(052) Characterization of Female Sexual Dysfunction Associated with Spinal Pathology and Surgery

Abstract Introduction Sexuality and sexual function are understood as fundamental facets of the human experience. The disruption is socially disruptive emotionally distressing. Studies demonstrate connection between adverse medical conditions such diabetes heart disease, however in areas spinal pathologies, remains mostly studied males or a collective male female patients. experience may be quite different, combined cohort not appropriately characterize female-specific dysfunction. Objectives Sexual dysfunction associated with pathologies well studied. However, little research exists addressing this issue females. This review presents data on dysfunctions pathologies. Methods PubMed Google Scholar identified case reports primary studies evaluating pathology surgical intervention success were reviewed to contextualize population. Results Female has been cited arise from spine due traumatic etiologies, malignant tumors, benign tumors without bony involvement. Surgeons identify absence bowel, bladder, and/or one key preoperative predictors maintenance improvement neurologic status, sexuality rarely addressed pre-operative post-operative neurosurgical care plan. In generated females stenosis degenerative over half patients report pain activity. Post-operatively, there appears significant decrease pain. do separately results for versus males. Importantly, while can hinder activity females, also other issues, including desire subjective arousal, lubrication, orgasm, satisfaction that should explored. By use Function Index (FSFI), study compared sexually active protruding disc herniation healthy These showed lower FSFI, number weekly intercourse higher score depression women condition. Further detangling painful types dysfunction, have shown pre post op perianal hypoesthesia, reduced sensation sacral area an L5-S1 pathology. It suggested these lack coital fail improve after intervention. Conclusions There gender disparity when implications surgery. high-quality adequate numbers participants characterizes nuances across various post- analysis consideration approach, necessitates study. Pre-op post-op history included all health issues. Disclosure No.