Improvements in sexual function following arthroscopic rotator cuff repair

Nugent, Robert E.; Cheesman, Quincy T.; Bradian, Alexandria K; Austin, Luke

doi:10.1016/j.jse.2020.06.017

Cited by 2 publications

(4 citation statements)

References 15 publications

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“…However, there are many studies in the literature showing that orthopedic problems and surgical interventions affect sexual activity. [ 12 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 15 ] In the study of Shulman et al,[ 10 ] among patients who had orthopedic trauma that did not include the pelvic region, sexual dysfunction was reported in 31% of proximal humerus fracture patients, 32% of distal radius fracture patients, 47% of tibial plateau patients, 11% of ankle fracture patients, and 42% of long bone nonunion at three-month follow-up. In the study by Nugent et al,[ 12 ] 65% of patients with rotator cuff tears reported that their shoulders interfered with the quality and/or frequency of their sexual activity. After surgery, the majority of patients (79%) showed improvement in sexual activity.…”

Section: Discussionmentioning

confidence: 99%

“…However, there are many studies in the literature showing that orthopedic problems and surgical interventions affect sexual activity. [12] According to the study published by Yoon et al, [13] 53.1% of patients with total hip arthroplasty had difficulty during intercourse due to limitations and pain before undergoing surgery. A total of 39.1% of patients had difficulty in positioning the leg during the postoperative relationship and had to change position due to fear of dislocation.…”

Section: Discussionmentioning

confidence: 99%

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Effects of anterior cruciate ligament rupture and reconstruction on sexual activity of male patients

et al. 2022

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Objectives This study aims to investigate the impact of anterior cruciate ligament (ACL) injury and its reconstruction on men's sexual functions. Patients and methods Between February 2016 and November 2019, a total of 27 sexually active male patients (mean age: 33.7±4.3 years; range, 26 to 40 years) who were operated for ACL injury at least six months after trauma were retrospectively analyzed. Erectile function was assessed using the International Index of Erectile Function questionnaire (IIEF) and knee function was evaluated by using the International Knee Documentation Committee (IKDC) Scoring System, Lysholm Knee Scoring Scale, and Tegner Activity Score. Sexual and functional questionnaires were applied to evaluate three different periods retrospectively. These periods were as follows: the period before an ACL injury (Period I); the period in which the patient suffered from an ACL injury, but not operated (Period II), and the period after the ACL reconstruction (Period III). Results There was a statistically significant difference in the comparison of knee function scores according to three different periods. Sexual function scores were significantly different between Periods I and II, and between Periods I and III. However, although the IIEF value was higher in Period III than in Period II, no statistically significant difference was observed. A moderate correlation was found between the sexual functional scores of IIEF and IKDC scores. Conclusion Our study results suggest that ACL injury affects sexual functions adversely. The change in sexual functions after ACL surgery depends on the success of surgery. While deciding on the treatment of ACL injury, the patient's sexual life should be questioned along with his expectations.

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“…However, there are many studies in the literature showing that orthopedic problems and surgical interventions affect sexual activity. [ 12 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effects of anterior cruciate ligament rupture and reconstruction on sexual activity of male patients

et al. 2022

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“…However, current research on QoL in patients with PFI concentrated on outcomes after isolated MPFL-R only [17][18][19]21]. More recently, orthopedic studies have also focused on sexual activity outcomes [29,33,39,40]. To the best of our knowledge, this aspect has not been investigated in patients with chronic PFI so far.…”

Section: Discussionmentioning

confidence: 99%

Complex patellofemoral reconstruction leads to improved physical and sexual activity in female patients suffering from chronic patellofemoral instability

Lutz

Winkler

Rupp

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose To analyze postoperative physical and sexual activity as well as Quality of Life (QoL) after complex patellofemoral reconstructions in female patients suffering from chronic patellofemoral instability (PFI). Methods Female patients aged > 18 years undergoing complex patellofemoral reconstruction for chronic PFI were included. Complex patellofemoral reconstruction was defined as medial patellofemoral ligament reconstruction (MPFL-R) combined with at least one major bony procedure (distal femoral osteotomy, high tibial osteotomy, and trochleoplasty). Outcome was evaluated retrospectively after a minimum follow-up of 12 months using Tegner activity scale, Banff Patellofemoral Instability Instrument 2.0 (BPII 2.0), EuroQol-5D-3L (EQ-5D-3L), EuroQol Visual analog scale (EQ-VAS), and a questionnaire about sexual activity. Results A total of 34 females (mean age, 26 ± 5 years) with a mean follow-up of 45 ± 16 months were included. Seventy-seven percent had one major bony correction + MPFL-R and 24% had at least two major bony corrections + MPFL-R. The re-dislocation rate was 6%. Median Tegner activity scale improved from 3 (range 0–10) to 4 (range 2–6) (n.s.) and an improved activity level was observed in 49% of subjects. QoL scores showed an EQ-5D-3L Index Value of 0.89 ± 0.15, EQ-VAS of 80.3 ± 11.4, and BPII of 68.3 ± 19.1. Thirty-four percent of patients reported restrictions of sexual activities due to PFI preoperatively with an improved sexual function observed in 60% postoperatively due to less pain, improved mobility, and less apprehension. Postoperative return to sexual activity was 91%, whereof 19% reported current restrictions of sexual function because of pain and/or limited range of motion. Conclusion Despite the complexity and invasiveness of complex patellofemoral reconstruction, combined bony procedures and MPFL-R resulted in a low redislocation rate, improved physical activity and QoL comparable to values reported after isolated MPFL-R. Furthermore, sexual activity was improved in 60% of females with preoperative restrictions. Level of evidence IV.

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Improvements in sexual function following arthroscopic rotator cuff repair

Cited by 2 publications

References 15 publications

Effects of anterior cruciate ligament rupture and reconstruction on sexual activity of male patients

Effects of anterior cruciate ligament rupture and reconstruction on sexual activity of male patients

Complex patellofemoral reconstruction leads to improved physical and sexual activity in female patients suffering from chronic patellofemoral instability

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