ArticleJournal of craniovertebral junction & spine2014
Describing a new syndrome in L5-S1 disc herniation: Sexual and sphincter dysfunction without pain and muscle weakness.
Article in Journal of craniovertebral junction & spine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 33 citations in OpenAlex.
- Correlates of sexual function in women with acute lumbar disc herniation in Iran: a cross-sectional study.Scientific reports · 2024Article
- First report of the histopathological effect of electrocautery using on the urethral taste rosea during glans penis injury by incision in rabbits.Asian journal of urology · 2024Article
- Changes in the Urethral Artery After Experimental Subarachnoid Hemorrhage-Induced Injury of the Pudendal Ganglion and Onuf's Nucleus Junction.The Eurasian journal of medicine · 2023Article
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- Emerging Issues Questioning the Current Treatment Strategies for Lumbar Disc Herniation.Frontiers in surgery · 2022Review
- Medical students vs general public awareness regarding disc prolapse in Jeddah.Journal of family medicine and primary care · 2020Article
- Central Sagittal Angle of the Sacrum as a New Risk Factor for Patients with Persistent Low Back Pain after Caesarean Section.Asian spine journal · 2017Article
- Sudden death and cervical spine: A new contribution to pathogenesis for sudden death in critical care unit from subarachnoid hemorrhage; first report - An experimental study.Journal of craniovertebral junction & spineArticle
- The impact of L5 dorsal root ganglion degeneration and Adamkiewicz artery vasospasm on descending colon dilatation following spinal subarachnoid hemorrhage: An experimental study; first report.Journal of craniovertebral junction & spineArticle
- First report of perforation of ligamentum flavum by sequestrated lumbar intervertebral disc.Journal of craniovertebral junction & spineArticle
- Inequality in leg length is important for the understanding of the pathophysiology of lumbar disc herniation.Journal of craniovertebral junction & spineArticle
- Ligamentum flavum hematomas: Why does it mostly occur in old Asian males? Interesting point of reported cases: Review and case report.Journal of craniovertebral junction & spineReview
- Posterior longitudinal ligament suturation after lumbar discectomy provides postoperative a large intradural area: First report.Journal of craniovertebral junction & spineArticle
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextLittle seems to be known about the sexual dysfunction (SD) in lumbar intervertebral disc herniation.
aimsInvestigation of sexual and sphincter dysfunction in patient with lumbar disc hernitions. SETTINGS AND
designA retrospective analysis. MATERIALS AND
methodsSexual and sphincter dysfunction in patients admitted with lumbar disc herniations between September 2012-March 2014. STATISTICAL ANALYSIS USED: Statistical analysis was performed using the Predictive Analytics SoftWare (PASW) Statistics 18.0 for Windows (Statistical Package for the Social Sciences, SPSS Inc., Chicago, Illinois). The statistical significance was set at P < 0.05. The Wilcoxon signed ranks test was used to evaluate the difference between patients.
resultsFour patients with sexual and sphincter dysfunction were found, including two women and two men, aged between 20 and 52 years. All of them admitted without low back pain. In addition, on neurological examination, reflex and motor deficit were not found. However, almost all patients had perianal sensory deficit and sexual and sphincter dysfunction. Magnetic resonance imaging (MRI) of three patients displayed a large extruded disc fragment at L5-S1 level on the left side. In fourth patient, there were not prominent disc herniations. There was not statistically significant difference between pre-operative and post-operative sexual function, anal-urethral sphincter function, and perianal sensation score. A syndrome in L5-S1 disc herniation with sexual and sphincter dysfunction without pain and muscle weakness was noted. We think that it is crucial for neurosurgeons to early realise that paralysis of the sphincter and sexual dysfunction are possible in patients with lumbar L5-S1 disc disease.
conclusionA syndrome with perianal sensory deficit, paralysis of the sphincter, and sexual dysfunction may occur in patients with lumbar L5-S1 disc disease. The improvement of perianal sensory deficit after surgery was counteracted by a trend toward disturbed sexual function. Further researches are needed to explore the extent of this problem.
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