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

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.