When Numbness and Tingling Play a Role-Sexual Function in Compressive Neuropathy

Area of Science:

• Neurology
• Orthopedic Surgery
• Sexual Health

Background:

• Compressive neuropathies like carpal tunnel syndrome and cubital tunnel syndrome can impair daily activities and sleep.
• The impact of these conditions on patient intimacy and sexual function remains under-researched.
• Upper extremity nerve compression can lead to sensory and motor deficits affecting physical interactions.

Purpose of the Study:

• To investigate the effects of carpal tunnel release and cubital tunnel release surgery on sexual function.
• To compare sexual function in patients before and after surgical intervention for upper extremity compressive neuropathies.
• To understand patient-reported outcomes related to intimacy following surgical treatment.

Main Methods:

• Retrospective analysis of patients (18+) undergoing unilateral or bilateral carpal tunnel and/or cubital tunnel release (open or endoscopic) between January 2021 and August 2022.
• Anonymous electronic surveys assessed pre- and post-operative sexual function in patients 3 months to 2 years post-procedure.
• Data collected included pre-operative symptoms (paresthesia, pain, weakness, motion limitation) and post-operative recovery of sexual activity.

Main Results:

• 47% of patients reported pre-operative sexual activity disruption due to upper extremity symptoms.
• Pre-surgery challenges included paresthesia (84%), pain (61%), reduced strength (53%), and limited motion (40%).
• Post-surgery, 61% experienced easier sexual activity, primarily due to reduced paresthesia (69%) and pain (67%), with 32% reporting increased sexual satisfaction.

Conclusions:

• Surgical decompression for carpal tunnel and cubital tunnel syndrome positively impacts sexual function.
• Improvements in sexual activity and satisfaction are linked to the alleviation of nerve compression symptoms.
• Restoration of physical function through surgery enhances overall quality of life, including intimate health.