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<p>Chronic Low back pain (CLBP) is a common health concern with various consequences in particular on different aspects of sexual function. This study aimed to assess sexual function in men with chronic degenerative CLBP and to identify factors associated with erectile dysfunction (ED). We conducted a cross-sectional study over a 12-month period. Adult male patients with degenerative CLBP (≥ 3&#xa0;months duration) of degenerative or disc-related origin were consecutively enrolled. Sociodemographic characteristics and CLBP characteristics (intensity with Visual Analogic Scale (VAS), radicular pain and its pattern…) were collected. Patients with inflammatory rheumatic diseases, prior spinal surgery, or medical conditions known to cause sexual dysfunction were excluded. Sexual function was evaluated using the International Index of Erectile Function (IIEF) and the Sexual Assessment Questionnaire (SAQ). Psychological status, disability, and sleep quality were also evaluated. Multivariate logistic regression was performed to identify factors associated with ED. We included 101 male patients with a mean age of 52.14 ± 12.89&#xa0;years. Erectile dysfunction (IIEF erectile function domain ≤ 25) was present in 83% of patients, with 34% experiencing moderate-to-severe ED. Sexual desire and satisfaction were affected in 71.3% and 83.2% of patients, respectively. Patients with ED had a significantly higher age (p = 0.01) and LBP duration (p &lt; 0.004). Additionally, ED was significantly associated with married status, work status, and muscle relaxant use. Age &gt; 46&#xa0;years and CLBP duration &gt; 4&#xa0;years were identified as significant thresholds associated with ED (AUC 0.848 and 0.745, respectively). In multivariate analysis, age &gt; 46&#xa0;years, CLBP duration &gt; 4&#xa0;years, anxiety symptoms, and unemployment were independently associated with ED, while muscle relaxant therapy was associated with lower risk of ED. Men with degenerative chronic mechanical LBP frequently experience impaired sexual function. Older age, longer disease duration, anxiety, and unemployment were independently associated with erectile dysfunction. Routine assessment of sexual health should be considered in the comprehensive management of chronic LBP.</p>

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Sexual Function in Men with Degenerative Chronic Low Back Pain: A Cross-Sectional Study

  • 期刊论文

  • 发表日期：

    2026年6月18日

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  • Leila Rouached,
  • Kheireddine Mourad Dali,
  • Siwar Ben Dhia,
  • Takwa Bjeoui,
  • Nizar Cherni,
  • Selma Bouden,
  • Ines Mahmoud,
  • Rawdha Tekaya,
  • Olfa Saidane,
  • Aicha BenTekaya,
  • Yassine Nouira,
  • Leila Abdelmoula

摘要

Chronic Low back pain (CLBP) is a common health concern with various consequences in particular on different aspects of sexual function. This study aimed to assess sexual function in men with chronic degenerative CLBP and to identify factors associated with erectile dysfunction (ED). We conducted a cross-sectional study over a 12-month period. Adult male patients with degenerative CLBP (≥ 3 months duration) of degenerative or disc-related origin were consecutively enrolled. Sociodemographic characteristics and CLBP characteristics (intensity with Visual Analogic Scale (VAS), radicular pain and its pattern…) were collected. Patients with inflammatory rheumatic diseases, prior spinal surgery, or medical conditions known to cause sexual dysfunction were excluded. Sexual function was evaluated using the International Index of Erectile Function (IIEF) and the Sexual Assessment Questionnaire (SAQ). Psychological status, disability, and sleep quality were also evaluated. Multivariate logistic regression was performed to identify factors associated with ED. We included 101 male patients with a mean age of 52.14 ± 12.89 years. Erectile dysfunction (IIEF erectile function domain ≤ 25) was present in 83% of patients, with 34% experiencing moderate-to-severe ED. Sexual desire and satisfaction were affected in 71.3% and 83.2% of patients, respectively. Patients with ED had a significantly higher age (p = 0.01) and LBP duration (p < 0.004). Additionally, ED was significantly associated with married status, work status, and muscle relaxant use. Age > 46 years and CLBP duration > 4 years were identified as significant thresholds associated with ED (AUC 0.848 and 0.745, respectively). In multivariate analysis, age > 46 years, CLBP duration > 4 years, anxiety symptoms, and unemployment were independently associated with ED, while muscle relaxant therapy was associated with lower risk of ED. Men with degenerative chronic mechanical LBP frequently experience impaired sexual function. Older age, longer disease duration, anxiety, and unemployment were independently associated with erectile dysfunction. Routine assessment of sexual health should be considered in the comprehensive management of chronic LBP.