Download PDF
J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e89-e91
DOI: 10.1055/s-0032-1322521
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Improvement of Erectile Dysfunction after Surgery for Cervical Disk Herniation

George Fotakopoulos
1   Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Greece
,
George A. Alexiou
1   Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Greece
,
Polixeni Kotlia
1   Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Greece
,
Dimitrios Pachatouridis
1   Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Greece
,
Spyridon Voulgaris
1   Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Greece
› Author Affiliations
Further Information

Publication History

16 November 2011

02 May 2012

Publication Date:
16 August 2012 (online)

    Permissions and Reprints

Abstract

Erectile dysfunction (ED) has been previously reported in patients with cervical spondylotic myelopathy. After treatment, patients usually experience an improvement in sexual function. Herewith, we present a patient with cervical disc herniation at the C3-C4 and C5-C6 level with ED but without myelopathy. The patient underwent anterior microdiscectomy and fusion with cages. ED improved postoperatively. We propose that the presence of ED should be checked in patients with cervical disc herniation. Further studies are needed to clarify the incidence of ED in patients with cervical disc herniation.

Keywords

spine - cervical disc herniation - erectile dysfunction
 

  • References

  • 1 Ebersold MJ, Pare MC, Quast LM. Surgical treatment for cervical spondylitic myelopathy. J Neurosurg 1995; 82: 745-751
    CrossrefPubMedGoogle Scholar
  • 2 Chiles III BW, Leonard MA, Choudhri HF, Cooper PR. Cervical spondylotic myelopathy: patterns of neurological deficit and recovery after anterior cervical decompression. Neurosurgery 1999; 44: 762-769 , discussion 769–770
    CrossrefPubMedGoogle Scholar
  • 3 Naderi S, Ozgen S, Pamir MN, Ozek MM, Erzen C. Cervical spondylotic myelopathy: surgical results and factors affecting prognosis. Neurosurgery 1998; 43: 43-49 , discussion 49–50
    CrossrefPubMedGoogle Scholar
  • 4 He S, Hussain N, Zhao J, Fu Q, Hou T. Improvement of sexual function in male patients treated surgically for cervical spondylotic myelopathy. Spine (Phila Pa 1976) 2006; 31: 33-36
    CrossrefPubMedGoogle Scholar
  • 5 Zhu JP, Sun Z, Liu YP, Li H, Jin GY, Zhou CX. [Clinical analysis of surgically treated cervical spondylotic myelopathy with erectile dysfunction]. Zhonghua Nan Ke Xue 2008; 14: 900-902
    PubMedGoogle Scholar
  • 6 Rosen RC, Cappelleri JC, Smith MD, Lipsky J, Peña BM. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res 1999; 11: 319-326
    CrossrefPubMedGoogle Scholar
  • 7 Monga M, Bernie J, Rajasekaran M. Male infertility and erectile dysfunction in spinal cord injury: a review. Arch Phys Med Rehabil 1999; 80: 1331-1339
    CrossrefPubMedGoogle Scholar
  • 8 Ramos AS, Samsó JV. Specific aspects of erectile dysfunction in spinal cord injury. Int J Impot Res 2004; 16 (Suppl. 02) S42-S45
    CrossrefPubMedGoogle Scholar
  • 9 Tracy JA, Bartleson JD. Cervical spondylotic myelopathy. Neurologist 2010; 16: 176-187
    CrossrefPubMedGoogle Scholar
  • 10 Lue TF. Erectile dysfunction. N Engl J Med 2000; 342: 1802-1813
    CrossrefPubMedGoogle Scholar
  • 11 Fazio L, Brock G. Erectile dysfunction: management update. CMAJ 2004; 170: 1429-1437
    CrossrefPubMedGoogle Scholar
  • 12 Kwan KS, Roberts LJ, Swalm DM. Sexual dysfunction and chronic pain: the role of psychological variables and impact on quality of life. Eur J Pain 2005; 9: 643-652
    CrossrefPubMedGoogle Scholar
  • 13 Ashraf VV, Taly AB, Nair KP, Rao S , Sridhar. Role of clinical neurophysiological tests in evaluation of erectile dysfunction in people with spinal cord disorders. Neurol India 2005; 53: 32-35 , discussion 35–36
    CrossrefPubMedGoogle Scholar
  • 14 Ertekin C, Ertekin N, Mutlu S, Almis S, Akçam A. Skin potentials (SP) recorded from the extremities and genital regions in normal and impotent subjects. Acta Neurol Scand 1987; 76: 28-36
    PubMedGoogle Scholar