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Sexual adjustment after lower extremity amputation

L Reinstein, J Ashley, K H Miller

    Archives of Physical Medicine and Rehabilitation
    |November 1, 1978
    PubMed
    Summary
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    Lower extremity amputation significantly impacts sexual frequency, particularly for men. While many male amputees experience reduced intercourse, other sexual behaviors remain largely unaffected.

    Area of Science:

    • Rehabilitation Medicine
    • Psychology
    • Urology

    Background:

    • Lower extremity amputation presents unique challenges to patient quality of life.
    • Sexual adjustment is a critical component of overall well-being post-amputation.
    • Limited research exists on the specific sexual experiences of amputees after prosthesis use.

    Purpose of the Study:

    • To evaluate sexual adjustment in adults following lower extremity amputation.
    • To identify factors influencing sexual frequency and satisfaction post-amputation.
    • To assess changes in various sexual behaviors after amputation.

    Main Methods:

    • A qualitative study involving interviews with 60 adult amputees (39 men, 21 women).
    • Participants were assessed after achieving ambulation independence with a prosthesis.

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  • Data collected on frequency and types of sexual activity.

    • Main Results:

    • 77% of men reported a substantial decrease in sexual intercourse frequency post-amputation.
    • 38% of women reported a similar decrease.
    • Decreased frequency in men was associated with non-marital status, above-knee amputations, and persistent phantom phenomena.

    Conclusions:

    • Lower extremity amputation significantly affects sexual intercourse frequency, especially in men.
    • Factors like marital status and amputation level influence sexual adjustment in male amputees.
    • Other sexual behaviors showed no significant changes, indicating targeted impact on intercourse frequency.