Sexual function in men with cauda equina lesions: a clinical and electromyographic study

Podnar, Simon

doi:10.1136/jnnp.73.6.715

Cited by 54 publications

(51 citation statements)

References 21 publications

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“…(28,29) The IIEF score < 26 "out of 30" in domain that assess erectile function (questions 1-5 and 15), was the criteria for accepting the presence of erectile dysfunction.…”

Section: Data Collection Toolsmentioning

confidence: 99%

Erectile Dysfunction and Other Sexual Activity Dysfunctions among Saudi Type 2 Diabetic Patients

AlMogbel

2014

IJHS

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Abstract:Objectives: The aim of the study is to determine the prevalence of Erectile Dysfunction (ED) in Type 2 diabetic Saudi patients, to determine the effect of Type 2 diabetic on other sexual activities (intercourse satisfaction, orgasmic function, sexual desire, overall satisfaction), and to assess whether glycemic control and duration of diabetes have an influence on sexual activities or not. Methods:A cross-sectional study was conducted among 376 of Type 2 diabetic male Saudi patients. Erectile dysfunction and other sexual activities dysfunctions were evaluated using the International Index of Erectile Function (IIEF) by a fill coded questionnaire. Additionally, the level of glycosylated hemoglobin was measured to classify the diabetes control status in patients.Results: Erectile Dysfunction was reported by 83% of male Saudi diabetic patients. The results show that there was a significant association between the presence of ED and both the age and the duration of diabetes. Family income, occupation, and educational level of the patients show a significant association between them and erectile dysfunction (ED). Moreover, glycemic control did not show a significant association with ED in our sample. Conclusion:The findings showed that prevalence of ED among male Saudi diabetic patients is high. It increases with age and duration of diabetes. Also, the study showed that the glycemic control did not correlate with ED. It is recommended that the family physician and diabetologist should ask routinely for this complication in patients with diabetes just like any other diabetes complication.

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“…(28,29) The IIEF score < 26 "out of 30" in domain that assess erectile function (questions 1-5 and 15), was the criteria for accepting the presence of erectile dysfunction.…”

Section: Data Collection Toolsmentioning

confidence: 99%

Erectile Dysfunction and Other Sexual Activity Dysfunctions among Saudi Type 2 Diabetic Patients

AlMogbel

2014

IJHS

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“…There is significant sexual impairment in men with lesions of the cauda equina or conus medullaris. This is poorly correlated with neurological and EMG findings and has received insufficient medical attention 9) . Good surgical outcomes of early surgical intervention due to cauda equina have been reported; however, lumbosacral disc disease only with radicular pain and erectile dysfunction have not been studied in detail.…”

Section: Discussionmentioning

confidence: 99%

An Unappreciated Correlation : Surgical Treatment of Lumbosacral Disc Disease and Erectile Dysfunction

Kulaksızoğlu

Kaptan

2010

J Korean Neurosurg Soc

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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.

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“…To score the severity of sacral dysfunctions, Slovene versions of the standard urinary incontinence [3,5], anal incontinence [6], constipation [1], and male sexual dysfunction [16] questionnaires were used [9,14,15]. In all patients clinical examination was performed with emphasis on the lower limbs and sacral segments [13].…”

Section: Methodsmentioning

confidence: 99%

“…In addition, bladder, bowel, and sexual functions may also be disturbed [9,14,15,17]. The annual incidence rate of cauda equina lesions has been estimated at 3.4 per million population, and the period prevalence at 8.9 per 100,000 [11].…”

Section: Introductionmentioning

confidence: 99%

Cauda equina lesions as a complication of spinal surgery

Podnar

2009

Eur Spine J

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Although the most common aetiology of cauda equina lesions is lumbar intervertebral disc herniation, iatrogenic lesions may also be the cause. The aim of this study was to identify and present patients in whom cauda equina lesions occurred after spinal surgery. From the author's series of patients with cauda equina lesions, those with the appearance of sacral symptoms after spinal surgery were identified. To demonstrate lesions more objectively, electrodiagnostic studies were performed in addition to history and clinical examination. Imaging studies were also reviewed. Of 69 patients from the series, 11 patients in whom a cauda equina lesion developed after spinal surgery were identified. The aetiology comprised surgery for herniated intervertebral disc in 5 (4 performed by a single surgeon), spinal stenosis surgery in 4, and postoperative lumbar epidural haematoma in 2 patients (each performed by a different surgeon). Proportion of spinal surgeries with this complication varied from 0 to 6.6% in different centres. Patients with iatrogenic cauda equina lesion were significantly older (p \ 0.001), and reported more severe urinary, but similar bowel and sexual symptoms compared to other patients in the series. In conclusion the study identified spinal surgery as the cause of approximately 15% of cauda equina lesions. More than a third of lesions developed after procedures performed by a single surgeon. Most of the remaining lesions could probably be avoided by better surgical technique (e.g. the use of a high-speed drill instead of a Kerrison rongeur in patients with severe spinal stenosis), or prevented by closer postoperative monitoring (e.g. in patients with postoperative lumbar epidural haematoma).

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Sexual function in men with cauda equina lesions: a clinical and electromyographic study

Cited by 54 publications

References 21 publications

Erectile Dysfunction and Other Sexual Activity Dysfunctions among Saudi Type 2 Diabetic Patients

Erectile Dysfunction and Other Sexual Activity Dysfunctions among Saudi Type 2 Diabetic Patients

An Unappreciated Correlation : Surgical Treatment of Lumbosacral Disc Disease and Erectile Dysfunction

Cauda equina lesions as a complication of spinal surgery

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