Reinstein L, Ashley J, Miller K H
Arch Phys Med Rehabil. 1978 Nov;59(11):501-4.
Sexual adjustment following lower extremity amputation was evaluated by interviewing 60 adults with recent amputations, 39 men and 21 women, after they had become independent in ambulation with a prosthesis. Among the men, 77% reported a substantial decrease in the frequency of sexual intercourse following amputation, while only 38% of the women reported a decrease. The decreased frequency was greater for nonmarried men than for married men, greater for men with above-knee amputations than for men with below-knee amputations, and greater for male amputee patients in whom phantom phenomena persisted compared to those in whom phantom phenomena no longer existed. The decreased frequency of intercourse for male amputee patients was unrelated to the patient's age, education, and etiology of amputation. There was no significant change in other aspects of sexual activity, including oral-genital relations, masturbation, homosexuality, and extramarital relations.
通过对60名近期接受截肢手术的成年人（39名男性和21名女性）进行访谈，评估他们在使用假肢实现独立行走后下肢截肢后的性适应情况。在男性中，77%报告截肢后性交频率大幅下降，而只有38%的女性报告有下降。未婚男性性交频率下降幅度大于已婚男性，膝上截肢男性大于膝下截肢男性，幻肢现象持续存在的男性截肢患者大于幻肢现象不再存在的患者。男性截肢患者性交频率下降与患者年龄、教育程度和截肢病因无关。性活动的其他方面，包括口交、手淫、同性恋和婚外情，均无显著变化。
