Sex life and low back pain: The impact of intradiscal ozone therapy in patients with herniated lumbar disc.

IF 2.1 4区医学 Q3 Medicine

Interventional Neuroradiology Pub Date : 2025-10-01 Epub Date: 2023-06-15 DOI:10.1177/15910199231183108

Francesco Somma, Alberto Negro, Mario Tortora, Laura Gemini, Gianvito Pace, Fabrizio Fasano, Valeria Piscitelli, Carmine Sicignano, Mariaevelina Prudente, Arturo De Falco, Alessandro Villa, Marina Lugarà, Giovanna Pezzullo, Vincenzo D'Agostino, Gianluca Gatta

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引用次数: 0

Abstract

Study DesignRetrospective cohort study.ObjectivesTo assess the improvement of sexual impairment after percutaneous intradiscal ozone therapy in patients complaining of low back pain (LBP) due to lumbar disc herniation.MethodsBetween January 2018 and June 2021, 157 consecutive imaging-guided percutaneous intradiscal ozone therapies were performed on 122 patients with LBP and/or sciatic pain due to lumbar disc herniation. Oswestry Disability Index (ODI) was administered before the treatment and at 1-month and 3-month follow-ups and the ODI Section 8 (ODI-8/sex life) values were retrospectively reviewed to evaluate the improvement of sexual impairment and disability.ResultsMean age of patients was 54.63 ± 12.40. Technical success was achieved in all cases (157/157). Clinical success was registered in 61.97% (88/142) of patients at 1-month follow-up and in 82.69% (116/142) at 3-month follow-up. The mean ODI-8/sex life was 3.73 ± 1.29 before the procedure, 1.71 ± 1.37 at 1-month follow up and 0.44 ± 0.63 at 3-month follow-up. Compared to older patients, subjects under 50 years showed a significantly slower recovery of sexual impairment (p = 0.003). The treated levels were L3-L4, L4-L5, and L5-S1 in 4, 116, and 37 patients, respectively. Patients with L3-L4 disc herniation showed less sexual disability at presentation, with a significantly faster improvement of sexual life (p = 0.03).ConclusionsPercutaneous intradiscal ozone therapy is highly effective in reducing sexual impairment due to lumbar disc herniation, and the improvement is faster in older patients and in the case of L3-L4 disc involvement.

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性生活与腰痛：椎间盘内臭氧治疗对腰椎间盘突出症患者的影响。

研究设计回顾性队列研究。目的探讨经皮椎间盘内臭氧治疗对腰椎间盘突出症腰痛患者性功能障碍的改善作用。方法2018年1月至2021年6月，对122例腰椎间盘突出症引起的腰痛和/或坐骨痛患者进行了157次连续成像引导下经皮椎间盘内臭氧治疗。在治疗前、随访1个月和3个月时采用Oswestry残疾指数（ODI），回顾性评价ODI第8节（ODI-8/性生活）值，评价性障碍和残疾的改善情况。结果患者平均年龄54.63±12.40岁。在所有情况下都取得了技术上的成功（157/157）。1个月随访时临床成功率为61.97%(88/142)，3个月随访时临床成功率为82.69%（116/142）。术前ODI-8/性生活平均值为3.73±1.29，随访1个月时为1.71±1.37，随访3个月时为0.44±0.63。与老年患者相比，50岁以下的受试者性功能障碍恢复明显较慢（p = 0.003）。治疗水平分别为L3-L4、L4-L5和L5-S1，分别为4例、116例和37例。L3-L4椎间盘突出患者首发时性功能障碍较少，性生活改善明显较快（p = 0.03）。结论经皮椎间盘内臭氧治疗可有效减轻腰椎间盘突出症的性功能障碍，且对老年患者及累及L3-L4椎间盘的患者改善更快。

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来源期刊

Interventional Neuroradiology 医学-核医学

CiteScore

2.80

自引率

11.80%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Interventional Neuroradiology (INR) is a peer-reviewed clinical practice journal documenting the current state of interventional neuroradiology worldwide. INR publishes original clinical observations, descriptions of new techniques or procedures, case reports, and articles on the ethical and social aspects of related health care. Original research published in INR is related to the practice of interventional neuroradiology...