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Updated: Jul 3, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Published on: May 30, 2025

Sexual dysfunction after elective spine surgery: A systematic review identifying knowledge gaps and clinical

Sara Merkaj1, Anton Früh1,2, Claudius Jelgersma1

  • 1Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Campus Charité Mitte, Luisenstraße 64, Berlin, 10117, Germany.

Brain & Spine
|July 2, 2026
PubMed
Summary

Sexual dysfunction after spine surgery is underexplored, with current research showing mixed results. More high-quality, gender-specific studies are needed to improve patient care and quality of life.

Keywords:
ElectiveSexual dysfunctionSpine surgerySystematic review

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Area of Science:

  • Urology
  • Sexual Health
  • Neurosurgery

Background:

  • Spine surgery is common, especially in older adults.
  • Sexual function is vital for quality of life.
  • Sexual dysfunction post-spine surgery is understudied.

Purpose of the Study:

  • Systematically review research on sexual dysfunction after spine surgery.
  • Identify knowledge gaps and clinical implications.
  • Inform future research and patient care.

Main Methods:

  • Systematic literature search using PRISMA-DTA guidelines.
  • Searched MEDLINE and PubMed for relevant studies.
  • Analyzed 15 studies on elective spine surgery and sexual function outcomes.

Main Results:

  • Most studies were retrospective with small sample sizes.
  • 62% reported no decline or improvement in sexual function; 38% reported a decrease.
  • Limited research on deeper aspects of sexual dysfunction, including psychological and gender-specific health.

Conclusions:

  • Evidence on sexual dysfunction post-spine surgery is limited and inconsistent.
  • High-quality, prospective, gender-specific research with validated assessments is crucial.
  • Routine sexual function evaluation can improve patient counseling and postoperative care.