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Evaluation of sexual functions in lower extremity amputee population

Evaluation of sexual functions in lower extremity amputee population

Methods: Group 1 was composed of 59 male individuals having unilateral lower extremity amputation. Group 2 contained 87 healthy individuals with similar demographics with the case group. We used a semi-structured questionnaire containing and the Arizona Sexual Experiences Scale (ASEX). Chi-square (χ2) student t and Mann Whitney U tests were used in statistical analysis.

Results: The mean ages of the groups were 33.2(±10.2), 30.5(±8.3) respectively and the rates of being married were %50.5 and %49.2 respectively. The mean ASEX scores were 12.5(±4.2) and 7.3(±2.4) respectively. The level of having sexual problems in group1 was significantly higher compared to controls (p<0.001). In the case group the percentage of below knee amputations were 66.1%. The mean ASEX score was 11.7(±4.2) in below knee amputees and 14.4(±3.9) in above knee amputees. The sexual problem experiencing levels were significantly higher in individuals with amputation above the knee compared below knee amputees (p=0.023). The rate of lower extremity prosthesis usage was 61.0 % in the case group. The mean ASEX score of individuals using prosthesis were 11.6(±4.6) while it was 14.0(±3.1) in amputees without using prosthesis, indicating a significantly high level of experiencing sexual problems in the prosthetic leg users compared to non-users.

Conclusions: Lower extremity amputation negatively effects the sexual life. This negative effect is increased with having an amputation above the knee. Prosthesis using is a factor that decreases the negative effects of amputation on sexual life.

Reference: Singh R., Ripley D., Pentland, B.,et al.(2009) Depression and anxiety symptoms after lower limb amputation: the rise and fall. Clinical Rehabilitation,23,281–286.

Areas of Interest / Categories: Asia Oceania Federation of Sexology 2016

Asia Oceania Federation of Sexology 2016

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