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Related Experiment Videos

Sexual activity after dysvascular lower extremity amputation.

Alison W Henderson1, Aaron P Turner2, Rhonda M Williams2

  • 1Veterans Affairs (VA) Puget Sound Health Care System.

Rehabilitation Psychology
|June 3, 2016
PubMed
Summary

Sexual activity is important for life satisfaction after lower extremity amputation, though engagement is low. Younger age and better mobility correlate with increased sexual activity post-amputation.

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Area of Science:

  • Rehabilitation Medicine
  • Psychology
  • Gerontology

Background:

  • Dysvascular lower extremity amputation significantly impacts patients' lives.
  • Understanding sexual activity post-amputation is crucial for holistic patient care.
  • Few studies have prospectively examined sexual function following amputation.

Purpose of the Study:

  • To determine the prevalence and correlates of sexual activity in individuals after their first dysvascular lower extremity amputation.
  • To assess the importance of sexual activity to life satisfaction.
  • To identify factors associated with sexual activity at various time points post-amputation.

Main Methods:

  • Prospective cohort study at 4 Veterans Affairs Medical Centers.
  • 113 participants recruited within 7 days of amputation and followed for 12 months.

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  • Measures included sexual activity frequency/desire, life satisfaction, mental health (PHQ-9), mobility (LCI-5), pain, and quality of life.
  • Main Results:

    • 11%-24% reported sexual activity post-amputation, yet a majority deemed it very important for life satisfaction.
    • Sexual activity frequency increased from 6 weeks to 12 months post-amputation.
    • Younger age and greater mobility were associated with increased sexual activity; age and race remained significant in multivariable models.

    Conclusions:

    • Despite low prevalence, sexual activity remains important for life satisfaction after amputation.
    • Younger age and improved mobility are key factors associated with sexual activity.
    • Rehabilitation professionals should address sexuality in patient care and goal setting.