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Research ArticleLumbar Spine

Sexual Dysfunction and Urinary Incontinence in Female Patients Following Primary Anterior Lumbar Interbody Fusion: A Survey of 84 Patients

Tabea Annina Roth, Yael Rachamin, Emin Aghayev, Elena Albertazzi, Lukas Kouba, Peter Diel, Regula Teuscher, Lorin Michael Benneker and Paul Ferdinand Heini
International Journal of Spine Surgery June 2025, 8768; DOI: https://doi.org/10.14444/8768
Tabea Annina Roth
1 Research Centre, Lindenhofgruppe AG, Bern, Switzerland
2 Medizinische Fakultät Universität Bern, Bern, Switzerland
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Yael Rachamin
1 Research Centre, Lindenhofgruppe AG, Bern, Switzerland
3 Institute of Primary Care, University of Zurich and University Hospital Zurich, Zurich, Switzerland
PhD
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Emin Aghayev
1 Research Centre, Lindenhofgruppe AG, Bern, Switzerland
MD
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  • For correspondence: emin.aghayev@lindenhofgruppe.ch
Elena Albertazzi
4 Department of Spine Surgery, Sonnenhof, Bern, Switzerland
MD
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Lukas Kouba
4 Department of Spine Surgery, Sonnenhof, Bern, Switzerland
MD
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Peter Diel
4 Department of Spine Surgery, Sonnenhof, Bern, Switzerland
MD
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Regula Teuscher
4 Department of Spine Surgery, Sonnenhof, Bern, Switzerland
MD
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Lorin Michael Benneker
4 Department of Spine Surgery, Sonnenhof, Bern, Switzerland
MD
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Paul Ferdinand Heini
4 Department of Spine Surgery, Sonnenhof, Bern, Switzerland
MD
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    Figure 1

    Study flowchart. Jan, January; Oct, October.

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    Figure 2

    Individual aspects of sexual dysfunction pre- and postoperatively, stratified by subjective worsening of sexual function.

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    Figure 3

    Urinary and fecal incontinence pre- and postoperatively, stratified by subjective worsening of sexual function.

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    Figure 4

    Patient satisfaction with their anterior lumbar interbody fusion surgery on a scale from 0 to 10, stratified by subjective worsening of sexual function.

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    Table

    Patient characteristics stratified by worsening in sexual function.

    CharacteristicTotal
    (n = 84)
    Worsening
    (n = 23)
    No Worsening
    (n = 61)
    P
    At time of surgery
     Age, y, median (IQR)48 (41, 54)48 (43, 54)46 (38, 54)0.267
     Prior operations, n (%)
      None28 (33.3)5 (21.7)23 (37.7)0.202
      Musculoskeletal35 (41.7)11 (47.8)24 (39.3)0.649
      Urogenital23 (27.4)6 (26.1)17 (27.9)>0.99
      Visceral10 (11.9)4 (17.4)6 (9.8)0.450
      Other16 (19.0)5 (21.7)11 (18.0)0.941
     Surgery level, n (%)0.261
      L5/S166 (78.6)18 (78.3)48 (78.7)
      L4/L5 + L5/S113 (15.5)5 (21.7)8 (13.1)
      L4/L55 (6.0)0 (0.0)5 (8.2)
     Fusion material, n (%)0.850
      Inductos69 (82.1)18 (78.3)51 (83.6)
      Pelvic crest12 (14.3)4 (17.4)8 (13.1)
      Readygraft/crunchychips3 (3.6)1 (4.3)2 (3.3)
    Between surgery and survey, n (%)
     Having an infiltration23 (27.4)6 (26.1)17 (27.9)0.870
     Having a revision surgery on the spine11 (13.1)4 (17.4)7 (11.5)0.474
     Having a gynecological surgerya 3 (3.6)2 (8.7)1 (1.6)0.362
    At survey
     Time since surgery, wk, median (IQR)212 (102, 312)237 (100, 311)210 (114, 312)0.758
     Having been sexually active since surgery, n (%)71 (84.5)19 (82.6)52 (85.2)>0.99
     Change in hormonal phase since surgery, n (%)b 24/76 (31.6)7/18 (38.9)17/58 (29.3)0.563
     Change in hormonal treatment/contraception since surgery, n (%)b 15/81 (18.5)5/21 (23.8)10/60 (16.7)0.520
    • Abbreviation: IQR, interquartile range.

    • ↵a Calculated using 2-sided Fisher exact test.

    • ↵b Denominator shown because missing values exceeded 5% in some groups.

Supplementary Materials

  • Figures
  • Tables
  • TABLE S1.

    [8768supp001.docx]

  • TABLE S2.

    [8768supp002.docx]

  • TABLE S3.

    [8768supp003.docx]

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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Sexual Dysfunction and Urinary Incontinence in Female Patients Following Primary Anterior Lumbar Interbody Fusion: A Survey of 84 Patients
Tabea Annina Roth, Yael Rachamin, Emin Aghayev, Elena Albertazzi, Lukas Kouba, Peter Diel, Regula Teuscher, Lorin Michael Benneker, Paul Ferdinand Heini
International Journal of Spine Surgery Jun 2025, 8768; DOI: 10.14444/8768

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Sexual Dysfunction and Urinary Incontinence in Female Patients Following Primary Anterior Lumbar Interbody Fusion: A Survey of 84 Patients
Tabea Annina Roth, Yael Rachamin, Emin Aghayev, Elena Albertazzi, Lukas Kouba, Peter Diel, Regula Teuscher, Lorin Michael Benneker, Paul Ferdinand Heini
International Journal of Spine Surgery Jun 2025, 8768; DOI: 10.14444/8768
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