal Detail:
Title:  Journal of Korean Neurosurgical Society     Volume:  47     ISSN:  1598-7876     ISO Abbreviation:  J Korean Neurosurg Soc     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-05-12     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101467054     Medline TA:  J Korean Neurosurg Soc     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  282-6     Citation Subset:  -    
Affiliation:
Department of Urology, Selcuk University Selcuklu Medical Faculty, Konya, Turkey.
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