Kanayama Masahiro, Horio Michiko, Umi Yumi, Yamaguchi Ai, Omata Junichi, Togawa Daisuke, Hashimoto Tomoyuki
From the Spine Center, Hakodate Central General Hospital, Hokkaido, Japan.
Spine (Phila Pa 1976). 2010 Mar 15;35(6):647-51. doi: 10.1097/BRS.0b013e3181ba29f9.
A retrospective survey using privacy-conscious questionnaires.
To determine the quality and frequency of sexual activities in patients with lumbar disc herniation before and after surgery.
Patients and health care professionals often hesitate to talk about the effects of disease, illness, or surgery on sexuality, but it is imperative that sexuality issues be addressed.
Of 90 consecutive patients, 64 who had surgically-treated lumbar disc herniation participated in this survey after informed consent. There were 43 males and 21 females with mean age of 36 years. Duration of symptom was averaged 42 weeks. The patients were asked to complete questionnaires concerning sexual desire, activity, adjustment, and satisfaction. About 83% of the patients had sexual desire, and 89% achieved satisfaction during sexual activities in presick period.
Lumbar disc herniation decreased sexual desire in 50% and frequency of sexual activity in 59% of the patients. About 67% of males and 81% of females felt discomfort during sexual activity; satisfaction decreased in 28% of male and 41% of females. Adjustment in sexual position was required in 54% of males and 86% of females. Surgery improved sexual desire, frequency of sexual activity, and satisfaction in 85%, 88%, and 94%, respectively. However, 31% of females did not regain sexual desire and 46% still felt discomfort during sexual activity (the rates were 7% and 17% in males, respectively). Sexual activity was resumed within 2 postoperative weeks in 23% (27% in males and 14% in females), and 4 weeks in 53%. Males resumed sexual activity earlier than females.
Lumbar disc herniation largely impacted sexual desire, activity, and satisfaction. Adjustment in sexual position was required in large number of patients to avoid discomfort during sexual activities. Surgical treatment improved quality of sexual activities, but more females did not regain sexual desire, felt sexual discomfort, and thereby resumed sexual activities later than males after surgery.
采用注重隐私的问卷进行回顾性调查。
确定腰椎间盘突出症患者手术前后性行为的质量和频率。
患者和医护人员常常不愿谈论疾病、伤病或手术对性功能的影响，但解决性方面的问题势在必行。
在连续90例患者中，64例接受了腰椎间盘突出症手术治疗的患者在获得知情同意后参与了本调查。其中男性43例，女性21例，平均年龄36岁。症状持续时间平均为42周。患者被要求填写有关性欲、性行为、适应情况和满意度的问卷。约83%的患者有性欲，89%的患者在患病前阶段的性行为中获得了满足感。
腰椎间盘突出症使50%的患者性欲降低，59%的患者性行为频率降低。约67%的男性和81%的女性在性行为中感到不适；28%的男性和41%的女性满意度下降。54%的男性和86%的女性需要调整性交姿势。手术分别使85%、88%和94%的患者性欲、性行为频率和满意度得到改善。然而，31%的女性未恢复性欲，46%的女性在性行为中仍感到不适（男性的这两个比例分别为7%和17%）。23%的患者在术后2周内恢复性行为（男性为27%，女性为14%），53%的患者在术后4周恢复。男性比女性更早恢复性行为。
腰椎间盘突出症对性欲、性行为和满意度有很大影响。大量患者需要调整性交姿势以避免性行为中的不适。手术治疗改善了性行为质量，但更多女性未恢复性欲，感到性不适，因此术后恢复性行为的时间比男性晚。
